dc.contributor |
Háskóli Íslands |
dc.contributor |
University of Iceland |
dc.contributor.author |
Erestam, Sofia |
dc.contributor.author |
Bock, David |
dc.contributor.author |
Erichsen Andersson, Annette |
dc.contributor.author |
Bjartell, Anders |
dc.contributor.author |
Carlsson, Stefan |
dc.contributor.author |
Stinesen Kollberg, Karin |
dc.contributor.author |
Sjoberg, Daniel |
dc.contributor.author |
Steineck, Gunnar |
dc.contributor.author |
Stranne, Johan |
dc.contributor.author |
Þorsteinsdóttir, Þórdís |
dc.contributor.author |
Tyritzis, Stavros |
dc.contributor.author |
Wallerstedt Lantz, Anna |
dc.contributor.author |
Wiklund, Peter |
dc.contributor.author |
Angenete, Eva |
dc.contributor.author |
Haglind, Eva |
dc.date.accessioned |
2020-02-03T09:49:50Z |
dc.date.available |
2020-02-03T09:49:50Z |
dc.date.issued |
2019-03-18 |
dc.identifier.citation |
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. |
dc.identifier.issn |
0930-2794 |
dc.identifier.issn |
1432-2218 (eISSN) |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/1497 |
dc.description |
Publisher's version (útgefin grein). |
dc.description.abstract |
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. |
dc.description.sponsorship |
This study was supported by research grants from the Swedish
Cancer Society (2008/922, 2010/593, 2013/497, 2016/362), The Swedish Research Council (2012-1770, 2015-02483), Region Västra Götaland, Sahlgrenska University Hospital (ALF grants 138751, 146201, and 4307771, HTA-VGR 6011; agreement concerning research and
education of doctors), Mrs. Mary von Sydow Foundation, and Anna
and Edvin Berger Foundation. |
dc.format.extent |
61-68 |
dc.language.iso |
en |
dc.publisher |
Springer Science and Business Media LLC |
dc.relation.ispartofseries |
Surgical Endoscopy;34(1) |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Intraoperative factors |
dc.subject |
Surgical satisfaction |
dc.subject |
Self-assessment |
dc.subject |
Surgical performance |
dc.subject |
Surgeon |
dc.subject |
Prostate cancer |
dc.subject |
Skurðlækningar |
dc.subject |
Skurðlæknar |
dc.subject |
Skurðhjúkrun |
dc.subject |
Blöðruhálskirtilskrabbamein |
dc.title |
Associations between intraoperative factors and surgeons’ self-assessed operative satisfaction |
dc.type |
info:eu-repo/semantics/article |
dcterms.license |
Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativeco
mmons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate
credit to the original author(s) and the source, provide a link to the
Creative Commons license, and indicate if changes were made. |
dc.description.version |
Peer Reviewed |
dc.identifier.journal |
Surgical Endoscopy |
dc.identifier.doi |
10.1007/s00464-019-06731-z |
dc.contributor.department |
Faculty of Nursing (UI) |
dc.contributor.department |
Hjúkrunarfræðideild (HÍ) |
dc.contributor.school |
Heilbrigðisvísindasvið (HÍ) |
dc.contributor.school |
School of Health Sciences (UI) |