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Associations between intraoperative factors and surgeons’ self-assessed operative satisfaction

Erestam, Sofia ; Bock, David ; Erichsen Andersson, Annette ; Bjartell, Anders LU ; Carlsson, Stefan ; Stinesen Kollberg, Karin ; Sjoberg, Daniel ; Steineck, Gunnar ; Stranne, Johan and Thorsteinsdottir, Thordis , et al. (2019) In Surgical Endoscopy
Abstract

Background: Little is known concerning what may influence surgeon satisfaction with a surgical procedure and its associations with intraoperative factors. The objective was to explore the relationships between surgeons’ self-assessed satisfaction with performed radical prostatectomies and intraoperative factors such as technical difficulties and intraoperative complications as reported by the surgeon subsequent to the operation. Methods: We utilized prospectively collected data from the controlled LAPPRO trial where 4003 patients with prostate cancer underwent open (ORP) or robot-assisted laparoscopic (RALP) radical prostatectomy. Patients were included from fourteen centers in Sweden during 2008–2011. Surgeon satisfaction was assessed... (More)

Background: Little is known concerning what may influence surgeon satisfaction with a surgical procedure and its associations with intraoperative factors. The objective was to explore the relationships between surgeons’ self-assessed satisfaction with performed radical prostatectomies and intraoperative factors such as technical difficulties and intraoperative complications as reported by the surgeon subsequent to the operation. Methods: We utilized prospectively collected data from the controlled LAPPRO trial where 4003 patients with prostate cancer underwent open (ORP) or robot-assisted laparoscopic (RALP) radical prostatectomy. Patients were included from fourteen centers in Sweden during 2008–2011. Surgeon satisfaction was assessed by questionnaires at the end of each operation. Intraoperative factors included time for the surgical procedure as well as difficulties and complications in various steps of the operation. To model surgeon satisfaction, a mixed effect logistic regression was used. Results were presented as odds ratios (OR) with 95% confidence intervals (CI). Results: The surgeons were satisfied in 2905 (81%) and dissatisfied in 702 (19%) of the surgical procedures. Surgeon satisfaction was not statistically associated with type of surgical technique (ORP vs. RALP) (OR 1.36, CI 0.76; 2.43). Intraoperative factors such as technical difficulties or complications, for example, suturing of the anastomosis was negatively associated with surgeon satisfaction (OR 0.24, CI 0.19; 0.30). Conclusions: Our data indicate that technical difficulties and/or intraoperative complications were associated with a surgeon’s level of satisfaction with an operation.

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publication status
epub
subject
keywords
Intraoperative factors, Prostate cancer, Self-assessment, Surgeon, Surgical performance, Surgical satisfaction
in
Surgical Endoscopy
publisher
Springer
external identifiers
  • scopus:85063191346
  • pmid:30887183
ISSN
0930-2794
DOI
10.1007/s00464-019-06731-z
language
English
LU publication?
no
id
d6dbc111-3647-4dd3-8d07-f4c217eac383
date added to LUP
2019-04-05 14:26:56
date last changed
2019-11-25 09:28:48
@article{d6dbc111-3647-4dd3-8d07-f4c217eac383,
  abstract     = {<p>Background: Little is known concerning what may influence surgeon satisfaction with a surgical procedure and its associations with intraoperative factors. The objective was to explore the relationships between surgeons’ self-assessed satisfaction with performed radical prostatectomies and intraoperative factors such as technical difficulties and intraoperative complications as reported by the surgeon subsequent to the operation. Methods: We utilized prospectively collected data from the controlled LAPPRO trial where 4003 patients with prostate cancer underwent open (ORP) or robot-assisted laparoscopic (RALP) radical prostatectomy. Patients were included from fourteen centers in Sweden during 2008–2011. Surgeon satisfaction was assessed by questionnaires at the end of each operation. Intraoperative factors included time for the surgical procedure as well as difficulties and complications in various steps of the operation. To model surgeon satisfaction, a mixed effect logistic regression was used. Results were presented as odds ratios (OR) with 95% confidence intervals (CI). Results: The surgeons were satisfied in 2905 (81%) and dissatisfied in 702 (19%) of the surgical procedures. Surgeon satisfaction was not statistically associated with type of surgical technique (ORP vs. RALP) (OR 1.36, CI 0.76; 2.43). Intraoperative factors such as technical difficulties or complications, for example, suturing of the anastomosis was negatively associated with surgeon satisfaction (OR 0.24, CI 0.19; 0.30). Conclusions: Our data indicate that technical difficulties and/or intraoperative complications were associated with a surgeon’s level of satisfaction with an operation.</p>},
  author       = {Erestam, Sofia and Bock, David and Erichsen Andersson, Annette and Bjartell, Anders and Carlsson, Stefan and Stinesen Kollberg, Karin and Sjoberg, Daniel and Steineck, Gunnar and Stranne, Johan and Thorsteinsdottir, Thordis and Tyritzis, Stavros and Wallerstedt Lantz, Anna and Wiklund, Peter and Angenete, Eva and Haglind, Eva},
  issn         = {0930-2794},
  language     = {eng},
  publisher    = {Springer},
  series       = {Surgical Endoscopy},
  title        = {Associations between intraoperative factors and surgeons’ self-assessed operative satisfaction},
  url          = {http://dx.doi.org/10.1007/s00464-019-06731-z},
  doi          = {10.1007/s00464-019-06731-z},
  year         = {2019},
}