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The Impact of Resident Involvement in Male One-stage Anterior Urethroplasties

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The Impact of Resident Involvement in Male One-stage Anterior Urethroplasties. / Meyer, Christian P; Hanske, Julian; Friedlander, David F; Schmid, Marianne; Dahlem, Roland; Trinh, Vincent Q; Chang, Steven L; Kibel, Adam S; Chun, Felix K H; Fisch, Margit; Trinh, Quoc-Dien; Eswara, Jairam R.

In: UROLOGY, Vol. 85, No. 4, 01.04.2015, p. 937-41.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Meyer, CP, Hanske, J, Friedlander, DF, Schmid, M, Dahlem, R, Trinh, VQ, Chang, SL, Kibel, AS, Chun, FKH, Fisch, M, Trinh, Q-D & Eswara, JR 2015, 'The Impact of Resident Involvement in Male One-stage Anterior Urethroplasties', UROLOGY, vol. 85, no. 4, pp. 937-41. https://doi.org/10.1016/j.urology.2015.01.010

APA

Meyer, C. P., Hanske, J., Friedlander, D. F., Schmid, M., Dahlem, R., Trinh, V. Q., Chang, S. L., Kibel, A. S., Chun, F. K. H., Fisch, M., Trinh, Q-D., & Eswara, J. R. (2015). The Impact of Resident Involvement in Male One-stage Anterior Urethroplasties. UROLOGY, 85(4), 937-41. https://doi.org/10.1016/j.urology.2015.01.010

Vancouver

Meyer CP, Hanske J, Friedlander DF, Schmid M, Dahlem R, Trinh VQ et al. The Impact of Resident Involvement in Male One-stage Anterior Urethroplasties. UROLOGY. 2015 Apr 1;85(4):937-41. https://doi.org/10.1016/j.urology.2015.01.010

Bibtex

@article{6d396a724e5044449a82f942f574c53e,
title = "The Impact of Resident Involvement in Male One-stage Anterior Urethroplasties",
abstract = "OBJECTIVE: To assess the effect of resident involvement in male anterior urethroplasties with regard to perioperative and postoperative outcomes using a large multi-institutional prospectively collected database.METHODS: Relying on the American College of Surgeons National Surgical Quality Improvement Program Participant User Files (2005-2012), we extracted all entries with Current Procedural Terminology coding for male one-stage anterior urethroplasty in men (54,310). Cases with missing entries on resident involvement were excluded. Descriptive and logistic regression analyses were constructed to assess the impact of trainee involvement (attending only vs resident) on perioperative and postoperative outcomes. Prolonged operative time (pOT) was defined as operative time >75th percentile (>204 minutes).RESULTS: A total of 235 one-stage urethroplasties were performed during the study period, for which resident involvement was available. Resident involvement was significantly associated with younger patient age (P = .011) and patients with a pre-existing diabetic condition (P = .047). In univariate analyses, the rate of pOT was significantly higher in the resident involvement group (P = .027). In multivariate models, resident involvement was an independent predictor of pOT (odds ratio, 2.4; 95% confidence interval, 1.3-9.7; P = .035). There were no differences in 30-day postoperative complications, length of hospital stay, or readmissions. Limitations of the study include inability to adjust for case complexity and type of reconstruction.CONCLUSION: Resident involvement is associated with pOT for anterior urethral strictures. However, it does not adversely affect complication rates or the length of hospital stay.",
author = "Meyer, {Christian P} and Julian Hanske and Friedlander, {David F} and Marianne Schmid and Roland Dahlem and Trinh, {Vincent Q} and Chang, {Steven L} and Kibel, {Adam S} and Chun, {Felix K H} and Margit Fisch and Quoc-Dien Trinh and Eswara, {Jairam R}",
note = "Copyright {\textcopyright} 2015 Elsevier Inc. All rights reserved.",
year = "2015",
month = apr,
day = "1",
doi = "10.1016/j.urology.2015.01.010",
language = "English",
volume = "85",
pages = "937--41",
journal = "UROLOGY",
issn = "0090-4295",
publisher = "Elsevier Inc.",
number = "4",

}

RIS

TY - JOUR

T1 - The Impact of Resident Involvement in Male One-stage Anterior Urethroplasties

AU - Meyer, Christian P

AU - Hanske, Julian

AU - Friedlander, David F

AU - Schmid, Marianne

AU - Dahlem, Roland

AU - Trinh, Vincent Q

AU - Chang, Steven L

AU - Kibel, Adam S

AU - Chun, Felix K H

AU - Fisch, Margit

AU - Trinh, Quoc-Dien

AU - Eswara, Jairam R

N1 - Copyright © 2015 Elsevier Inc. All rights reserved.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - OBJECTIVE: To assess the effect of resident involvement in male anterior urethroplasties with regard to perioperative and postoperative outcomes using a large multi-institutional prospectively collected database.METHODS: Relying on the American College of Surgeons National Surgical Quality Improvement Program Participant User Files (2005-2012), we extracted all entries with Current Procedural Terminology coding for male one-stage anterior urethroplasty in men (54,310). Cases with missing entries on resident involvement were excluded. Descriptive and logistic regression analyses were constructed to assess the impact of trainee involvement (attending only vs resident) on perioperative and postoperative outcomes. Prolonged operative time (pOT) was defined as operative time >75th percentile (>204 minutes).RESULTS: A total of 235 one-stage urethroplasties were performed during the study period, for which resident involvement was available. Resident involvement was significantly associated with younger patient age (P = .011) and patients with a pre-existing diabetic condition (P = .047). In univariate analyses, the rate of pOT was significantly higher in the resident involvement group (P = .027). In multivariate models, resident involvement was an independent predictor of pOT (odds ratio, 2.4; 95% confidence interval, 1.3-9.7; P = .035). There were no differences in 30-day postoperative complications, length of hospital stay, or readmissions. Limitations of the study include inability to adjust for case complexity and type of reconstruction.CONCLUSION: Resident involvement is associated with pOT for anterior urethral strictures. However, it does not adversely affect complication rates or the length of hospital stay.

AB - OBJECTIVE: To assess the effect of resident involvement in male anterior urethroplasties with regard to perioperative and postoperative outcomes using a large multi-institutional prospectively collected database.METHODS: Relying on the American College of Surgeons National Surgical Quality Improvement Program Participant User Files (2005-2012), we extracted all entries with Current Procedural Terminology coding for male one-stage anterior urethroplasty in men (54,310). Cases with missing entries on resident involvement were excluded. Descriptive and logistic regression analyses were constructed to assess the impact of trainee involvement (attending only vs resident) on perioperative and postoperative outcomes. Prolonged operative time (pOT) was defined as operative time >75th percentile (>204 minutes).RESULTS: A total of 235 one-stage urethroplasties were performed during the study period, for which resident involvement was available. Resident involvement was significantly associated with younger patient age (P = .011) and patients with a pre-existing diabetic condition (P = .047). In univariate analyses, the rate of pOT was significantly higher in the resident involvement group (P = .027). In multivariate models, resident involvement was an independent predictor of pOT (odds ratio, 2.4; 95% confidence interval, 1.3-9.7; P = .035). There were no differences in 30-day postoperative complications, length of hospital stay, or readmissions. Limitations of the study include inability to adjust for case complexity and type of reconstruction.CONCLUSION: Resident involvement is associated with pOT for anterior urethral strictures. However, it does not adversely affect complication rates or the length of hospital stay.

U2 - 10.1016/j.urology.2015.01.010

DO - 10.1016/j.urology.2015.01.010

M3 - SCORING: Journal article

C2 - 25817121

VL - 85

SP - 937

EP - 941

JO - UROLOGY

JF - UROLOGY

SN - 0090-4295

IS - 4

ER -