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10.1097/SLA.0000000000001361 http://scihub22266oqcxt.onion/10.1097/SLA.0000000000001361 C4747674!4747674!26372308     free     free     free Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Ann+Surg 2016 ; 263 (3): 487-92 Nephropedia Template TP {{tp|p=26372308|t=2016. Observations on Surgeons? Case Selection, Morbidity, and Mortality Following Board Certification |pdf=|usr=}}{{26372308}} gab.com Text Observations on Surgeons Case Selection, Morbidity, and Mortality Following Board Certification JO: Ann Surg http://www.kidney.de/pget.php?&tw=1&pmid=26372308 #FOAvip Objective: The purpose of this study is to determine if patient selection varies based on years of surgical practice. Summary Background Data: The impact of hospital and surgeon volume as a marker of experience has demonstrated an inverse association with surgical outcomes. However, temporal measures of experience often demonstrate no effect. Additionally, a self-reporting survey demonstrated decreasing case complexity over time, suggesting that changes in patient selection may account for some of these observed discrepancies. Methods: General surgery cases at a single tertiary care center reported to the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) over a 10-year period were identified. Additionally general surgery cases from the ACS NSQIP 2008 PUF data were used to create risk models for any complications, 30-day mortality or a composite complication or mortality outcome. These models then estimated risk for our local data. Years of experience after American Board of Surgery (ABS) certification were calculated for each surgeon for each case. Multivariate linear regression, controlling for surgeon clustering, was used to determine the association between years of surgical experience and preoperative risk of complications and mortality. Results: 18,688 cases were identified from our institution. Surgeons selected patients of increasing operative risk until 15 years of practice before selecting lower risk patients throughout the rest of their career. After adjusting for risk, no association was observed between years from board certification and mortality. However, there was a trend toward decreasing complication rates with increasing experience. Conclusions: Surgical experience significantly impacts patient selection. Surgeons with over 25 years of experience had lower complication rates. Experience had no impact on mortality. Twit Text FOAVip Observations on Surgeons Case Selection, Morbidity, and Mortality Following Board Certification ????Ann Surg http://www.kidney.de/pget.php?&tw=1&pmid=26372308 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26372308 #FOAvip English Wikipedia <ref>{{Cite pmid|26372308}}</ref> Observations on Surgeons? Case Selection, Morbidity, and Mortality Following Board Certification #MMPMID26372308 Guidry CA; Newhook TE; Turrentine FE; Sohn MW; Sawyer RG; Jones RS Ann Surg 2016[Mar]; 263 (3): 487-92 PMID26372308show ga Objective: The purpose of this study is to determine if patient selection varies based on years of surgical practice. Summary Background Data: The impact of hospital and surgeon volume as a marker of experience has demonstrated an inverse association with surgical outcomes. However, temporal measures of experience often demonstrate no effect. Additionally, a self-reporting survey demonstrated decreasing case complexity over time, suggesting that changes in patient selection may account for some of these observed discrepancies. Methods: General surgery cases at a single tertiary care center reported to the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) over a 10-year period were identified. Additionally general surgery cases from the ACS NSQIP 2008 PUF data were used to create risk models for any complications, 30-day mortality or a composite complication or mortality outcome. These models then estimated risk for our local data. Years of experience after American Board of Surgery (ABS) certification were calculated for each surgeon for each case. Multivariate linear regression, controlling for surgeon clustering, was used to determine the association between years of surgical experience and preoperative risk of complications and mortality. Results: 18,688 cases were identified from our institution. Surgeons selected patients of increasing operative risk until 15 years of practice before selecting lower risk patients throughout the rest of their career. After adjusting for risk, no association was observed between years from board certification and mortality. However, there was a trend toward decreasing complication rates with increasing experience. Conclusions: Surgical experience significantly impacts patient selection. Surgeons with over 25 years of experience had lower complication rates. Experience had no impact on mortality. äObservations on Surgeons? Case Selection, Morbidity, and Mortality Fol(epmc).pdf DeepDyve Pubget Overpricing