Influence of Experience on Performance of Individual Surgeons in Thyroid Surgery: Prospective Cross Sectional Multicentre Study

DSpace/Manakin Repository

Influence of Experience on Performance of Individual Surgeons in Thyroid Surgery: Prospective Cross Sectional Multicentre Study

Show simple item record

dc.contributor.author Peix, Jean-Louis
dc.contributor.author Colin, Cyrille
dc.contributor.author Kraimps, Jean-Louis
dc.contributor.author Menegaux, Fabrice
dc.contributor.author Pattou, François
dc.contributor.author Sebag, Fréderic
dc.contributor.author Touzet, Sandrine
dc.contributor.author Bourdy, Stéphanie
dc.contributor.author Voirin, Nicolas
dc.contributor.author Lifante, Jean-Christophe
dc.contributor.author Duclos, Antoine
dc.date.accessioned 2012-05-01T19:55:44Z
dc.date.issued 2012
dc.identifier.citation Duclos, Antoine, Jean-Louis Peix, Cyrille Colin, Jean-Louis Kraimps, Fabrice Menegaux, François Pattou, Fréderic Sebag, et al. 2012. Influence of experience on performance of individual surgeons in thyroid surgery: prospective cross sectional multicentre study. British Medical Journal 344: d8041 en_US
dc.identifier.issn 0959-8138 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:8646771
dc.description.abstract Objective: To determine the association between surgeons’ experience and postoperative complications in thyroid surgery. Design: Prospective cross sectional multicentre study. Setting: High volume referral centres in five academic hospitals in France. Participants: All patients who underwent a thyroidectomy undertaken by every surgeon in these hospitals from 1 April 2008 to 31 December 2009. Main outcome measures: Presence of two permanent major complications (recurrent laryngeal nerve palsy or hypoparathyroidism), six months after thyroid surgery. We used mixed effects logistic regression to determine the association between length of experience and postoperative complications. Results: 28 surgeons completed 3574 thyroid procedures during a one year period. Overall rates of recurrent laryngeal nerve palsy and hypoparathyroidism were 2.08% (95% confidence interval 1.53% to 2.67%) and 2.69% (2.10% to 3.31%), respectively. In a multivariate analysis, 20 years or more of practice was associated with increased probability of both recurrent laryngeal nerve palsy (odds ratio 3.06 (1.07 to 8.80), P=0.04) and hypoparathyroidism (7.56 (1.79 to 31.99), P=0.01). Surgeons’ performance had a concave association with their length of experience (P=0.036) and age (P=0.035); surgeons aged 35 to 50 years had better outcomes than their younger and older colleagues. Conclusions: Optimum individual performance in thyroid surgery cannot be passively achieved or maintained by accumulating experience. Factors contributing to poor performance in very experienced surgeons should be explored further. en_US
dc.language.iso en_US en_US
dc.publisher BMJ Publishing Group en_US
dc.relation.isversionof doi:10.1136/bmj.d8041 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3256252/pdf/ en_US
dash.license LAA
dc.title Influence of Experience on Performance of Individual Surgeons in Thyroid Surgery: Prospective Cross Sectional Multicentre Study en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal British Medical Journal en_US
dash.depositing.author Duclos, Antoine
dc.date.available 2012-05-01T19:55:44Z

Files in this item

Files Size Format View
3256252.pdf 535.0Kb PDF View/Open

This item appears in the following Collection(s)

Show simple item record

 
 

Search DASH


Advanced Search
 
 

Submitters