Surgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative.

ABSTRACT:

Importance

Minimally invasive colectomy (MIC) is an increasingly common surgical procedure. Although case series and controlled prospective trials have found the procedure to be safe, it is unclear whether safe adaptation of this approach from open colectomy (OC) is occurring among surgeons.

Objective

To assess rates of complications for MIC compared with OC among surgeons.

Design, setting, and participants

We analyzed 5196 patients who underwent MIC or OC from January 1, 2012, through December 31, 2015, by 97 surgeons in the Michigan Surgical Quality Collaborative, with each surgeon performing at least 10 OCs and 10 MICs. Hierarchical regression was used to assess surgeon variation in adjusted rates of complications and the association of these outcomes across approa

SUBMITTER: Healy MA 

PROVIDER: S-EPMC5710462 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature