Featured Research

from universities, journals, and other organizations

Skill ratings predict which surgeons perform safer surgeries

Date:
October 9, 2013
Source:
University of Michigan Health System
Summary:
Video ratings data of bariatric surgeons’ operating skills successfully predicted whether patients would suffer complications after surgery.

Video ratings data of surgeons' operating skills successfully predicted whether patients would suffer complications after leaving the operating room, according to a University of Michigan Health System study.

Related Articles


The study assessed the relationship between the technical skill of 20 bariatric surgeons and post-surgery complications in 10,343 patients undergoing common, but complex laparoscopic gastric bypass surgery.

High skill surgeons, as rated by their peers, had significantly fewer post-surgery complications such as bleeding or infections, according to the study published in today's New England Journal of Medicine.

Their patients were also less likely to make a return visit to the hospital or emergency department.

"Peer assessment of a surgeon's operative skill may be a more practical, more direct, and ultimately more informative test for assessing the surgeon's proficiency than other measures," says lead study author John D. Birkmeyer, M.D., professor of surgery and director of the Center for Healthcare Outcomes & Policy at the University of Michigan.

Participation was voluntary and various skills such as a gentleness, time and motion, instrument handling, flow of operation, tissue exposure and overall technical skill were rated anonymously.

Based on viewing a single video that surgeons submitted themselves, surgeons were rated on a scale of 1 to 5, with 1 indicating the skill expected of a general surgery chief resident and 5 indicating the skill of a master surgeon.

"The technical skill of practicing surgeons varied widely," Birkmeyer says. "Summary ratings varied from 2.6 to 4.8 and greater skill was associated with fewer postoperative complications and shorter operations."

In the study, surgeons who received low skill scores had complication rates of 14.5 percent compared to 5.2 percent among high skill surgeons.

A high level of skill may also be associated with shorter operations, authors note, which are important in light of research linking prolonged operating times to increased risks of certain types of complications such as infection and venous thromboembolisms -- dangerous blood clots that can travel to the lungs.

Low skill surgeons had operations lasting 137 minutes while high skill surgeons were done in 98 minutes.

"Variation in surgical skill and outcomes may never be eliminated," Birkmeyer says. "But coaching and constructive feedback from peers may be an important strategy for upping everyone's game."

These findings also suggest the formal evaluations of technical skill may be useful in identifying which medical students pursue careers as surgeons and in evaluating surgeons in training. For surgeons already in practice, similar methods could be invaluable for the board re-certification process and hospital credentialing for specific procedures.


Story Source:

The above story is based on materials provided by University of Michigan Health System. Note: Materials may be edited for content and length.


Journal Reference:

  1. John D. Birkmeyer, Jonathan F. Finks, Amanda O'Reilly, Mary Oerline, Arthur M. Carlin, Andre R. Nunn, Justin Dimick, Mousumi Banerjee, Nancy J.O. Birkmeyer. Surgical Skill and Complication Rates after Bariatric Surgery. New England Journal of Medicine, 2013; 369 (15): 1434 DOI: 10.1056/NEJMsa1300625

Cite This Page:

University of Michigan Health System. "Skill ratings predict which surgeons perform safer surgeries." ScienceDaily. ScienceDaily, 9 October 2013. <www.sciencedaily.com/releases/2013/10/131009201055.htm>.
University of Michigan Health System. (2013, October 9). Skill ratings predict which surgeons perform safer surgeries. ScienceDaily. Retrieved December 20, 2014 from www.sciencedaily.com/releases/2013/10/131009201055.htm
University of Michigan Health System. "Skill ratings predict which surgeons perform safer surgeries." ScienceDaily. www.sciencedaily.com/releases/2013/10/131009201055.htm (accessed December 20, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Saturday, December 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

The Best Tips to Curb Holiday Carbs

The Best Tips to Curb Holiday Carbs

Buzz60 (Dec. 19, 2014) It's hard to resist those delicious but fattening carbs we all crave during the winter months, but there are some ways to stay satisfied without consuming the extra calories. Vanessa Freeman (@VanessaFreeTV) has the details. Video provided by Buzz60
Powered by NewsLook.com
Sierra Leone Bikers Spread the Message to Fight Ebola

Sierra Leone Bikers Spread the Message to Fight Ebola

AFP (Dec. 19, 2014) More than 100 motorcyclists hit the road to spread awareness messages about Ebola. Nearly 7,000 people have now died from the virus, almost all of them in west Africa, according to the World Health Organization. Video provided by AFP
Powered by NewsLook.com
Researchers Test Colombian Village With High Alzheimer's Rates

Researchers Test Colombian Village With High Alzheimer's Rates

AFP (Dec. 19, 2014) In Yarumal, a village in N. Colombia, Alzheimer's has ravaged a disproportionately large number of families. A genetic "curse" that may pave the way for research on how to treat the disease that claims a new victim every four seconds. Duration: 02:42 Video provided by AFP
Powered by NewsLook.com
The Best Protein-Filled Foods to Energize You for the New Year

The Best Protein-Filled Foods to Energize You for the New Year

Buzz60 (Dec. 19, 2014) The new year is coming and nothing will energize you more for 2015 than protein-filled foods. Fitness and nutrition expert John Basedow (@JohnBasedow) gives his favorite high protein foods that will help you build muscle, lose fat and have endless energy. Video provided by Buzz60
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:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

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