Association Between Surgeon Sex and Days Alive at Home Following Surgery: A Population-Based Cohort Study
Objective:. The objective of this study was to measure potential associations between surgeon sex and number of days alive and at home (DAH). Background:. Patients treated by female surgeons appear to have lower rates of mortality, complications, readmissions, and healthcare costs when compared with...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-09-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000477 |
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| author | Kiyan Heybati, BHSc Raj Satkunasivam, MD, MS Khatereh Aminoltejari, MD, MSc, FRCSC Hannah S. Thomas, MBChB, MS Arghavan Salles, MD, PhD Natalie Coburn, MD, MPH Frances C. Wright, MD, Med, FRCSC Lesley Gotlib Conn, PhD Amy N. Luckenbaugh, MD Sanjana Ranganathan, MD Carlos Riveros, MD Colin McCartney, MBChB, PhD, FRCA, FFARCSI, FRCPC Kathleen Armstrong, MD, MSc, FRCSC Barbara Bass, MD Allan S. Detsky, MD, PhD, CM Angela Jerath, MD, MSc Christopher J. D. Wallis, MD, PhD |
| author_facet | Kiyan Heybati, BHSc Raj Satkunasivam, MD, MS Khatereh Aminoltejari, MD, MSc, FRCSC Hannah S. Thomas, MBChB, MS Arghavan Salles, MD, PhD Natalie Coburn, MD, MPH Frances C. Wright, MD, Med, FRCSC Lesley Gotlib Conn, PhD Amy N. Luckenbaugh, MD Sanjana Ranganathan, MD Carlos Riveros, MD Colin McCartney, MBChB, PhD, FRCA, FFARCSI, FRCPC Kathleen Armstrong, MD, MSc, FRCSC Barbara Bass, MD Allan S. Detsky, MD, PhD, CM Angela Jerath, MD, MSc Christopher J. D. Wallis, MD, PhD |
| author_sort | Kiyan Heybati, BHSc |
| collection | DOAJ |
| description | Objective:. The objective of this study was to measure potential associations between surgeon sex and number of days alive and at home (DAH).
Background:. Patients treated by female surgeons appear to have lower rates of mortality, complications, readmissions, and healthcare costs when compared with male surgeons. DAH is a validated measure, shown to better capture the patient experience of postoperative recovery.
Methods:. We conducted a retrospective study of adults (≥18 years of age) undergoing common surgeries between January 01, 2007 and December 31, 2019 in Ontario, Canada. The outcome measures were the number of DAH within 30-, 90-, and 365-days. The data was summarized using descriptive statistics and adjusted using multivariable generalized estimating equations.
Results:. During the study period, 1,165,711 individuals were included, of which 61.9% (N = 721,575) were female. Those managed by a female surgeon experienced a higher mean number of DAH when compared with male surgeons at 365 days (351.7 vs. 342.1 days; P < 0.001) and at each earlier time point. This remained consistent following adjustment for covariates, with patients of female surgeons experiencing a higher number of DAH at all time points, including at 365 days (343.2 [339.5–347.1] vs. 339.4 [335.9–343.0] days). Multivariable regression modeling revealed that patients of male surgeons had a significantly lower number of DAH versus female surgeons.
Conclusions:. Patients of female surgeons experienced a higher number of DAH when compared with those treated by male surgeons at all time points. More time spent at home after surgery may in turn lower costs of care, resource utilization, and potentially improve quality of life. Further studies are needed to examine these findings across other care contexts. |
| format | Article |
| id | doaj-art-0e8f742a94f84c1b9f295cfc55e14abf |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-0e8f742a94f84c1b9f295cfc55e14abf2025-01-24T09:18:49ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-09-0153e47710.1097/AS9.0000000000000477202409000-00023Association Between Surgeon Sex and Days Alive at Home Following Surgery: A Population-Based Cohort StudyKiyan Heybati, BHSc0Raj Satkunasivam, MD, MS1Khatereh Aminoltejari, MD, MSc, FRCSC2Hannah S. Thomas, MBChB, MS3Arghavan Salles, MD, PhD4Natalie Coburn, MD, MPH5Frances C. Wright, MD, Med, FRCSC6Lesley Gotlib Conn, PhD7Amy N. Luckenbaugh, MD8Sanjana Ranganathan, MD9Carlos Riveros, MD10Colin McCartney, MBChB, PhD, FRCA, FFARCSI, FRCPC11Kathleen Armstrong, MD, MSc, FRCSC12Barbara Bass, MD13Allan S. Detsky, MD, PhD, CM14Angela Jerath, MD, MSc15Christopher J. D. Wallis, MD, PhD16From the * Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN† Center for Outcomes Research, Houston Methodist Hospital, Houston, TX‖ Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada‖ Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada¶ Department of Medicine, Stanford University School of Medicine, Palo Alto, CA# Department of Surgery, Sunnybrook Health Sciences Center, Toronto, ON, Canada# Department of Surgery, Sunnybrook Health Sciences Center, Toronto, ON, Canada# Department of Surgery, Sunnybrook Health Sciences Center, Toronto, ON, Canada§§ Department of Urology, Vanderbilt University Medical Center, Nashville, TN§ Department of Urology, Houston Methodist Hospital, Houston, TX§ Department of Urology, Houston Methodist Hospital, Houston, TX‖‖ Department of Anesthesia, Sunnybrook Health Sciences Center, Toronto, ON, Canada## Division of Plastic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada*** George Washington University, School of Medicine and Health Sciences, WA** Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada** Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada‖ Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, CanadaObjective:. The objective of this study was to measure potential associations between surgeon sex and number of days alive and at home (DAH). Background:. Patients treated by female surgeons appear to have lower rates of mortality, complications, readmissions, and healthcare costs when compared with male surgeons. DAH is a validated measure, shown to better capture the patient experience of postoperative recovery. Methods:. We conducted a retrospective study of adults (≥18 years of age) undergoing common surgeries between January 01, 2007 and December 31, 2019 in Ontario, Canada. The outcome measures were the number of DAH within 30-, 90-, and 365-days. The data was summarized using descriptive statistics and adjusted using multivariable generalized estimating equations. Results:. During the study period, 1,165,711 individuals were included, of which 61.9% (N = 721,575) were female. Those managed by a female surgeon experienced a higher mean number of DAH when compared with male surgeons at 365 days (351.7 vs. 342.1 days; P < 0.001) and at each earlier time point. This remained consistent following adjustment for covariates, with patients of female surgeons experiencing a higher number of DAH at all time points, including at 365 days (343.2 [339.5–347.1] vs. 339.4 [335.9–343.0] days). Multivariable regression modeling revealed that patients of male surgeons had a significantly lower number of DAH versus female surgeons. Conclusions:. Patients of female surgeons experienced a higher number of DAH when compared with those treated by male surgeons at all time points. More time spent at home after surgery may in turn lower costs of care, resource utilization, and potentially improve quality of life. Further studies are needed to examine these findings across other care contexts.http://journals.lww.com/10.1097/AS9.0000000000000477 |
| spellingShingle | Kiyan Heybati, BHSc Raj Satkunasivam, MD, MS Khatereh Aminoltejari, MD, MSc, FRCSC Hannah S. Thomas, MBChB, MS Arghavan Salles, MD, PhD Natalie Coburn, MD, MPH Frances C. Wright, MD, Med, FRCSC Lesley Gotlib Conn, PhD Amy N. Luckenbaugh, MD Sanjana Ranganathan, MD Carlos Riveros, MD Colin McCartney, MBChB, PhD, FRCA, FFARCSI, FRCPC Kathleen Armstrong, MD, MSc, FRCSC Barbara Bass, MD Allan S. Detsky, MD, PhD, CM Angela Jerath, MD, MSc Christopher J. D. Wallis, MD, PhD Association Between Surgeon Sex and Days Alive at Home Following Surgery: A Population-Based Cohort Study Annals of Surgery Open |
| title | Association Between Surgeon Sex and Days Alive at Home Following Surgery: A Population-Based Cohort Study |
| title_full | Association Between Surgeon Sex and Days Alive at Home Following Surgery: A Population-Based Cohort Study |
| title_fullStr | Association Between Surgeon Sex and Days Alive at Home Following Surgery: A Population-Based Cohort Study |
| title_full_unstemmed | Association Between Surgeon Sex and Days Alive at Home Following Surgery: A Population-Based Cohort Study |
| title_short | Association Between Surgeon Sex and Days Alive at Home Following Surgery: A Population-Based Cohort Study |
| title_sort | association between surgeon sex and days alive at home following surgery a population based cohort study |
| url | http://journals.lww.com/10.1097/AS9.0000000000000477 |
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