Coping with anastomotic leaks: harder as one gets older?

Baigrie, R. J.; Stupart, Douglas

doi:10.1093/bjs/znac455

Cited by 2 publications

(1 citation statement)

References 10 publications

(11 reference statements)

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“…For example, older surgeons may find the management of anastomotic leaks particularly challenging due to increasing physical demands (e.g. of out of hours working), as well as increased emotional demands following an entire career of experiencing significant personal responsibility for patient welfare [42]. Assessing the impact of psychological support following anastomotic leaks may be helpful to identify how best to support surgeons and encourage objective decision‐making in similar, future situations [16].…”

Section: Discussionmentioning

confidence: 99%

Influencing factors in surgical decision‐making: a qualitative analysis of colorectal surgeons' experiences of postoperative complications

Bisset,

Moug,

Oliphant

et al. 2024

Colorectal Disease

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AimWhen making anastomotic decisions in rectal cancer surgery, surgeons must consider the risk of anastomotic leakage, which bears implications for the patient's quality of life, cancer recurrence and, potentially, death. The aim of this study was to investigate the views of colorectal surgeons on how their individual attributes (e.g. experience, personality traits) may influence their decision‐making and experience of complications.MethodThis qualitative study used individual interviews for data collection. Purposive sampling was used to invite certified UK‐based colorectal surgeons to participate. Participants were recruited until ongoing data review indicated no new codes were generated, suggesting data sufficiency. Data were analysed thematically following Braun and Clarke's six‐step framework.ResultsSeventeen colorectal surgeons (eight female, nine male) participated. Two key themes with relevant subthemes were identified: (1) personal attributes influencing variation in decision‐making (e.g. demographics, personality) and (2) the influence of complications on decision‐making. Surgeons described variation in the management of complications based upon their personal attributes, which included factors such as gender, experience and subspeciality interests. Surgeons described the detrimental impact of anastomotic leakage on their mental and physical health. Experience of anastomotic leakage influences future decision‐making and is associated with changes in practice even when a technical error is not identified.ConclusionColorectal surgeons consider anastomotic leaks to be personal ‘failures’, which has a negative impact on surgeon welfare. Better understanding of how surgeons make difficult decisions, and how surgeons respond to and learn from complications, is necessary to identify ‘personalized’ methods of supporting surgeons at all career stages, which may improve patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Influencing factors in surgical decision‐making: a qualitative analysis of colorectal surgeons' experiences of postoperative complications

Bisset,

Moug,

Oliphant

et al. 2024

Colorectal Disease

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Surgeon Perspectives on Anastomotic Leaks and FluidAI’s Stream<sup>TM</sup> Platform: Integrating Qualitative Insights for Technological Innovation

Rennie,

Sharma,

Helwa

2024

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Coping with anastomotic leaks: harder as one gets older?

Cited by 2 publications

References 10 publications

Influencing factors in surgical decision‐making: a qualitative analysis of colorectal surgeons' experiences of postoperative complications

Influencing factors in surgical decision‐making: a qualitative analysis of colorectal surgeons' experiences of postoperative complications

Surgeon Perspectives on Anastomotic Leaks and FluidAI’s Stream<sup>TM</sup> Platform: Integrating Qualitative Insights for Technological Innovation

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Coping with anastomotic leaks: harder as one gets older?

Cited by 2 publications

References 10 publications

Influencing factors in surgical decision‐making: a qualitative analysis of colorectal surgeons' experiences of postoperative complications

Influencing factors in surgical decision‐making: a qualitative analysis of colorectal surgeons' experiences of postoperative complications

Surgeon Perspectives on Anastomotic Leaks and FluidAI&#8217;s Stream<sup>TM</sup> Platform: Integrating Qualitative Insights for Technological Innovation

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Product

Resources

About

Surgeon Perspectives on Anastomotic Leaks and FluidAI’s Stream<sup>TM</sup> Platform: Integrating Qualitative Insights for Technological Innovation