Does greater surgical skill reduce postoperative complications, reoperations, and readmissions after bariatric surgery?
Patients undergoing bariatric surgery
Greater technical skill of practicing bariatric surgeons (assessed via peer rating)
Lower technical skill
Postoperative complications, reoperation, readmission, and visits to the emergency departmenthard clinical
Peer rating of operative skill may be an effective strategy for assessing a surgeon's proficiency and predicting postoperative outcomes.
The technical skill of practicing bariatric surgeons varied widely, and greater skill was associated with fewer postoperative complications and lower rates of reoperation, readmission, and visits to the emergency department. Although these findings are preliminary, they suggest that peer rating of operative skill may be an effective strategy for assessing a surgeon's proficiency.
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John D. Birkmeyer
Jonathan F. Finks
Amanda O'Reilly
New England Journal of Medicine
University of Michigan
Henry Ford Health System
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Birkmeyer et al. (Thu,) studied this question.
www.synapsesocial.com/papers/69d7244d8a0e2c5879bef878 — DOI: https://doi.org/10.1056/nejmsa1300625