ArticleBMJ open2018
Surgical quality in organ procurement during day and night: an analysis of quality forms.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 17 citations in OpenAlex.
- Ten Years of Quality Monitoring of Abdominal Organ Procurement in the Netherlands and Its Impact on Transplant Outcome.Transplant international : official journal of the European Society for Organ Transplantation · 2024Article
- Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF).Journal of orthopaedic surgery and research · 2022Article
- Specialized Donor Care Facility Model and Advances in Management of Thoracic Organ Donors.The Annals of thoracic surgery · 2022Review
- Impact of Nighttime Lung Transplantation on Outcomes and Costs.The Annals of thoracic surgery · 2021Article
- Donor management using a specialized donor care facility is associated with higher organ utilization from drug overdose donors.Clinical transplantation · 2021Article
- Analyzing the temporal trends of kidney transplantation surgeries and their impact on warm and cold ischemia time in a Canadian setting.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo analyse a potential association between surgical quality and time of day.
designA retrospective analysis of complete sets of quality forms filled out by the procuring and accepting surgeon on organs from deceased donors.
settingProcurement procedures in the Netherlands are organised per region. All procedures are performed by an independent, dedicated procurement team that is associated with an academic medical centre in the region.
participantsIn 18 months' time, 771 organs were accepted and procured in The Netherlands. Of these, 17 organs were declined before transport and therefore excluded. For the remaining 754 organs, 591 (78%) sets of forms were completed (procurement and transplantation). Baseline characteristics were comparable in both daytime and evening/night-time with the exception of height (p=0.003). PRIMARY OUTCOME MEASURE: All complete sets of quality forms were retrospectively analysed for the primary outcome, procurement-related surgical injury. Organs were categorised based on the starting time of the procurement in either daytime (8:00-17:00) or evening/night-time (17:00-8:00).
resultsOut of 591 procured organs, 129 organs (22%) were procured during daytime and 462 organs (78%) during evening/night-time. The incidence of surgical injury was significantly lower during daytime; 22 organs (17%) compared with 126 organs (27%) procured during evening/night-time (p=0.016). This association persists when adjusted for confounders.
conclusionsThis study shows an increased incidence of procurement-related surgical injury in evening/night-time procedures as compared with daytime. Time of day might (in)directly influence surgical performance and should be considered a potential risk factor for injury in organ procurement procedures.
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