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March 1, 1992British journal of surgery

Management variability in surgery for colorectal emergencies

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Why the study?

Does management by specialist colorectal consultants alter surgical choices and outcomes in patients undergoing emergency colorectal surgery compared to non-specialist consultants?

Population

92 patients who underwent emergency colorectal surgery during a 1-year period

Comparison

Management by surgical firms headed by… vs Management by surgical firms headed by…

Design

Cohort

Follow-up

perioperative

Authors

CDChristopher DarbyJohn Innes CentreABA R BerryManchester Royal InfirmaryNMN J McC MortensenUniversity of Oxford

Discussion

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Implication

Specialist input was associated with more primary anastomoses in emergencies; leaves open outcome benefits and training implications.

Structured PICO

Does management by specialist colorectal consultants alter surgical choices and outcomes in patients undergoing emergency colorectal surgery compared to non-specialist consultants?

P
Population
92 patients who underwent emergency colorectal surgery during a 1-year period
I
Intervention
Management by surgical firms headed by consultants with a special interest in colorectal disease
C
Comparator
Management by surgical firms headed by consultants without a special interest in colorectal disease
O
Outcome
Rates of primary resection and immediate anastomosis, Hartmann's procedure, and non-resectional procedureshard clinical

There are significant differences in the management of colorectal emergencies between specialist and non-specialist consultants, highlighting the need for recent advances in colorectal practice to be included in general surgical training.

Cite This Study

Darby et al. (1992) studied this question.

synapsesocial.com/papers/6a1fc2ef43b07f95d12688b8https://doi.org/10.1002/bjs.1800790305
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Impact of variability among surgeons on postoperative morbidity and mortality and ultimate survival.1991 · 549 citations
  2. 2Immediate resection in emergency large bowel surgery: a 7 year audit1985 · 84 citations
  3. 3Surgical management of diverticulitis1983 · 53 citations