التفاصيل البيبلوغرافية
| العنوان: |
Comparison of Differences in Surgical Complications Between Fellowship-Trained Orthopedic Foot and Ankle Surgeons and All Other Orthopedic Surgeons Using the ABOS Database. |
| المؤلفون: |
Ottesen TD, Pathak N, Mercier MR, Kirwin DS, Lukasiewicz AM, Grauer JN, Rubin LE |
| المصدر: |
Orthopedics [Orthopedics] 2023 Jul-Aug; Vol. 46 (4), pp. e237-e243. Date of Electronic Publication: 2023 Jan 30. |
| نوع المنشور: |
Journal Article |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Slack Country of Publication: United States NLM ID: 7806107 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-2367 (Electronic) Linking ISSN: 01477447 NLM ISO Abbreviation: Orthopedics Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Thorofare, N.J., Slack. |
| مواضيع طبية MeSH: |
Orthopedic Surgeons*/education , Orthopedics*/education , Orthopedic Procedures*/adverse effects , Fractures, Bone* , Ankle Injuries* , Surgeons*, Humans ; United States/epidemiology ; Ankle/surgery ; Fellowships and Scholarships |
| مستخلص: |
During the past decade, US orthopedic residency graduates have become increasingly subspecialized presumably for decreased patient complications; however, no study has examined this clinical utility for foot and ankle (F&A) surgeries among different fellowship subspecialties. Data from American Board of Orthopaedic Surgery 1999 to 2016 Part II Board Certification Examinations were used to assess patients treated by F&A fellowship-trained, trauma fellowship-trained, and all other fellowship-trained orthopedic surgeons performing ankle fracture repair. Adverse events were compared by surgical complexity and fellowship status. Factors independently associated with surgical complications were identified using a binary multivariate logistic regression. A total of 45,031 F&A cases met inclusion criteria. From 1999 to 2016, the percentage of F&A procedures performed by F&A fellowship surgeons steadily increased. Surgical complications were significantly different between fellowship trainings (F&A, 7.23%; trauma, 6.65%; and other, 7.84%). This difference became more pronounced with more complicated fracture pattern. On multivariate regression, F&A fellowship training was associated with significantly decreased likelihood of surgeon-reported complications (odds ratio, 0.83; 95% CI, 0.76-0.92; P <.001), as was trauma fellowship training (odds ratio, 0.90; 95% CI, 0.81-0.99; P =.035). Despite presumed increased complexity of cases treated by F&A fellowship-trained surgeons, these patients had significantly decreased risk of surgeon-reported surgical complications, thus highlighting the value of F&A fellowship training. In the absence of vital patient comorbidity data in the American Board of Orthopaedic Surgery database, further research must examine specific patient comorbidities and case acuity and their influence on treatments and surgical complications between fellowship-trained and other orthopedic surgeons to further illuminate the value of subspecialty training. [ Orthopedics . 2023;46(4):e237-e243.]. |
| تواريخ الأحداث: |
Date Created: 20230131 Date Completed: 20231102 Latest Revision: 20231102 |
| رمز التحديث: |
20240628 |
| DOI: |
10.3928/01477447-20230125-05 |
| PMID: |
36719412 |
| قاعدة البيانات: |
MEDLINE |
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