ArticleAmerican journal of surgery2013
Determinants of surgical decision making: a national survey.
Article in American journal of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed.
- The compass project: comprehensive overview of European perceptions of non-technical skills in surgery.Surgical endoscopy · 2026Article
- Quick Cuts: Surgeon Tendency to Operate in Emergency General Surgery.The Journal of surgical research · 2025Article
- Regional Differences in Primary Total Knee Arthroplasty Utilization, Physician Reimbursement, and Patient Characteristics.Arthroplasty today · 2024Article
- Substantial Variation in Decision Making to Perform Subacromial Decompression Surgery for Subacromial Pain Syndrome Between Orthopaedic Shoulder Surgeons for Identical Clinical Scenarios: A Case-Vignette Study.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Personalized decision-making for acute cholecystitis: Understanding surgeon judgment.Frontiers in digital health · 2022Article
- Article
- Overuse of surgery in patients with pancreatic cancer. A nationwide analysis in Italy.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundWe conducted a national survey of general surgeons to address the association between surgeon characteristics and the tendency to recommend surgery.
methodsWe used a web-based survey with 25 hypothetical clinical scenarios with clinical equipoise regarding the decision to operate. The respondent-level tendency to operate (TTO) score was calculated as the average score over the 25 scenarios. Surgical volume was based on self-report. Linear regression models were used to evaluate the associations between TTO, other covariates of interest, and surgical volume.
resultsThere were 907 respondents. The mean surgical TTO was 3.05 ± .43. Surgeons had significantly lower TTO scores when responding to questions within their area of practice (P < .0001). There was no association between TTO and malpractice concerns, financial incentives, or compensation structure.
conclusionsSurgeons recommend intervention far less frequently within their area of specialization. Malpractice concerns, volume, and financial compensation do not significantly affect surgical decision making.
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Registered trials
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