Patient Outcomes for Segmental Colon Resection According to Surgeon’s Training, Certification, and Experience - American Board of Medical Specialties

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 colorectal resection by more than 500 surgeons from 1994-1997 were examined. Outcome measures were: 1) mortality, 2) complications and 3) hospital length of stay. Study findings revealed that general surgery certification and years of experience were associated with lower morbidity and mortality, while subspecialty certification and residency training site were non-significant predictors of the outcomes. Limitations of the study include: 1) retrospective design; 2) quality of diagnostic coding with ICD-9 codes; 3) lack of adjustment for hospital-level factors; 4) only select outcomes were examined (but mortality was a key outcome); and 5) American Board of Surgery (ABS) recertification or National Practitioner Data Bank reporting were not included as variables.

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