A Statewide, Population-based, Time Series Analysis of the Outcome of Ruptured Abdominal Aortic Aneurysm - American Board of Medical Specialties

There were several aims addressed in this study: to perform the first, statewide, population based time-series analysis of the frequency of ruptured abdominal aortic aneurysm (RAAA); to determine the outcomes of RAAA; and to assess the association of patient, physician and hospital factors with survival after RAAA. For the purposes of the study, data was obtained from four different data sources; therefore, study results are subject to database limitations. Nevertheless, one of the main hypotheses of the study, increased physician expertise and experience would positively affect the outcome of RAAA patients, was generally confirmed. Results show that physicians lacking board certification have lower survival of patients with RAAA, although the effect was relatively modest. Similarly, association between physician experience with RAAAs and patient survival is found to be statistically significant.

Related Media

Physician and Hospital Factors Associated with Mortality of Surgical Patients

The aim of this study was to examine the deviation of hospital mortality relevant to the volume of specific surgical procedures performed in a hospital, the volume of these procedures performed by patient’s primary surgeon, physician board certification, and other factors, such as...

The Importance of Surgeon Volume and Training in Outcomes for Vascular Surgical Procedures

This study attempted to assess the impact of surgeon volume on outcome after carotid endarterectomy, lower extremity bypass grafting, and abdominal aortic aneurysm repair. The study was based on hospital discharge data for all non federal hospitals of Florida from...

Patient Outcomes for Segmental Colon Resection According to Surgeon’s Training, Certification, and Experience

This is a retrospective study, which examined whether colon resection outcomes were associated with: 1) general surgery certification, 2) colorectal subspecialty certification, 3) university/non-university residency training site, and 4) years of experience since general certification. Over 15,000 patients having undergone...

Certifying Examination Performance and Patient Outcomes Following Acute Myocardial Infarction

The study explores whether successful completion of certifying examination is associated with patient mortality and length of stay following acute myocardial infarction. Results suggest that mortality is decreased for patients receiving care from board certified cardiologists. Doctor  characteristics, e.g. patient...