Featured Research

from universities, journals, and other organizations

Surgeon Experience Not Associated With Survival Among Trauma Patients In A Structured Trauma Program

Date:
August 17, 2009
Source:
JAMA and Archives Journals
Summary:
Within a structured trauma program, trauma patients are equally likely to survive if they are treated by a novice surgeon or by the experienced trauma director, according to a new study.

Within a structured trauma program, trauma patients are equally likely to survive if they are treated by a novice surgeon or by the experienced trauma director, according to a report in the August issue of Archives of Surgery, one of the JAMA/Archives journals.

"Trauma care in the United States is provided by surgeons with vastly different training and experience," the authors write as background information in the article. "It is assumed that after general surgery residency training, surgeons are competent to provide trauma care. Trauma fellowships exist for additional training in trauma surgery but are not a prerequisite at most medical centers."

One trauma facility—The Johns Hopkins Hospital in Baltimore—recruited a fellowship-trained, seasoned (more than 10 additional years of experience) trauma surgeon to serve as the trauma program director. Previously, trauma surgery was principally the responsibility of junior first-year surgical attending surgeons. Elliott R. Haut, M.D., of The Johns Hopkins University School of Medicine, and colleagues studied trauma deaths among 13,894 patients over a 10-year period, before and after the director was hired and implemented structural changes, such as the use of evidence-based guidelines and the addition of a dedicated trauma admitting unit.

In the early period (July 1, 1994, to Dec. 31, 1997), 4,499 patients were treated by novice surgeons; of the 9,395 patients in the late period (Jan. 1, 1998, to June 30, 2004), novice surgeons treated 5,783 patients and the experienced surgeon treated 3,612 patients. Overall, in the late period, concurrent comparison of patients treated by novice vs. experienced trauma surgeons demonstrated no differences in death rates between the two groups.

In the group treated by novice surgeons, trauma patients were 44 percent less likely to die after the structural changes were made than in the early period (odds ratio 0.56 in the later period vs. in the earlier period). Patients managed by novice surgeons in the later period were less likely to die than were those in the early period.

"Together, these data support the belief that in a structured trauma program, surgeons with vastly different levels of training can safely provide care and obtain equivalent outcomes," the authors conclude. "System effects outweigh any potential benefits of individual surgeon experience in the care of trauma patients. The implementation of an organized trauma program with evidence-based protocols and senior surgical guidance may have a greater effect on mortality than individual surgeon experience alone."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Elliott R. Haut; David C. Chang; Awori J. Hayanga; David T. Efron; Adil H. Haider; Edward E. Cornwell, III. Surgeon- and System-Based Influences on Trauma Mortality. Arch Surg, 2009; 144 (8): 759-764 [link]

Cite This Page:

JAMA and Archives Journals. "Surgeon Experience Not Associated With Survival Among Trauma Patients In A Structured Trauma Program." ScienceDaily. ScienceDaily, 17 August 2009. <www.sciencedaily.com/releases/2009/08/090817184550.htm>.
JAMA and Archives Journals. (2009, August 17). Surgeon Experience Not Associated With Survival Among Trauma Patients In A Structured Trauma Program. ScienceDaily. Retrieved August 20, 2014 from www.sciencedaily.com/releases/2009/08/090817184550.htm
JAMA and Archives Journals. "Surgeon Experience Not Associated With Survival Among Trauma Patients In A Structured Trauma Program." ScienceDaily. www.sciencedaily.com/releases/2009/08/090817184550.htm (accessed August 20, 2014).

Share This




More Health & Medicine News

Wednesday, August 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola-Hit Sierra Leone's Freetown a City on Edge

Ebola-Hit Sierra Leone's Freetown a City on Edge

AFP (Aug. 19, 2014) Residents of Sierra Leone's capital voice their fears as the Ebola virus sweeps through west Africa. Duration: 00:56 Video provided by AFP
Powered by NewsLook.com
101-Year-Old Working Man Has All The Advice You Need

101-Year-Old Working Man Has All The Advice You Need

Newsy (Aug. 19, 2014) Herman Goldman has worked at the same lighting store for almost 75 years. Find out his secrets to a happy, productive life. Video provided by Newsy
Powered by NewsLook.com
Researcher Testing on-Field Concussion Scanners

Researcher Testing on-Field Concussion Scanners

AP (Aug. 19, 2014) Four Texas high school football programs are trying out an experimental system designed to diagnose concussions on the field. The technology is in response to growing concern over head trauma in America's most watched sport. (Aug. 19) Video provided by AP
Powered by NewsLook.com
American Ebola Patient Apparently Improving, Outbreak Is Not

American Ebola Patient Apparently Improving, Outbreak Is Not

Newsy (Aug. 19, 2014) Nancy Writebol, an American missionary who contracted Ebola, is apparently getting better, according to her husband. The outbreak, however, is not. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins