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Thorac Cardiovasc Surg 2017; 65(07): 524-527
DOI: 10.1055/s-0037-1603203
Short Communication
Georg Thieme Verlag KG Stuttgart · New York

Cardiac Surgeons after Vacation: Refreshed or Rusty?

Blayne Welk
1   Department of Surgery, Western University, London, Ontario, Canada
,
Jennifer Winick-Ng
2   Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
,
Andrew McClure
2   Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
,
Luc Dubois
1   Department of Surgery, Western University, London, Ontario, Canada
,
Dave Nagpal
1   Department of Surgery, Western University, London, Ontario, Canada
› Author Affiliations
Further Information

Publication History

17 February 2017

06 April 2017

Publication Date:
16 May 2017 (online)

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Abstract

Introduction Many surgeons describe feeling a bit out of practice when they return from a vacation. There have been no studies assessing the impact of surgeon vacation on patient outcomes.

Methods We used administrative data from the province of Ontario to identify patients who underwent a coronary artery bypass grafting. Using a propensity score, we matched patients who underwent their procedure immediately after their surgeon returned from vacation of at least 7 days (n = 1,161) to patients who were not operated immediately before or after a vacation period (n = 2,138).

Results There was no significant difference in patient mortality (odds ratio: 1.23, p = 0.52), length of operation (relative risk [RR]: 1.00 p = 0.58), or intensive care unit/hospital stay (RR: 0.97 p = 0.66/RR: 0.98 p = 0.54, respectively).

Conclusion There was not a significant change in risk of death, operative length, or hospital stay after a surgeon vacation.

Keywords

coronary artery bypass grafting - vacation - surgery

Disclaimer

The opinions, results, and conclusions reported in this article are those of the authors and are independent from the funding sources. No endorsement by ICES, AMOSO, SSMD, LHRI, or the Ontario MOHLTC is intended or should be inferred. Parts of this material are based on data and information compiled and provided by CIHI. However, the analyses, conclusions, opinions, and statements expressed herein are those of the author, and not necessarily those of CIHI.


 

  • References

  • 1 Dimou FM, Eckelbarger D, Riall TS. Surgeon burnout: a systematic review. J Am Coll Surg 2016; 222 (06) 1230-1239
    CrossrefPubMedGoogle Scholar
  • 2 Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE, Lucas FL. Surgeon volume and operative mortality in the United States. N Engl J Med 2003; 349 (22) 2117-2127
    CrossrefPubMedGoogle Scholar
  • 3 Huesch MD. The impact of short breaks from cardiac surgery on mortality and stay length in California. J Healthc Qual 2014; 36 (05) 42-49
    CrossrefPubMedGoogle Scholar
  • 4 Hockenberry JM, Helmchen LA. The nature of surgeon human capital depreciation. J Health Econ 2014; 37: 70-80
    CrossrefPubMedGoogle Scholar
  • 5 Lee DS, Stitt A, Wang X. , et al. Administrative hospitalization database validation of cardiac procedure codes. Med Care 2013; 51 (04) e22-e26
    CrossrefPubMedGoogle Scholar
  • 6 Redelmeier DA, Thiruchelvam D, Daneman N. Introducing a methodology for estimating duration of surgery in health services research. J Clin Epidemiol 2008; 61 (09) 882-889
    CrossrefPubMedGoogle Scholar
  • 7 Caillet P, Payet C, Polazzi S, Carty MJ, Lifante J-C, Duclos A. Increased mortality for elective surgery during summer vacation: a longitudinal analysis of nationwide data. PLoS One 2015; 10 (09) e0137754-e0137754
    CrossrefPubMedGoogle Scholar
  • 8 Jenison EL, Gil KM, Lendvay TS, Guy MS. Robotic surgical skills: acquisition, maintenance, and degradation. JSLS 2012; 16 (02) 218-228
    CrossrefPubMedGoogle Scholar