ArticleJAMA surgery2017
Surgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative.
Article in JAMA surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Expert consensus on best content of a robotic surgical curriculum: a systematic review.Journal of robotic surgery · 2025Pooled it
- What predicts postoperative opioid prescribing and consumption? A statewide analysis of surgical quality registry data.Pain medicine (Malden, Mass.) · 2026Article
- Influence of Surgical Technique and Surgical Skill on Outcomes of Cleft Palate Repair.Plastic and reconstructive surgery · 2026Observational
- Laparoscopic approach reduces the incidence of postoperative pulmonary complications after hepatectomy for hepatocellular carcinoma: a multicenter overlap propensity score-weighted analysis.Hepatobiliary surgery and nutrition · 2026Article
- Assessing Hospital Surgical Quality.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Do smokers deserve "No"? Management and outcomes of smokers undergoing elective ventral hernia repair.Surgical endoscopy · 2025Article
- Variation in outcomes after metabolic bariatric surgery: multilevel analysis to assess the contribution of patient, surgeon, and hospital factors.The British journal of surgery · 2025Article
- Association of Opioid Prescribing and Consumption with Patient-reported Experiences and Satisfaction After Emergency Surgery in Michigan.Annals of surgery · 2025Article
- Use of Biologic and Biosynthetic Mesh for Ventral Hernia Repair in Current Practice.JAMA surgery · 2025Article
- Mesh overlap for ventral hernia repair in current practice.Surgical endoscopy · 2023Article
- Prescribed Opioid Dosages, Payer Type, and Self-Reported Outcomes After Surgical Procedures in Michigan, 2018-2020.JAMA network open · 2023Article
- Postoperative Opioid Prescribing and New Persistent Opioid Use: The Risk of Excessive Prescribing.Annals of surgery · 2023Article
- Sex disparities in the treatment and outcomes of ventral and incisional hernia repair.Surgical endoscopy · 2023Article
- Ventral hernia repair and mesh use in females of childbearing age.Surgical endoscopy · 2023Article
- Hospital-level variation in mesh use for ventral and incisional hernia repair.Surgical endoscopy · 2023Article
- Association of opioid exposure before surgery with opioid consumption after surgery.Regional anesthesia and pain medicine · 2022Article
- Opioid use in patients with peripheral arterial disease undergoing lower extremity bypass.Journal of vascular surgery · 2022Article
- The Doctors' Effect on Patients' Physical Health Outcomes Beyond the Intervention: A Methodological Review.Clinical epidemiology · 2022Article
- Impact of a regional smoking cessation intervention for vascular surgery patients.Journal of vascular surgery · 2022Article
- Is There a Surgeons' Effect on Patients' Physical Health, Beyond the Intervention, That Requires Further Investigation? A Systematic Review.Therapeutics and clinical risk management · 2022Review
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
importanceMinimally invasive colectomy (MIC) is an increasingly common surgical procedure. Although case series and controlled prospective trials have found the procedure to be safe, it is unclear whether safe adaptation of this approach from open colectomy (OC) is occurring among surgeons.
objectiveTo assess rates of complications for MIC compared with OC among surgeons. DESIGN, SETTING, AND
participantsWe analyzed 5196 patients who underwent MIC or OC from January 1, 2012, through December 31, 2015, by 97 surgeons in the Michigan Surgical Quality Collaborative, with each surgeon performing at least 10 OCs and 10 MICs. Hierarchical regression was used to assess surgeon variation in adjusted rates of complications and the association of these outcomes across approaches. MAIN OUTCOMES AND MEASURES: Primary study outcome measurements included overall 30-day complication rates, variation in complication rates among surgeons, and surgeon rank by complication rate for MIC vs OC.
resultsOf the 5196 patients (mean [SD] age, 62.9 [14.4] years; 2842 [54.7%] female; 4429 [85.2%] white), 3118 (60.0%) underwent MIC and 2078 (40.0%) underwent OC. Overall, 1149 patients (22.1%) experienced complications (702 [33.8%] in the OC group vs 447 [14.3%] in the MIC group; P < .001). For MIC, the rates of complications varied from 8.8% to 25.9% among surgeons. For OC, rates of complications were higher but varied less (1.7-fold) among surgeons, ranging from 25.9% to 43.8%. Among the 97 surgeons ranked, the mean change in ranking between OC and MIC was 25 positions. The top 10 surgeons ranged in rank from 6 of 97 for OC to 89 of 97 for MIC. CONCLUSIONS AND RELEVANCE: Surgeon-level variation in complications was nearly twice as great for MIC than for OC among surgeons enrolled in a statewide quality collaborative. Moreover, surgeon rankings for OC outcomes differed substantially from outcomes for those same surgeons performing MIC. This finding implies a need for improved training in adoption of MIC techniques among some surgeons.
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