Surgeon Volume and Surgeon Age in Relation to Proficiency Gain Curves for Prognosis Following Surgery for Esophageal Cancer.

ABSTRACT:

Background

Surgery proficiency gain curves must be shortened to reduce patient harm during esophagectomy learning.

Objective

This study aimed to test whether surgeon volume and surgeon age influenced the length of period of surgical proficiency gain.

Methods

This population-based cohort study included 1384 patients with esophageal cancer who underwent esophagectomy by any of the 36 highest-volume surgeons in Sweden between 1987 and 2010, with follow-up until 2016. Annual surgeon volume was dichotomized by the median values into 'higher-volume surgeons' (≥ 4 cases per year) and 'lower-volume surgeons' (< 4 cases per year), and surgeon age at the start of practicing esophagectomies into 'younger surgeons' (aged < 45 years) and 'older surgeons' (aged ≥ 45 years). Profici

SUBMITTER: Gottlieb-Vedi E 

PROVIDER: S-EPMC6341157 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature