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Invited Commentary on “Fragmentation of Practice: The Adverse Effect of Surgeons Moving Around”

      Innumerable factors contribute to postoperative outcome. Various patient, physician, health system, and infrastructure-level variables have been shown to influence these outcomes and impact health care cost and delivery.
      • Rogers M.P.
      • Cousin-Peterson E.
      • Barry T.M.
      • Baker M.S.
      • Kuo P.C.
      • Janjua H.M.
      Elements of the care environment influence coronary artery bypass surgery readmission.
      However, the level to which surgeon-driven factors, such as procedure-specific case volume across different hospitals, and familiarity with a specific operating room team/hospital system affect outcomes is relatively unknown. While it has been previously shown that outcomes improve with increased case volumes, the potential patient, surgeon, and system-level impact of surgeons operating at multiple hospitals has yet to be studied.
      • Maruthappu M.
      • Gilbert B.J.
      • El-Harasis M.A.
      • et al.
      The influence of volume and experience on individual surgical performance: a systematic review.
      Although anecdotally not uncommon, details on how many surgeons operate at multiple hospitals or its effect on patient outcomes has not been elucidated. In this issue of Surgery, Hyer et al examine the impact of surgeons operating at multiple hospitals on patient outcomes.
      • Hyer J.M.
      • Diaz A.
      • Ejaz A.
      • et al.
      Fragmentation of practice: the adverse effect of surgeons moving around.
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      References

        • Rogers M.P.
        • Cousin-Peterson E.
        • Barry T.M.
        • Baker M.S.
        • Kuo P.C.
        • Janjua H.M.
        Elements of the care environment influence coronary artery bypass surgery readmission.
        Surg Open Sci. 2022; 7: 12-17
        • Maruthappu M.
        • Gilbert B.J.
        • El-Harasis M.A.
        • et al.
        The influence of volume and experience on individual surgical performance: a systematic review.
        Ann Surg. 2015; 261: 642-647
        • Hyer J.M.
        • Diaz A.
        • Ejaz A.
        • et al.
        Fragmentation of practice: the adverse effect of surgeons moving around.
        Surgery. 2022; 172: 479-485

      Linked Article