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February 10, 2020ViewOpen Access

Clinical and Nonclinical Effects on Operative Duration: Evidence from a Database on Thoracic Surgery

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Key result

Operative duration decreased with the number of operations a surgeon performed in a day (P<0.001) and with the number allocated to an operating room up to four per day (P<0.001).

Why the study?

Because operating room maintenance costs are high and operative duration guides surgery scheduling, this study investigated whether planning and scheduling decisions influence operative duration alongside clinical factors.

Population

2,451 thoracic operations from a large hospital in China

Comparison

Clinical effects vs planning and scheduling decisions

Design

Observational database study

Authors

JWJin WangJCJavier CabreraKTKwok‐Leung Tsui

Discussion

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Overview

May inform daily case scheduling in thoracic surgery; leaves open causality and generalizability.

Study Design

Type

Observational (n=2,451)

Multicenter

No

Structured PICO

P
Population
2,451 thoracic operations from a single large hospital in China over a 34-month period.
E
Exposure
Planning and scheduling decisions (number of operations per surgeon per day, number of operations allocated to an OR, sequencing of surgeries)
O
Outcome
Operative duration

Main Result

p-value: p=<0.001

Scheduling decisions, such as the number of operations per surgeon and per operating room, significantly influence operative duration in thoracic surgery.

Cite This Study

Wang et al. (2020) conducted an observational in Thoracic surgery (n=2,451). Planning and scheduling decisions (e.g., number of operations per surgeon/OR, sequencing) was evaluated on Operative duration (p=<0.001). Operative duration decreased with the number of operations a surgeon performed in a day (P<0.001) and with the number allocated to an operating room up to four per day (P<0.001).

synapsesocial.com/papers/6a882c67bc5f9fd513bbf704https://doi.org/10.1155/2020/3582796
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