Evidence map›Paper›PMID 30887183›Full record

ArticleSurgical endoscopy2020

Associations between intraoperative factors and surgeons' self-assessed operative satisfaction.

Sofia Erestam, David Bock, Annette Erichsen Andersson, Anders Bjartell, Stefan Carlsson, Karin Stinesen Kollberg, Daniel Sjoberg, Gunnar Steineck, Johan Stranne, Thordis Thorsteinsdottir and 5 more

Abstract read
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

15 authors.

Sofia ErestamDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital, SSORG - Scandinavian Surgical Outcomes Research Group, Östra Campus, Gothenburg, Sweden. sofia.erestam@vgregion.se.ORCID 0000-0002-3142-1903
David BockDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital, SSORG - Scandinavian Surgical Outcomes Research Group, Östra Campus, Gothenburg, Sweden.
Annette Erichsen AnderssonInstitute of Health and Care science, University of Gothenburg, Gothenburg, Sweden.
Anders BjartellDepartment of Urology, Skåne University Hospital, Malmö, Sweden.
Stefan CarlssonSection of Urology, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Karin Stinesen KollbergDivision of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
Daniel SjobergDepartment of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Gunnar SteineckDivision of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
Johan StranneDepartment of Urology, Institute of Clinical Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
Thordis ThorsteinsdottirFaculty of Nursing, University of Iceland and Landspitali - The National University Hospital of Iceland, Reykjavík, Iceland.
Stavros TyritzisSection of Urology, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Anna Wallerstedt LantzSection of Urology, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Peter WiklundSection of Urology, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Eva AngeneteDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital, SSORG - Scandinavian Surgical Outcomes Research Group, Östra Campus, Gothenburg, Sweden.
Eva HaglindDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital, SSORG - Scandinavian Surgical Outcomes Research Group, Östra Campus, Gothenburg, Sweden.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundLittle is known concerning what may influence surgeon satisfaction with a surgical procedure and its associations with intraoperative factors. The objective was to explore the relationships between surgeons' self-assessed satisfaction with performed radical prostatectomies and intraoperative factors such as technical difficulties and intraoperative complications as reported by the surgeon subsequent to the operation.

methodsWe utilized prospectively collected data from the controlled LAPPRO trial where 4003 patients with prostate cancer underwent open (ORP) or robot-assisted laparoscopic (RALP) radical prostatectomy. Patients were included from fourteen centers in Sweden during 2008-2011. Surgeon satisfaction was assessed by questionnaires at the end of each operation. Intraoperative factors included time for the surgical procedure as well as difficulties and complications in various steps of the operation. To model surgeon satisfaction, a mixed effect logistic regression was used. Results were presented as odds ratios (OR) with 95% confidence intervals (CI).

resultsThe surgeons were satisfied in 2905 (81%) and dissatisfied in 702 (19%) of the surgical procedures. Surgeon satisfaction was not statistically associated with type of surgical technique (ORP vs. RALP) (OR 1.36, CI 0.76; 2.43). Intraoperative factors such as technical difficulties or complications, for example, suturing of the anastomosis was negatively associated with surgeon satisfaction (OR 0.24, CI 0.19; 0.30).

conclusionsOur data indicate that technical difficulties and/or intraoperative complications were associated with a surgeon's level of satisfaction with an operation.

Indexed as

Personal SatisfactionSelf-AssessmentSurgeonsWork PerformanceAttitude of Health PersonnelHumansIntraoperative ComplicationsLaparoscopyMaleProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresSwedenIntraoperative factorsProstate cancerSelf-assessmentSurgeonSurgical performanceSurgical satisfaction

Identifiers

PMID30887183
PMCPMC6946718

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Registered trials

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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.