Opin vísindi

Associations between intraoperative factors and surgeons’ self-assessed operative satisfaction

Associations between intraoperative factors and surgeons’ self-assessed operative satisfaction

Title: Associations between intraoperative factors and surgeons’ self-assessed operative satisfaction
Author: Erestam, Sofia
Bock, David
Erichsen Andersson, Annette
Bjartell, Anders
Carlsson, Stefan
Stinesen Kollberg, Karin
Sjoberg, Daniel
Steineck, Gunnar
Stranne, Johan
Þorsteinsdóttir, Þórdís
... 5 more authors Show all authors
Date: 2019-03-18
Language: English
Scope: 61-68
University/Institute: Háskóli Íslands
University of Iceland
School: Heilbrigðisvísindasvið (HÍ)
School of Health Sciences (UI)
Department: Faculty of Nursing (UI)
Hjúkrunarfræðideild (HÍ)
Series: Surgical Endoscopy;34(1)
ISSN: 0930-2794
1432-2218 (eISSN)
DOI: 10.1007/s00464-019-06731-z
Subject: Intraoperative factors; Surgical satisfaction; Self-assessment; Surgical performance; Surgeon; Prostate cancer; Skurðlækningar; Skurðlæknar; Skurðhjúkrun; Blöðruhálskirtilskrabbamein
URI: https://hdl.handle.net/20.500.11815/1497

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Erestam, S., Bock, D., Angenete, A., Haglind, K., Erichsen Andersson, G., Bjartell, J., . . . Thorsteinsdottir. (2019). Associations between intraoperative factors and surgeons’ self-assessed operative satisfaction. Surgical Endoscopy, 1-8.


Background: Little is known concerning what may infuence surgeon satisfaction with a surgical procedure and its associations with intraoperative factors. The objective was to explore the relationships between surgeons’ self-assessed satisfaction with performed radical prostatectomies and intraoperative factors such as technical difculties and intraoperative complications as reported by the surgeon subsequent to the operation. Methods: We utilized prospectively collected data from the controlled LAPPRO trial where 4003 patients with prostate cancer underwent open (ORP) or robot-assisted laparoscopic (RALP) radical prostatectomy. Patients were included from fourteen centers in Sweden during 2008–2011. Surgeon satisfaction was assessed by questionnaires at the end of each operation. Intraoperative factors included time for the surgical procedure as well as difculties and complications in various steps of the operation. To model surgeon satisfaction, a mixed efect logistic regression was used. Results were presented as odds ratios (OR) with 95% confdence intervals (CI). Results: The surgeons were satisfed in 2905 (81%) and dissatisfed in 702 (19%) of the surgical procedures. Surgeon satisfaction was not statistically associated with type of surgical technique (ORP vs. RALP) (OR 1.36, CI 0.76; 2.43). Intraoperative factors such as technical difculties or complications, for example, suturing of the anastomosis was negatively associated with surgeon satisfaction (OR 0.24, CI 0.19; 0.30). Conclusions: Our data indicate that technical difculties and/or intraoperative complications were associated with a surgeon’s level of satisfaction with an operation.


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