Key result
Non-consultant general surgeons were 10.4% more likely to decide to perform an emergency laparotomy than consultants (p=0.036), highlighting differences in decision-making by seniority.
Why the study?
Emergency laparotomies carry high morbidity and mortality, with outcomes inextricably linked to the decision-making process of whether or not to operate.
Does surgeon grade influence the decision to perform an emergency laparotomy?
Population
116 general surgeons (12 SHOs, 79 registrars, 25 consultants)
Comparison
Decision-making compared across grade, risk attitudes, and reflective practice
Design
Mixed-methods study with semi-structured interviews and an online vignette survey
Authors
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May warrant caution in training pathways for emergency decisions; leaves open whether grade-specific thresholds affect outcomes.
Cross-Sectional (n=116)
Does surgeon grade influence the decision to perform an emergency laparotomy?
Effect estimate: 10.4% more likely (95% CI ±9.7%)
p-value: p=0.036
Non-consultant general surgeons are significantly more likely to decide to perform an emergency laparotomy compared to consultants, highlighting a difference in decision-making and risk attitudes.
Hendra et al. (2018) conducted a cross-sectional in Emergency laparotomy decision-making (n=116). Non-consultant grade vs. Consultant grade was evaluated on Decision to perform an emergency laparotomy (10.4% more likely, 95% CI ±9.7%, p=0.036). Non-consultant general surgeons were 10.4% more likely to decide to perform an emergency laparotomy than consultants (p=0.036), highlighting differences in decision-making by seniority.
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