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Am J Obstet Gynecol. 2008 Dec;199(6):673.e1-6. doi: 10.1016/j.ajog.2008.07.052.

Outcomes of hysterectomies performed by supervised residents vs those performed by attendings alone.

Author information

1
Division of Urogynecology, Department of Gynecology, Greater Baltimore Medical Center, Towson, MD, USA.

Abstract

OBJECTIVE:

The objective of the study was to compare the outcomes of hysterectomies performed by residents under supervision of a teaching physician with those performed by attendings alone.

STUDY DESIGN:

This was a retrospective cohort analysis of hysterectomies performed at the Greater Baltimore Medical Center from 2004 to 2006.

RESULTS:

Of 159 nonteaching and 265 teaching cases, there was no significant difference in any of the surgical outcomes, except mean operating room time in minutes (94.8 [+/- 47.0] vs 107.4 [+/- 42.4]; P = .005), seromas (2.5% vs 0%; P = .02), and others (5% vs 0.8%; P = .007) in nonteaching vs teaching cases, respectively. The demographics and comorbidities were similar. The mean operating room time difference of 13 minutes was not clinically significant.

CONCLUSION:

Although teaching hysterectomies take a bit longer to perform, there were no greater adverse outcomes.

PMID:
19084099
DOI:
10.1016/j.ajog.2008.07.052
[Indexed for MEDLINE]

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