RT Journal Article
SR Electronic
T1 Survival after hepatic resection: impact of surgeon training on long-term outcome
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 256
OP 262
DO 10.1503/cjs.023611
VO 56
IS 4
A1 Ryan J. McColl
A1 Abdel Aziz M. Shaheen
A1 Balpreet Brar
A1 Gilaad Kaplan
A1 Robert Myers
A1 Francis Sutherland
A1 Elijah Dixon
YR 2013
UL http://canjsurg.ca/content/56/4/256.abstract
AB Background: Mortality for liver resection has remarkably improved owing to multiple factors. We sought to determine the impact of the various types of fellowship training on patient survival after liver resection.Methods: Patients who underwent hepatic resection between 1995 and 2004 in either the Calgary or Capital health regions (Edmonton) of Alberta, Canada, were identified using ICD-9 and -10 codes. Primary outcomes included in-hospital mortality and patient survival according to surgeon volume and training type (surgical oncology v. hepatobiliary v. others).Results: A total of 1033 patients underwent hepatic resection. Surgeon volume was not predictive of either in-hospital mortality (adjusted odds ratio 0.63, 95% confidence interval [CI] 0.32–1.20) or patient survival (unadjusted hazard ratio 1.11, 95% CI 0.82–1.51). Nonsignificance was also demonstrated for a surgeon’s type of fellowship training.Conclusion: The various modes of fellowship training do not appear to influence inhospital mortality or patient survival after hepatic resection.