Impact of surgeon experience on routine prolapse operations

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: id:"swepub:oai:DiVA.org:umu-144825" > Impact of surgeon e...

1 of 1
Previous record
Next record
To hitlist

Details
MARC

Nüssler, EmilUmeå universitet,Obstetrik och gynekologi (author)

Impact of surgeon experience on routine prolapse operations

Article/chapterEnglish2018

Publisher, publication year, extent ...

2017-06-02
Springer,2018
electronicrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:umu-144825
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-144825URI
https://doi.org/10.1007/s00192-017-3353-0DOI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Errata: Nüssler, E., Eskildsen J. K., Nüssler, E. K., Bixo, M., Löfgren, M. Impact of surgeon experience on routine prolapse operations. International Urogynecology Journal 2018;29:2. DOI: 10.1007/s00192-017-3525-y
Introduction and hypothesis: Surgical work encompasses important aspects of personal and manual skills. In major surgery, there is a positive correlation between surgical experience and results. For pelvic organ prolapse (POP), this relationship has to our knowledge never been examined. In any clinical practice, there is always a certain proportion of inexperienced surgeons. In Sweden, most prolapse surgeons have little experience in performing prolapse operations, 74% conducting the procedure once a month or less. Simultaneously, surgery for POP globally has failure rates of 25-30%. In other words, for most surgeons, the operation is a low-frequency procedure, and outcomes are unsatisfactory. The aim of this study was to clarify the acceptability of having a high proportion of low-volume surgeons in the management of POP.Methods: A group of 14,676 exclusively primary anterior or posterior repair patients was assessed. Data were analyzed by logistic regression and as a group analysis.Results: Experienced surgeons had shorter operation times and hospital stays. Surgical experience did not affect surgical or patient-reported complication rates, organ damage, reoperation, rehospitalization, or patient satisfaction, nor did it improve patient-reported failure rates 1 year after surgery. Assistant experience, similarly, had no effect on the outcome of the operation.Conclusions: A management model for isolated anterior or posterior POP surgery that includes a high proportion of low-volume surgeons does not have a negative impact on the quality or outcome of anterior or posterior colporrhaphy. Consequently, the high recurrence rate was not due to insufficient experience of the surgeons performing the operation.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
pelvic organ prolapse
national register data
patient-reported outcome
surgical outcome
quality control
learning curve

Added entries (persons, corporate bodies, meetings, titles ...)

Eskildsen, Jacob Kjaer (author)
Nüssler, Emil KarlUmeå universitet,Obstetrik och gynekologi(Swepub:umu)emnu0002 (author)
Bixo, MarieUmeå universitet,Obstetrik och gynekologi(Swepub:umu)mabi0001 (author)
Löfgren, MatsUmeå universitet,Obstetrik och gynekologi(Swepub:umu)malo0003 (author)
Umeå universitetObstetrik och gynekologi (creator_code:org_t)

Related titles

In:International Urogynecology Journal: Springer29:2, s. 297-3060937-34621433-3023

Internet link

Find in a library

International Urogynecology Journal (Search for host publication in LIBRIS)

To the university's database

1 of 1
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: Nüssler, Emil; Eskildsen, Jacob ...; Nüssler, Emil Ka ...; Bixo, Marie; Löfgren, Mats

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

Articles in the publication: International Ur ...

By the university: Umeå University

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se