Surgical trainee impact on bariatric surgery safety View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-11-13

AUTHORS

Iliya Goldberg, Jie Yang, Jihye Park, Aurora D. Pryor, Salvatore Docimo, Andrew T. Bates, Mark A. Talamini, Konstantinos Spaniolas

ABSTRACT

BACKGROUND: Roux-en-Y-gastric bypass (RYGB) and sleeve gastrectomy (SG) are commonly performed bariatric procedures that are associated with a significant learning curve. The effect of surgeon experience on perioperative outcomes and safety is established, but the effect of trainee participation remains unclear. The purpose of this study was to assess the impact of trainees on early perioperative safety of bariatric surgery. METHODS: Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database for 2015 was used to identify non-revisional laparoscopic and robotic RYGB and SG procedures. Comparisons were made based on assistant level. Multivariable logistic and linear regression methodology was used to compare clinical outcomes. RESULTS: There were 35,354 laparoscopic RYGB, 2896 robotic RYGB, 79,717 laparoscopic SG, and 5449 robotic SG procedures examined. 21,257 (17%) and 11,322 (9%) of all procedures were performed with a resident or fellow, respectively. Fellow presence was independently associated with the development of complications for all procedure types except robotic SG when compared to non-trainee [odds ratio (OR) 1.31, 2.20, 1.28 for laparoscopic RYGB, robotic RYGB, and laparoscopic SG, respectively]. The most common events were urinary tract and superficial surgical site infections. This negative impact of fellow on overall complications was eliminated after accounting for operative duration. In laparoscopic SG, resident participation was associated with higher leak rate (OR 1.61), readmission (OR 1.18), re-intervention (OR 1.4), and complication rate (OR 1.32) compared to non-trainee, even after accounting for procedural duration. In robotic SG, there was no impact of trainee on outcomes. CONCLUSIONS: Although fellow training is associated with higher overall complication rate, there is no such impact on major safety benchmarks, including leak rate and re-operation. In contrast, the impact of resident trainees on SG outcomes is substantial. Operative involvement of trainees in bariatric surgery leads to different outcomes based on trainee level and should be judiciously considered during the programmatic design of bariatric educational curricula. More... »

PAGES

1-12

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-018-6587-0

DOI

http://dx.doi.org/10.1007/s00464-018-6587-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1109893461

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30426255


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Stony Brook University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412695.d", 
          "name": [
            "Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 100 Nichols Road, HSC T19, 11794, Stony Brook, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Goldberg", 
        "givenName": "Iliya", 
        "id": "sg:person.016361504333.50", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016361504333.50"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Stony Brook University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412695.d", 
          "name": [
            "Department of Family, Population and Preventive Medicine, Stony Brook University Medical Center, 11794, Stony Brook, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Yang", 
        "givenName": "Jie", 
        "id": "sg:person.0674517660.17", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0674517660.17"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Stony Brook University", 
          "id": "https://www.grid.ac/institutes/grid.36425.36", 
          "name": [
            "Department of Applied Mathematics and Statistics, Stony Brook University, 11794, Stony Brook, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Park", 
        "givenName": "Jihye", 
        "id": "sg:person.015660402527.43", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015660402527.43"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Stony Brook University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412695.d", 
          "name": [
            "Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 100 Nichols Road, HSC T19, 11794, Stony Brook, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Pryor", 
        "givenName": "Aurora D.", 
        "id": "sg:person.01110501226.35", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01110501226.35"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Stony Brook University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412695.d", 
          "name": [
            "Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 100 Nichols Road, HSC T19, 11794, Stony Brook, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Docimo", 
        "givenName": "Salvatore", 
        "id": "sg:person.011720210765.98", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011720210765.98"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Stony Brook University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412695.d", 
          "name": [
            "Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 100 Nichols Road, HSC T19, 11794, Stony Brook, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bates", 
        "givenName": "Andrew T.", 
        "id": "sg:person.011164355311.94", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011164355311.94"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Stony Brook University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412695.d", 
          "name": [
            "Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 100 Nichols Road, HSC T19, 11794, Stony Brook, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Talamini", 
        "givenName": "Mark A.", 
        "id": "sg:person.01367712717.95", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01367712717.95"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Stony Brook University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.412695.d", 
          "name": [
            "Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 100 Nichols Road, HSC T19, 11794, Stony Brook, NY, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Spaniolas", 
        "givenName": "Konstantinos", 
        "id": "sg:person.01131440147.03", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01131440147.03"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1016/j.jamcollsurg.2013.10.014", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000276552"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/prs.0b013e3182818bdd", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1002094475"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/prs.0b013e3182818bdd", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1002094475"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1381/0960892053268507", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003331328", 
          "https://doi.org/10.1381/0960892053268507"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4293/jsls.2014.00256", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004254543"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jsurg.2012.08.013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004762828"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00268-012-1620-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1006309200", 
          "https://doi.org/10.1007/s00268-012-1620-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.peptides.2015.08.013", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007299068"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jamcollsurg.2013.12.058", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010962479"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1381/0960892055002374", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014089327", 
          "https://doi.org/10.1381/0960892055002374"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.amjsurg.2011.08.015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014744375"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.surg.2012.02.014", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017145212"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11695-015-1764-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023439619", 
          "https://doi.org/10.1007/s11695-015-1764-x"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11695-009-9892-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033021120", 
          "https://doi.org/10.1007/s11695-009-9892-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jamcollsurg.2010.12.029", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033539627"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11695-014-1499-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034378575", 
          "https://doi.org/10.1007/s11695-014-1499-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jamcollsurg.2010.03.005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037075832"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.4103/0972-9941.147673", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042158527"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11605-015-2758-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042396923", 
          "https://doi.org/10.1007/s11605-015-2758-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11695-016-2073-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045190371", 
          "https://doi.org/10.1007/s11695-016-2073-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11695-016-2073-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045190371", 
          "https://doi.org/10.1007/s11695-016-2073-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00266-016-0651-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045222083", 
          "https://doi.org/10.1007/s00266-016-0651-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.soard.2015.05.011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045538436"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.surg.2015.01.027", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047739823"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jvs.2013.04.046", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048393710"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12957-015-0708-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049769604", 
          "https://doi.org/10.1186/s12957-015-0708-1"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jamcollsurg.2015.08.008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1049943271"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1155/2012/347131", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053541045"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/lap.2014.0501", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059294582"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.cjca.2017.05.023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1085762943"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jss.2017.07.030", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1091282445"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jamcollsurg.2017.07.007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1092313665"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-11-13", 
    "datePublishedReg": "2018-11-13", 
    "description": "BACKGROUND: Roux-en-Y-gastric bypass (RYGB) and sleeve gastrectomy (SG) are commonly performed bariatric procedures that are associated with a significant learning curve. The effect of surgeon experience on perioperative outcomes and safety is established, but the effect of trainee participation remains unclear. The purpose of this study was to assess the impact of trainees on early perioperative safety of bariatric surgery.\nMETHODS: Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database for 2015 was used to identify non-revisional laparoscopic and robotic RYGB and SG procedures. Comparisons were made based on assistant level. Multivariable logistic and linear regression methodology was used to compare clinical outcomes.\nRESULTS: There were 35,354 laparoscopic RYGB, 2896 robotic RYGB, 79,717 laparoscopic SG, and 5449 robotic SG procedures examined. 21,257 (17%) and 11,322 (9%) of all procedures were performed with a resident or fellow, respectively. Fellow presence was independently associated with the development of complications for all procedure types except robotic SG when compared to non-trainee [odds ratio (OR) 1.31, 2.20, 1.28 for laparoscopic RYGB, robotic RYGB, and laparoscopic SG, respectively]. The most common events were urinary tract and superficial surgical site infections. This negative impact of fellow on overall complications was eliminated after accounting for operative duration. In laparoscopic SG, resident participation was associated with higher leak rate (OR 1.61), readmission (OR 1.18), re-intervention (OR 1.4), and complication rate (OR 1.32) compared to non-trainee, even after accounting for procedural duration. In robotic SG, there was no impact of trainee on outcomes.\nCONCLUSIONS: Although fellow training is associated with higher overall complication rate, there is no such impact on major safety benchmarks, including leak rate and re-operation. In contrast, the impact of resident trainees on SG outcomes is substantial. Operative involvement of trainees in bariatric surgery leads to different outcomes based on trainee level and should be judiciously considered during the programmatic design of bariatric educational curricula.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s00464-018-6587-0", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1098220", 
        "issn": [
          "0930-2794", 
          "1432-2218"
        ], 
        "name": "Surgical Endoscopy", 
        "type": "Periodical"
      }
    ], 
    "name": "Surgical trainee impact on bariatric surgery safety", 
    "pagination": "1-12", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "cdca66f7046d47fd1e5f1848bddb4472b0d40a8eb560463df773c61a33e08c20"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30426255"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8806653"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00464-018-6587-0"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1109893461"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00464-018-6587-0", 
      "https://app.dimensions.ai/details/publication/pub.1109893461"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T08:07", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000265_0000000265/records_67382_00000000.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs00464-018-6587-0"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00464-018-6587-0'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00464-018-6587-0'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00464-018-6587-0'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00464-018-6587-0'


 

This table displays all metadata directly associated to this object as RDF triples.

216 TRIPLES      21 PREDICATES      56 URIs      18 LITERALS      7 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00464-018-6587-0 schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author N484bb7ecad1c412d838517e42d60b99c
4 schema:citation sg:pub.10.1007/s00266-016-0651-8
5 sg:pub.10.1007/s00268-012-1620-2
6 sg:pub.10.1007/s11605-015-2758-7
7 sg:pub.10.1007/s11695-009-9892-9
8 sg:pub.10.1007/s11695-014-1499-0
9 sg:pub.10.1007/s11695-015-1764-x
10 sg:pub.10.1007/s11695-016-2073-8
11 sg:pub.10.1186/s12957-015-0708-1
12 sg:pub.10.1381/0960892053268507
13 sg:pub.10.1381/0960892055002374
14 https://doi.org/10.1016/j.amjsurg.2011.08.015
15 https://doi.org/10.1016/j.cjca.2017.05.023
16 https://doi.org/10.1016/j.jamcollsurg.2010.03.005
17 https://doi.org/10.1016/j.jamcollsurg.2010.12.029
18 https://doi.org/10.1016/j.jamcollsurg.2013.10.014
19 https://doi.org/10.1016/j.jamcollsurg.2013.12.058
20 https://doi.org/10.1016/j.jamcollsurg.2015.08.008
21 https://doi.org/10.1016/j.jamcollsurg.2017.07.007
22 https://doi.org/10.1016/j.jss.2017.07.030
23 https://doi.org/10.1016/j.jsurg.2012.08.013
24 https://doi.org/10.1016/j.jvs.2013.04.046
25 https://doi.org/10.1016/j.peptides.2015.08.013
26 https://doi.org/10.1016/j.soard.2015.05.011
27 https://doi.org/10.1016/j.surg.2012.02.014
28 https://doi.org/10.1016/j.surg.2015.01.027
29 https://doi.org/10.1089/lap.2014.0501
30 https://doi.org/10.1097/prs.0b013e3182818bdd
31 https://doi.org/10.1155/2012/347131
32 https://doi.org/10.4103/0972-9941.147673
33 https://doi.org/10.4293/jsls.2014.00256
34 schema:datePublished 2018-11-13
35 schema:datePublishedReg 2018-11-13
36 schema:description BACKGROUND: Roux-en-Y-gastric bypass (RYGB) and sleeve gastrectomy (SG) are commonly performed bariatric procedures that are associated with a significant learning curve. The effect of surgeon experience on perioperative outcomes and safety is established, but the effect of trainee participation remains unclear. The purpose of this study was to assess the impact of trainees on early perioperative safety of bariatric surgery. METHODS: Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database for 2015 was used to identify non-revisional laparoscopic and robotic RYGB and SG procedures. Comparisons were made based on assistant level. Multivariable logistic and linear regression methodology was used to compare clinical outcomes. RESULTS: There were 35,354 laparoscopic RYGB, 2896 robotic RYGB, 79,717 laparoscopic SG, and 5449 robotic SG procedures examined. 21,257 (17%) and 11,322 (9%) of all procedures were performed with a resident or fellow, respectively. Fellow presence was independently associated with the development of complications for all procedure types except robotic SG when compared to non-trainee [odds ratio (OR) 1.31, 2.20, 1.28 for laparoscopic RYGB, robotic RYGB, and laparoscopic SG, respectively]. The most common events were urinary tract and superficial surgical site infections. This negative impact of fellow on overall complications was eliminated after accounting for operative duration. In laparoscopic SG, resident participation was associated with higher leak rate (OR 1.61), readmission (OR 1.18), re-intervention (OR 1.4), and complication rate (OR 1.32) compared to non-trainee, even after accounting for procedural duration. In robotic SG, there was no impact of trainee on outcomes. CONCLUSIONS: Although fellow training is associated with higher overall complication rate, there is no such impact on major safety benchmarks, including leak rate and re-operation. In contrast, the impact of resident trainees on SG outcomes is substantial. Operative involvement of trainees in bariatric surgery leads to different outcomes based on trainee level and should be judiciously considered during the programmatic design of bariatric educational curricula.
37 schema:genre research_article
38 schema:inLanguage en
39 schema:isAccessibleForFree false
40 schema:isPartOf sg:journal.1098220
41 schema:name Surgical trainee impact on bariatric surgery safety
42 schema:pagination 1-12
43 schema:productId N6c53fff92ade4be88cf45311a81416f1
44 N723b7f3ad7e9441092ff734cd7d3a4dd
45 N9930de7f5a2449238aaca5346ac25b5e
46 Na300cac0e83a44cb83c4b6220d34b364
47 Nfb6f67ce492245bea43093bfd4677f36
48 schema:sameAs https://app.dimensions.ai/details/publication/pub.1109893461
49 https://doi.org/10.1007/s00464-018-6587-0
50 schema:sdDatePublished 2019-04-11T08:07
51 schema:sdLicense https://scigraph.springernature.com/explorer/license/
52 schema:sdPublisher Nc08d8d7255d04b67838b10d3412baa14
53 schema:url https://link.springer.com/10.1007%2Fs00464-018-6587-0
54 sgo:license sg:explorer/license/
55 sgo:sdDataset articles
56 rdf:type schema:ScholarlyArticle
57 N15d5eaeb190d4647991074db01f0a3eb rdf:first sg:person.01110501226.35
58 rdf:rest Ne83ed974eedc4a3cabff1d016f08b6ac
59 N198a171b8ed04e56b3088758dc61a33d rdf:first sg:person.011164355311.94
60 rdf:rest N5dd37b6616ab4df89ac29280679c055f
61 N484bb7ecad1c412d838517e42d60b99c rdf:first sg:person.016361504333.50
62 rdf:rest N561d3c073a784283beb2d64e67a4db94
63 N561d3c073a784283beb2d64e67a4db94 rdf:first sg:person.0674517660.17
64 rdf:rest N5b055f8846cb4adf9ba14f68cc9c25dd
65 N5b055f8846cb4adf9ba14f68cc9c25dd rdf:first sg:person.015660402527.43
66 rdf:rest N15d5eaeb190d4647991074db01f0a3eb
67 N5dd37b6616ab4df89ac29280679c055f rdf:first sg:person.01367712717.95
68 rdf:rest N926a843279c3482baf4bf5d83bb1ec23
69 N6c53fff92ade4be88cf45311a81416f1 schema:name pubmed_id
70 schema:value 30426255
71 rdf:type schema:PropertyValue
72 N723b7f3ad7e9441092ff734cd7d3a4dd schema:name doi
73 schema:value 10.1007/s00464-018-6587-0
74 rdf:type schema:PropertyValue
75 N926a843279c3482baf4bf5d83bb1ec23 rdf:first sg:person.01131440147.03
76 rdf:rest rdf:nil
77 N9930de7f5a2449238aaca5346ac25b5e schema:name nlm_unique_id
78 schema:value 8806653
79 rdf:type schema:PropertyValue
80 Na300cac0e83a44cb83c4b6220d34b364 schema:name dimensions_id
81 schema:value pub.1109893461
82 rdf:type schema:PropertyValue
83 Nc08d8d7255d04b67838b10d3412baa14 schema:name Springer Nature - SN SciGraph project
84 rdf:type schema:Organization
85 Ne83ed974eedc4a3cabff1d016f08b6ac rdf:first sg:person.011720210765.98
86 rdf:rest N198a171b8ed04e56b3088758dc61a33d
87 Nfb6f67ce492245bea43093bfd4677f36 schema:name readcube_id
88 schema:value cdca66f7046d47fd1e5f1848bddb4472b0d40a8eb560463df773c61a33e08c20
89 rdf:type schema:PropertyValue
90 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
91 schema:name Medical and Health Sciences
92 rdf:type schema:DefinedTerm
93 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
94 schema:name Clinical Sciences
95 rdf:type schema:DefinedTerm
96 sg:journal.1098220 schema:issn 0930-2794
97 1432-2218
98 schema:name Surgical Endoscopy
99 rdf:type schema:Periodical
100 sg:person.01110501226.35 schema:affiliation https://www.grid.ac/institutes/grid.412695.d
101 schema:familyName Pryor
102 schema:givenName Aurora D.
103 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01110501226.35
104 rdf:type schema:Person
105 sg:person.011164355311.94 schema:affiliation https://www.grid.ac/institutes/grid.412695.d
106 schema:familyName Bates
107 schema:givenName Andrew T.
108 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011164355311.94
109 rdf:type schema:Person
110 sg:person.01131440147.03 schema:affiliation https://www.grid.ac/institutes/grid.412695.d
111 schema:familyName Spaniolas
112 schema:givenName Konstantinos
113 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01131440147.03
114 rdf:type schema:Person
115 sg:person.011720210765.98 schema:affiliation https://www.grid.ac/institutes/grid.412695.d
116 schema:familyName Docimo
117 schema:givenName Salvatore
118 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011720210765.98
119 rdf:type schema:Person
120 sg:person.01367712717.95 schema:affiliation https://www.grid.ac/institutes/grid.412695.d
121 schema:familyName Talamini
122 schema:givenName Mark A.
123 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01367712717.95
124 rdf:type schema:Person
125 sg:person.015660402527.43 schema:affiliation https://www.grid.ac/institutes/grid.36425.36
126 schema:familyName Park
127 schema:givenName Jihye
128 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015660402527.43
129 rdf:type schema:Person
130 sg:person.016361504333.50 schema:affiliation https://www.grid.ac/institutes/grid.412695.d
131 schema:familyName Goldberg
132 schema:givenName Iliya
133 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016361504333.50
134 rdf:type schema:Person
135 sg:person.0674517660.17 schema:affiliation https://www.grid.ac/institutes/grid.412695.d
136 schema:familyName Yang
137 schema:givenName Jie
138 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0674517660.17
139 rdf:type schema:Person
140 sg:pub.10.1007/s00266-016-0651-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045222083
141 https://doi.org/10.1007/s00266-016-0651-8
142 rdf:type schema:CreativeWork
143 sg:pub.10.1007/s00268-012-1620-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1006309200
144 https://doi.org/10.1007/s00268-012-1620-2
145 rdf:type schema:CreativeWork
146 sg:pub.10.1007/s11605-015-2758-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042396923
147 https://doi.org/10.1007/s11605-015-2758-7
148 rdf:type schema:CreativeWork
149 sg:pub.10.1007/s11695-009-9892-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033021120
150 https://doi.org/10.1007/s11695-009-9892-9
151 rdf:type schema:CreativeWork
152 sg:pub.10.1007/s11695-014-1499-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034378575
153 https://doi.org/10.1007/s11695-014-1499-0
154 rdf:type schema:CreativeWork
155 sg:pub.10.1007/s11695-015-1764-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1023439619
156 https://doi.org/10.1007/s11695-015-1764-x
157 rdf:type schema:CreativeWork
158 sg:pub.10.1007/s11695-016-2073-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045190371
159 https://doi.org/10.1007/s11695-016-2073-8
160 rdf:type schema:CreativeWork
161 sg:pub.10.1186/s12957-015-0708-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049769604
162 https://doi.org/10.1186/s12957-015-0708-1
163 rdf:type schema:CreativeWork
164 sg:pub.10.1381/0960892053268507 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003331328
165 https://doi.org/10.1381/0960892053268507
166 rdf:type schema:CreativeWork
167 sg:pub.10.1381/0960892055002374 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014089327
168 https://doi.org/10.1381/0960892055002374
169 rdf:type schema:CreativeWork
170 https://doi.org/10.1016/j.amjsurg.2011.08.015 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014744375
171 rdf:type schema:CreativeWork
172 https://doi.org/10.1016/j.cjca.2017.05.023 schema:sameAs https://app.dimensions.ai/details/publication/pub.1085762943
173 rdf:type schema:CreativeWork
174 https://doi.org/10.1016/j.jamcollsurg.2010.03.005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037075832
175 rdf:type schema:CreativeWork
176 https://doi.org/10.1016/j.jamcollsurg.2010.12.029 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033539627
177 rdf:type schema:CreativeWork
178 https://doi.org/10.1016/j.jamcollsurg.2013.10.014 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000276552
179 rdf:type schema:CreativeWork
180 https://doi.org/10.1016/j.jamcollsurg.2013.12.058 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010962479
181 rdf:type schema:CreativeWork
182 https://doi.org/10.1016/j.jamcollsurg.2015.08.008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049943271
183 rdf:type schema:CreativeWork
184 https://doi.org/10.1016/j.jamcollsurg.2017.07.007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1092313665
185 rdf:type schema:CreativeWork
186 https://doi.org/10.1016/j.jss.2017.07.030 schema:sameAs https://app.dimensions.ai/details/publication/pub.1091282445
187 rdf:type schema:CreativeWork
188 https://doi.org/10.1016/j.jsurg.2012.08.013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004762828
189 rdf:type schema:CreativeWork
190 https://doi.org/10.1016/j.jvs.2013.04.046 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048393710
191 rdf:type schema:CreativeWork
192 https://doi.org/10.1016/j.peptides.2015.08.013 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007299068
193 rdf:type schema:CreativeWork
194 https://doi.org/10.1016/j.soard.2015.05.011 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045538436
195 rdf:type schema:CreativeWork
196 https://doi.org/10.1016/j.surg.2012.02.014 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017145212
197 rdf:type schema:CreativeWork
198 https://doi.org/10.1016/j.surg.2015.01.027 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047739823
199 rdf:type schema:CreativeWork
200 https://doi.org/10.1089/lap.2014.0501 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059294582
201 rdf:type schema:CreativeWork
202 https://doi.org/10.1097/prs.0b013e3182818bdd schema:sameAs https://app.dimensions.ai/details/publication/pub.1002094475
203 rdf:type schema:CreativeWork
204 https://doi.org/10.1155/2012/347131 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053541045
205 rdf:type schema:CreativeWork
206 https://doi.org/10.4103/0972-9941.147673 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042158527
207 rdf:type schema:CreativeWork
208 https://doi.org/10.4293/jsls.2014.00256 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004254543
209 rdf:type schema:CreativeWork
210 https://www.grid.ac/institutes/grid.36425.36 schema:alternateName Stony Brook University
211 schema:name Department of Applied Mathematics and Statistics, Stony Brook University, 11794, Stony Brook, NY, USA
212 rdf:type schema:Organization
213 https://www.grid.ac/institutes/grid.412695.d schema:alternateName Stony Brook University Hospital
214 schema:name Department of Family, Population and Preventive Medicine, Stony Brook University Medical Center, 11794, Stony Brook, NY, USA
215 Division of Bariatric, Foregut and Advanced Gastrointestinal Surgery, Department of Surgery, Stony Brook University Medical Center, 100 Nichols Road, HSC T19, 11794, Stony Brook, NY, USA
216 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...