Evidence map›Paper›PMID 27754897›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2017

Association between day of the week of elective surgery and postoperative mortality.

Luc Dubois, Kelly Vogt, Chris Vinden, Jennifer Winick-Ng, J Andrew McClure, Pavel S Roshanov, Chaim M Bell, Amit X Garg, Surgical Investigators Group at ICES Western

Open access · goldAbstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
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  9. Weekday and outcomes of elective cardiac surgery in the UK: a large retrospective database analysis.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Luc DuboisDepartments of Surgery (Dubois, Vogt, Vinden) and of Epidemiology and Biostatistics (Dubois, Vogt, Garg), Schulich School of Medicine and Dentistry, Western University, London, Ont.; Institute for Clinical Evaluative Sciences (Vinden, Winick-Ng, McClure, Bell, Garg), Toronto, Ont.; Lilibeth Caberto Kidney Clinical Research Unit (Roshanov), London Health Sciences Centre, London, Ont.; Department of Clinical Epidemiology and Biostatistics (Roshanov), McMaster University, Hamilton, Ont.; Department of Medicine (Bell), Mount Sinai Hospital, University of Toronto, Ont. Luc.Dubois@lhsc.on.ca.
Kelly VogtDepartments of Surgery (Dubois, Vogt, Vinden) and of Epidemiology and Biostatistics (Dubois, Vogt, Garg), Schulich School of Medicine and Dentistry, Western University, London, Ont.; Institute for Clinical Evaluative Sciences (Vinden, Winick-Ng, McClure, Bell, Garg), Toronto, Ont.; Lilibeth Caberto Kidney Clinical Research Unit (Roshanov), London Health Sciences Centre, London, Ont.; Department of Clinical Epidemiology and Biostatistics (Roshanov), McMaster University, Hamilton, Ont.; Department of Medicine (Bell), Mount Sinai Hospital, University of Toronto, Ont.
Chris VindenDepartments of Surgery (Dubois, Vogt, Vinden) and of Epidemiology and Biostatistics (Dubois, Vogt, Garg), Schulich School of Medicine and Dentistry, Western University, London, Ont.; Institute for Clinical Evaluative Sciences (Vinden, Winick-Ng, McClure, Bell, Garg), Toronto, Ont.; Lilibeth Caberto Kidney Clinical Research Unit (Roshanov), London Health Sciences Centre, London, Ont.; Department of Clinical Epidemiology and Biostatistics (Roshanov), McMaster University, Hamilton, Ont.; Department of Medicine (Bell), Mount Sinai Hospital, University of Toronto, Ont.
Jennifer Winick-NgDepartments of Surgery (Dubois, Vogt, Vinden) and of Epidemiology and Biostatistics (Dubois, Vogt, Garg), Schulich School of Medicine and Dentistry, Western University, London, Ont.; Institute for Clinical Evaluative Sciences (Vinden, Winick-Ng, McClure, Bell, Garg), Toronto, Ont.; Lilibeth Caberto Kidney Clinical Research Unit (Roshanov), London Health Sciences Centre, London, Ont.; Department of Clinical Epidemiology and Biostatistics (Roshanov), McMaster University, Hamilton, Ont.; Department of Medicine (Bell), Mount Sinai Hospital, University of Toronto, Ont.
J Andrew McClureDepartments of Surgery (Dubois, Vogt, Vinden) and of Epidemiology and Biostatistics (Dubois, Vogt, Garg), Schulich School of Medicine and Dentistry, Western University, London, Ont.; Institute for Clinical Evaluative Sciences (Vinden, Winick-Ng, McClure, Bell, Garg), Toronto, Ont.; Lilibeth Caberto Kidney Clinical Research Unit (Roshanov), London Health Sciences Centre, London, Ont.; Department of Clinical Epidemiology and Biostatistics (Roshanov), McMaster University, Hamilton, Ont.; Department of Medicine (Bell), Mount Sinai Hospital, University of Toronto, Ont.
Pavel S RoshanovDepartments of Surgery (Dubois, Vogt, Vinden) and of Epidemiology and Biostatistics (Dubois, Vogt, Garg), Schulich School of Medicine and Dentistry, Western University, London, Ont.; Institute for Clinical Evaluative Sciences (Vinden, Winick-Ng, McClure, Bell, Garg), Toronto, Ont.; Lilibeth Caberto Kidney Clinical Research Unit (Roshanov), London Health Sciences Centre, London, Ont.; Department of Clinical Epidemiology and Biostatistics (Roshanov), McMaster University, Hamilton, Ont.; Department of Medicine (Bell), Mount Sinai Hospital, University of Toronto, Ont.
Chaim M BellDepartments of Surgery (Dubois, Vogt, Vinden) and of Epidemiology and Biostatistics (Dubois, Vogt, Garg), Schulich School of Medicine and Dentistry, Western University, London, Ont.; Institute for Clinical Evaluative Sciences (Vinden, Winick-Ng, McClure, Bell, Garg), Toronto, Ont.; Lilibeth Caberto Kidney Clinical Research Unit (Roshanov), London Health Sciences Centre, London, Ont.; Department of Clinical Epidemiology and Biostatistics (Roshanov), McMaster University, Hamilton, Ont.; Department of Medicine (Bell), Mount Sinai Hospital, University of Toronto, Ont.
Amit X GargDepartments of Surgery (Dubois, Vogt, Vinden) and of Epidemiology and Biostatistics (Dubois, Vogt, Garg), Schulich School of Medicine and Dentistry, Western University, London, Ont.; Institute for Clinical Evaluative Sciences (Vinden, Winick-Ng, McClure, Bell, Garg), Toronto, Ont.; Lilibeth Caberto Kidney Clinical Research Unit (Roshanov), London Health Sciences Centre, London, Ont.; Department of Clinical Epidemiology and Biostatistics (Roshanov), McMaster University, Hamilton, Ont.; Department of Medicine (Bell), Mount Sinai Hospital, University of Toronto, Ont.
Surgical Investigators Group at ICES Western
Western University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn prior studies, higher mortality was observed among patients who had elective surgery on a Friday rather than earlier in the week. We investigated whether mortality after elective surgery was associated with day of the week of surgery in a Canadian population and whether the association was influenced by surgeon experience and volume.

methodsWe conducted a population-based retrospective cohort study in the province of Ontario, Canada. We included adults who underwent 1 of 12 elective daytime surgical procedures from Apr. 1, 2002, to Dec. 31, 2012. The primary outcome was 30-day mortality. We used generalized estimating equations to compare outcomes for surgeries performed on different days of the week, adjusting for patient and surgeon factors.

resultsA total of 402 899 procedures performed by 1691 surgeons met our inclusion criteria. The median length of hospital stay was 6 (interquartile range 5-8) days. Surgeon experience varied significantly by day of week (

interpretationAlthough surgeon experience differed across days of the week, the risk of 30-day mortality after elective surgery was similar regardless of which day of the week the procedure took place.

Indexed as

AgedAppointments and SchedulesCanadaCohort StudiesElective Surgical ProceduresFemaleHospitals, High-VolumeHospitals, Low-VolumeHumansLength of StayMaleMiddle AgedOdds RatioOntarioPostoperative CareRetrospective Studies

Identifiers

PMID27754897
PMCPMC5325731
OpenAlexW2536553143

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.