Thorax. Published Online First: 31 January 2006. doi:10.1136/thx.2005.046847
Papers |
Effect of training on patient outcomes following lobectomy
1 The Cardiothoracic Centre, Liverpool, United Kingdom
* To whom correspondence should be addressed. E-mail: nc4lung{at}yahoo.com.
Accepted 11 January 2006
Abstract
Background: Little is known about the effect training has on outcomes in thoracic surgery. We examined the impact of training on outcomes following lung resection, focusing on lobectomy as a marker operation.
Methods: We identified 328 consecutive patients who underwent lobectomy at our institution between 1st October 2001 and 30th June 2003. Data was collected prospectively during the patient's admission, as part of routine clinical practice and validated by a designated audit officer. Patient characteristics and post-operative outcomes were compared between trainee led and consultant led operations.
Results: 115 (35.1%) cases were performed by trainee thoracic surgeons as first operator. There were no significant differences between trainees and consultants regarding patient characteristics, including demographics, and pulmonary and non-pulmonary risk factors. In-hospital mortality was similar between trainee and Consultant cases, 3.5% and 2.8% (p>0.99), respectively. Outcomes between both groups were not significantly different, with respect to respiratory, cardiovascular, renal, neurological, chest infection, bleeding, and gastrointestinal complications. Survival rates at 1-year for trainee procedures was 82.6% compared to 81.7% for consultant procedures (p=0.83).
Conclusions: With appropriate supervision, trainee thoracic surgeons can perform lobectomies safely and without in any way compromising short or intermediate term patient outcome.
Keywords: lobectomy, morbidity, mortality, thoracic surgery, training
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
- Airwaves
- Wisia Wedzicha
Thorax 2006 61: 275.[Extract] [Full Text] [PDF]
This article has been cited by other articles:
-
Aggarwal, R, Darzi, A
(2006). Training in the operating theatre: is it safe?. Thorax
61: 278-279
[Full Text]
- Full Text (Rapid PDF)
-
All Versions of this Article:
thx.2005.046847v1
61/4/327 most recent - Alert me when this article is cited
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
