1. Outcomes of Colectomy and Proctectomy According to Surgeon Training: General vs Colorectal Surgeons.
- Author
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Purdy, Amanda C, Murphy, Serena, Vilchez, Valery, Shanmugan, Skandan, Whealon, Matthew, Mills, Steven, Carmichael, Joseph C, Stamos, Michael J, and Nguyen, Ninh T
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Clinical Research ,Evaluation of treatments and therapeutic interventions ,6.4 Surgery ,Surgery ,Clinical sciences - Abstract
BackgroundColectomies and proctectomies are commonly performed by both general surgeons (GS) and colorectal surgeons (CRS). The aim of our study was to examine the outcomes of elective colectomy, urgent colectomy, and elective proctectomy according to surgeon training.Study designData were obtained from the Vizient database for adults who underwent elective colectomy, urgent colectomy, and elective proctectomy from 2020-2022. Operations performed in the setting of trauma and patients within the database's highest relative expected mortality risk group were excluded. Outcomes were compared according to surgeon's specialty: GS vs. CRS. The primary outcome was in-hospital mortality. The secondary outcome was in-hospital complication rate. Data were analyzed using multivariate logistic regression.ResultsOf 149,516 elective colectomies, 75,711(50.6%) were performed by GS and 73,805(49.4%) by CRS. Compared to elective colectomies performed by CRS, elective colectomies performed by GS had higher rates of complications(4.9% vs. 3.9%, OR1.23, 95%CI 1.17-1.29,p
- Published
- 2024