Proficiency of surgeons in inguinal hernia repair: Effect of experience and age

Leigh A. Neumayer; Atul A. Gawande; Jia Wang; Anita Giobbie-Hurder; Kamal M.F. Itani; Robert J. Fitzgibbons; Domenic Reda; Olga Jonasson; Lawrence W. Way; Lazar J. Greenfield; Anthony A. Meyer; Murray F. Brennan; David I. Soybel; Quan Yang Duh; Eric W. Fonkalsrud; Donald D. Trunkey

doi:10.1097/01.sla.0000179644.02187.ea

Proficiency of surgeons in inguinal hernia repair: Effect of experience and age

Leigh A. Neumayer, Atul A. Gawande, Jia Wang, Anita Giobbie-Hurder, Kamal M.F. Itani, Robert J. Fitzgibbons, Domenic Reda, Olga Jonasson, Lawrence W. Way, Lazar J. Greenfield, Anthony A. Meyer, Murray F. Brennan, David I. Soybel, Quan Yang Duh, Eric W. Fonkalsrud, Donald D. Trunkey

Department of Surgery

Research output: Contribution to journal › Article

116 Scopus citations

Abstract

Objectives: We examined the influence of surgeon age and other factors on proficiency in laparoscopic or open hernia repair. Summary Background Data: In a multicenter, randomized trial comparing open and laparoscopic herniorrhaphies, conducted in Veterans Administration hospitals (CSP 456), we reported significant differences in recurrence rates (RR) for the laparoscopic procedure as a result of surgeons' experience. We have also reported significant differences in RR for the open procedure related to resident postgraduate year (PGY) level. Methods: We analyzed data from unilateral laparoscopic and open herniorrhaphies from CSP 456 (n = 1629). Surgeon's experience (experienced ≥250 procedures; inexperienced

Original language	English (US)
Pages (from-to)	344-352
Number of pages	9
Journal	Annals of Surgery
Volume	242
Issue number	3
DOIs	https://doi.org/10.1097/01.sla.0000179644.02187.ea
State	Published - Sep 2005

All Science Journal Classification (ASJC) codes

Surgery

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Neumayer, L. A., Gawande, A. A., Wang, J., Giobbie-Hurder, A., Itani, K. M. F., Fitzgibbons, R. J., Reda, D., Jonasson, O., Way, L. W., Greenfield, L. J., Meyer, A. A., Brennan, M. F., Soybel, D. I., Duh, Q. Y., Fonkalsrud, E. W., & Trunkey, D. D. (2005). Proficiency of surgeons in inguinal hernia repair: Effect of experience and age. Annals of Surgery, 242(3), 344-352. https://doi.org/10.1097/01.sla.0000179644.02187.ea

Proficiency of surgeons in inguinal hernia repair : Effect of experience and age. / Neumayer, Leigh A.; Gawande, Atul A.; Wang, Jia; Giobbie-Hurder, Anita; Itani, Kamal M.F.; Fitzgibbons, Robert J.; Reda, Domenic; Jonasson, Olga; Way, Lawrence W.; Greenfield, Lazar J.; Meyer, Anthony A.; Brennan, Murray F.; Soybel, David I.; Duh, Quan Yang; Fonkalsrud, Eric W.; Trunkey, Donald D.

In: Annals of Surgery, Vol. 242, No. 3, 09.2005, p. 344-352.

Research output: Contribution to journal › Article

Neumayer, LA, Gawande, AA, Wang, J, Giobbie-Hurder, A, Itani, KMF, Fitzgibbons, RJ, Reda, D, Jonasson, O, Way, LW, Greenfield, LJ, Meyer, AA, Brennan, MF, Soybel, DI, Duh, QY, Fonkalsrud, EW & Trunkey, DD 2005, 'Proficiency of surgeons in inguinal hernia repair: Effect of experience and age', Annals of Surgery, vol. 242, no. 3, pp. 344-352. https://doi.org/10.1097/01.sla.0000179644.02187.ea

Neumayer, Leigh A. ; Gawande, Atul A. ; Wang, Jia ; Giobbie-Hurder, Anita ; Itani, Kamal M.F. ; Fitzgibbons, Robert J. ; Reda, Domenic ; Jonasson, Olga ; Way, Lawrence W. ; Greenfield, Lazar J. ; Meyer, Anthony A. ; Brennan, Murray F. ; Soybel, David I. ; Duh, Quan Yang ; Fonkalsrud, Eric W. ; Trunkey, Donald D. / Proficiency of surgeons in inguinal hernia repair : Effect of experience and age. In: Annals of Surgery. 2005 ; Vol. 242, No. 3. pp. 344-352.

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abstract = "Objectives: We examined the influence of surgeon age and other factors on proficiency in laparoscopic or open hernia repair. Summary Background Data: In a multicenter, randomized trial comparing open and laparoscopic herniorrhaphies, conducted in Veterans Administration hospitals (CSP 456), we reported significant differences in recurrence rates (RR) for the laparoscopic procedure as a result of surgeons' experience. We have also reported significant differences in RR for the open procedure related to resident postgraduate year (PGY) level. Methods: We analyzed data from unilateral laparoscopic and open herniorrhaphies from CSP 456 (n = 1629). Surgeon's experience (experienced ≥250 procedures; inexperienced ",

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AU - Gawande, Atul A.

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AU - Giobbie-Hurder, Anita

AU - Itani, Kamal M.F.

AU - Fitzgibbons, Robert J.

AU - Reda, Domenic

AU - Jonasson, Olga

AU - Way, Lawrence W.

AU - Greenfield, Lazar J.

AU - Meyer, Anthony A.

AU - Brennan, Murray F.

AU - Soybel, David I.

AU - Duh, Quan Yang

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AU - Trunkey, Donald D.

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