Supervised surgical trainees perform thyroid surgery for Graves’ disease safely

Hassan, I.; Koller, Michael; Kluge, Conrad; Sebastian, Hoffmann; Zielke, A.; Rothmund, M.

doi:10.1007/s00423-006-0077-x

Cited by 11 publications

(14 citation statements)

References 22 publications

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“…However, the recurrence rate was significantly higher for unsupervised junior trainees. Other studies on specific surgeries, including thyroid, cardiac and pelvic floor surgeries, also had similar conclusion . Palm et al .…”

Section: Discussionsupporting

confidence: 61%

Impact of consultant operative supervision and surgical mortality in Australia

Wong

Guy

Babidge

et al. 2012

ANZ Journal of Surgery

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Background: In this study, the Australian and New Zealand Audit of Surgical Mortality evaluated the effect of operative supervision on certain post-operative outcomes in the surgical death subset. Methods: This retrospective cohort study was based upon mortality data collected in 2009 which included 1673 patients who died and had surgery within 30 days of death or during the last admission. Cases were divided into three groups: consultant not supervising (group NS), consultant supervising (group S) and consultant performing the operation (group C). A comparison was done nationally and between participating states in Australia. Certain post-operative outcomes were compared between the three groups as well as between elective and emergency operations. Results: There were significant variations in the levels of operative supervision among states in Australia. Group NS (n = 468) generally had more favourable postoperative outcomes than group S (n = 147) and group C (n = 1058), with post-operative complication rates of 24.8%, 37.4% and 40.9% for groups NS, S and C, respectively. The level of operative supervision in emergency operations was half that of elective operations. Nevertheless, the post-operative complications rate was significantly lower in emergency operations (30.6%) compared with elective operations (64.4%). The same trend was seen with clinical management deficiencies and unplanned return to theatre. Conclusion: Operative supervision in emergency setting within Australian hospitals appears to be potentially inadequate. However, the available data suggest that unsupervised surgery did not result in worse post-operative outcomes. In appropriately selected cases, the data support surgical registrars performing surgery without consultant supervision.

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Section: Discussionsupporting

confidence: 61%

Impact of consultant operative supervision and surgical mortality in Australia

Wong

Guy

Babidge

et al. 2012

ANZ Journal of Surgery

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“…Data related to diagnosis and treatment of GD prior to admission, as well as early postoperative Outcome were taken from the medical charts (retrospective data acquisition). Data were supplemented by a structured telephone interview to assess long-term outcomes [1,14,15] . A standardized medical chart form was used to document preoperative, intraoperative and early postoperative data.…”

Section: Methodsmentioning

confidence: 99%

Severe Graves' Ophthalmopathy may be a Risk Factor for the Development of Postthyroidectomy Hypocalcaemia

Hassan

Dănilă²,

Maurer³

et al. 2008

Exp Clin Endocrinol Diabetes

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“…There is no doubt that the traditional practice of the "See one, do one, and teach one" residency training programme is no longer acceptable [22]. Effective training programmes must ensure that patient safety is not compromised [23][24][25][26]. Moreover, additional surgical training through courses as well as systematic training in management skills [27] is becoming increasingly important and must be subsidised.…”

Section: Discussionmentioning

confidence: 99%