Outcomes of hysterectomies performed by supervised residents vs those performed by attendings alone

被引：17
|
作者：
Akingba, Danita H. [1 ]
Deniseiko-Sanses, Tatiana V. [1 ]
Melick, Clifford F. [2 ]
Ellerkmann, R. Mark [1 ]
Matsuo, Koji [3 ]
机构：
[1] Greater Baltimore Med Ctr, Dept Gynecol, Div Urogynecol, Towson, MD USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD USA
[3] Univ Maryland, Sch Med, Dept Obstet & Gynecol, Baltimore, MD 21201 USA
来源：
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2008年 / 199卷 / 06期
关键词：
hysterectomies; operating room time; residents under supervision; teaching physician;
D O I：
10.1016/j.ajog.2008.07.052
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
OBJECTIVE: The objective of the study was to compare the outcomes of hysterectomies performed by residents under supervision of a teaching physician with those performed by attendings alone. STUDY DESIGN: This was a retrospective cohort analysis of hysterectomies performed at the Greater Baltimore Medical Center from 2004 to 2006. RESULTS: Of 159 nonteaching and 265 teaching cases, there was no significant difference in any of the surgical outcomes, except mean operating room time in minutes (94.8 [+/- 47.0] vs 107.4 [+/- 42.4]; P = .005), seromas (2.5% vs 0%; P = .02), and others (5% vs 0.8%; P = .007) in nonteaching vs teaching cases, respectively. The demographics and comorbidities were similar. The mean operating room time difference of 13 minutes was not clinically significant. CONCLUSION: Although teaching hysterectomies take a bit longer to perform, there were no greater adverse outcomes.
引用
收藏
页码：673.e1 / 673.e6
页数：6
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