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October 10, 2013New England Journal of Medicine1,512 citationsOpen Access

Surgical Skill and Complication Rates after Bariatric Surgery

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JBJohn D. BirkmeyerJFJonathan F. FinksAOAmanda O'Reilly

Structured PICO

Does greater surgical skill reduce postoperative complications, reoperations, and readmissions after bariatric surgery?

P
Population
Patients undergoing bariatric surgery
I
Intervention
Greater technical skill of practicing bariatric surgeons (assessed via peer rating)
C
Comparator
Lower technical skill
O
Outcome
Postoperative complications, reoperation, readmission, and visits to the emergency departmenthard clinical

Peer rating of operative skill may be an effective strategy for assessing a surgeon's proficiency and predicting postoperative outcomes.

Limitations

  • Findings are preliminary

Abstract

The technical skill of practicing bariatric surgeons varied widely, and greater skill was associated with fewer postoperative complications and lower rates of reoperation, readmission, and visits to the emergency department. Although these findings are preliminary, they suggest that peer rating of operative skill may be an effective strategy for assessing a surgeon's proficiency.

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Cite This Study

Birkmeyer et al. (2013) studied this question.

synapsesocial.com/papers/69d7244d8a0e2c5879bef878https://doi.org/10.1056/nejmsa1300625
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