Variation in Surgeon Proficiency Scores and Association With Digit Replantation Outcomes.

ABSTRACT:

Importance

Risk-adjusted variation in surgeon outcomes has been traditionally explained by surgeon volume and hospital infrastructure, yet it is unclear how a surgeon's operative proficiency directly contributes to their patients' outcomes.

Objective

To assess the variation of surgeons' operative proficiency and investigate its association with surgical outcomes.

Design, setting, and participants

This case series was a retrospective analysis of all digit replantations and revascularizations at a single US university medical center between January 2000 and August 2020. Surgeons were assigned a proficiency score based on the expected procedure difficulty and outcomes from a sample of their cases. Surgeon proficiency scores were then used to determine associations with o

SUBMITTER: Yoon AP 

PROVIDER: S-EPMC8548947 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature