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Influence of surgeon's experience and supervision on re-operation rate after hip fracture surgery

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@article{20c7d68633ad45bc9af4762c8922da84,
title = "Influence of surgeon's experience and supervision on re-operation rate after hip fracture surgery",
abstract = "OBJECTIVE: To investigate the influence of the performing surgeon's experience and degree of supervision on re-operation rate among patients admitted with a proximal femoral fracture (PFF). METHODS: Prospective study of 600 consecutive patients with proximal femoral fracture in our multimodal rehabilitation programme, between 2002 and 2004. Re-operation rate was assessed 6 months postoperatively. Surgeons were grouped as unsupervised junior registrars versus experienced surgeons operating or supervising. Fractures were stratified as technically undemanding or demanding. RESULTS: Unsupervised junior registrars operated on 23{\%} (137/600) of all and 15{\%} (56/365) of technically demanding proximal femoral fractures. The latter had a higher re-operation rate within 6 months, compared with the rate when more experienced surgeons were present. In logistic regression analysis combining age, gender, American Society of Anaesthesiologists score, New Mobility Score, time to surgery and type of implant, surgery by unsupervised junior registrars was still a significant independent risk factor for re-operation in technically demanding proximal femoral fractures. CONCLUSION: Unsupervised junior registrars should not operate on technically demanding proximal femoral fractures.",
keywords = "Adult, Aged, Aged, 80 and over, Clinical Competence, Female, Hip Fractures, Humans, Male, Middle Aged, Orthopedics, Prospective Studies, Recurrence, Reoperation",
author = "Henrik Palm and Steffen Jacobsen and Michael Krasheninnikoff and Foss, {Nicolai Bang} and Henrik Kehlet and Gebuhr, {Peter Henrik} and NN NN",
year = "2006",
doi = "10.1016/j.injury.2006.07.043",
language = "English",
volume = "38",
pages = "775--9",
journal = "Injury",
issn = "0020-1383",
publisher = "Elsevier Ltd",
number = "7",

}

RIS

TY - JOUR

T1 - Influence of surgeon's experience and supervision on re-operation rate after hip fracture surgery

AU - Palm, Henrik

AU - Jacobsen, Steffen

AU - Krasheninnikoff, Michael

AU - Foss, Nicolai Bang

AU - Kehlet, Henrik

AU - Gebuhr, Peter Henrik

AU - NN, NN

PY - 2006

Y1 - 2006

N2 - OBJECTIVE: To investigate the influence of the performing surgeon's experience and degree of supervision on re-operation rate among patients admitted with a proximal femoral fracture (PFF). METHODS: Prospective study of 600 consecutive patients with proximal femoral fracture in our multimodal rehabilitation programme, between 2002 and 2004. Re-operation rate was assessed 6 months postoperatively. Surgeons were grouped as unsupervised junior registrars versus experienced surgeons operating or supervising. Fractures were stratified as technically undemanding or demanding. RESULTS: Unsupervised junior registrars operated on 23% (137/600) of all and 15% (56/365) of technically demanding proximal femoral fractures. The latter had a higher re-operation rate within 6 months, compared with the rate when more experienced surgeons were present. In logistic regression analysis combining age, gender, American Society of Anaesthesiologists score, New Mobility Score, time to surgery and type of implant, surgery by unsupervised junior registrars was still a significant independent risk factor for re-operation in technically demanding proximal femoral fractures. CONCLUSION: Unsupervised junior registrars should not operate on technically demanding proximal femoral fractures.

AB - OBJECTIVE: To investigate the influence of the performing surgeon's experience and degree of supervision on re-operation rate among patients admitted with a proximal femoral fracture (PFF). METHODS: Prospective study of 600 consecutive patients with proximal femoral fracture in our multimodal rehabilitation programme, between 2002 and 2004. Re-operation rate was assessed 6 months postoperatively. Surgeons were grouped as unsupervised junior registrars versus experienced surgeons operating or supervising. Fractures were stratified as technically undemanding or demanding. RESULTS: Unsupervised junior registrars operated on 23% (137/600) of all and 15% (56/365) of technically demanding proximal femoral fractures. The latter had a higher re-operation rate within 6 months, compared with the rate when more experienced surgeons were present. In logistic regression analysis combining age, gender, American Society of Anaesthesiologists score, New Mobility Score, time to surgery and type of implant, surgery by unsupervised junior registrars was still a significant independent risk factor for re-operation in technically demanding proximal femoral fractures. CONCLUSION: Unsupervised junior registrars should not operate on technically demanding proximal femoral fractures.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Clinical Competence

KW - Female

KW - Hip Fractures

KW - Humans

KW - Male

KW - Middle Aged

KW - Orthopedics

KW - Prospective Studies

KW - Recurrence

KW - Reoperation

U2 - 10.1016/j.injury.2006.07.043

DO - 10.1016/j.injury.2006.07.043

M3 - Journal article

VL - 38

SP - 775

EP - 779

JO - Injury

JF - Injury

SN - 0020-1383

IS - 7

ER -

ID: 32569331