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Older surgeons produce lower mortality rates in emergency procedures

Date:
April 26, 2018
Source:
University of California - Los Angeles Health Sciences
Summary:
Researchers found surgeries performed by older surgeons -- age 50 and up -- have lower patient mortality rates than those performed by younger surgeons, and that patient mortality rates do not differ significantly based on whether the surgeon is male or female.
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Researchers from UCLA and several other institutions found surgeries performed by older surgeons -- age 50 and up -- have lower patient mortality rates than those performed by younger surgeons, and that patient mortality rates do not differ significantly based on whether the surgeon is male or female.

Broken down by age group and adjusting for various patient characteristics, mortality rates were 6.6 percent for surgeons aged 40 and younger, 6.5 percent for those 40 to 49 years old, 6.4 percent for surgeons aged 50 to 59 years, and 6.3 percent for surgeons age 60 and older.

The study also showed that when comparing men and women surgeons across those four age groups, female surgeons in their 50s had the lowest patient mortality rate.

There has been limited research about how a surgeon's age, gender and other characteristics are correlated with patient outcomes. The researchers set out to understand whether surgeons' skills improve with experience, and whether a loss of dexterity or less familiarity with new technologies contributed to poorer surgical outcomes for older doctors. There also has been concern that tighter restrictions on training hours during the residencies of younger surgeons might negatively affect their skills later on.

The researchers examined the medical records of 892,187 Medicare patients aged 65 to 99 who had one of 20 common types of emergency surgery between 2011 and 2014. The records incorporated procedures performed by 45,826 surgeons. The study focused on surgeries for which patients are less likely to select their surgeons, and surgeons are less likely to select their patients.

Among the potential limitations to the study are that the findings may not be applicable to long-term mortality and complication rates, and that the analysis was limited to Medicare patients and may not apply to non-Medicare patients, physicians in other specialties and outpatient care.

The findings suggest a need for more oversight and supervision of surgeons in their early post-residency careers, although the researchers write that further research is warranted.


Story Source:

Materials provided by University of California - Los Angeles Health Sciences. Note: Content may be edited for style and length.


Journal Reference:

  1. Yusuke Tsugawa, Anupam B Jena, E John Orav, Daniel M Blumenthal, Thomas C Tsai, Winta T Mehtsun, Ashish K Jha. Age and sex of surgeons and mortality of older surgical patients: observational study. BMJ, 2018; k1343 DOI: 10.1136/bmj.k1343

Cite This Page:

University of California - Los Angeles Health Sciences. "Older surgeons produce lower mortality rates in emergency procedures." ScienceDaily. ScienceDaily, 26 April 2018. <www.sciencedaily.com/releases/2018/04/180426130051.htm>.
University of California - Los Angeles Health Sciences. (2018, April 26). Older surgeons produce lower mortality rates in emergency procedures. ScienceDaily. Retrieved March 28, 2024 from www.sciencedaily.com/releases/2018/04/180426130051.htm
University of California - Los Angeles Health Sciences. "Older surgeons produce lower mortality rates in emergency procedures." ScienceDaily. www.sciencedaily.com/releases/2018/04/180426130051.htm (accessed March 28, 2024).

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