ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2020
Relation between surgeon age and postoperative outcomes: a population-based cohort study.
Abstract readMulticenter Study
In one paragraph
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.
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27citing papers in PubMed, 3 pooled it
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Who cites it
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Physician Age and Patient Outcomes: A Systematic Review.Journal of general internal medicine · 2026Pooled it
- Surgeon confidence in planning total shoulder arthroplasty improves after consulting a clinical decision support tool.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Guideline
- Teaching heart valve surgery techniques using simulators: a systematic review.Canadian journal of surgery. Journal canadien de chirurgiePooled it
- Gender Discrimination Against Women in Surgery Is Due to Implicit Bias Rather Than Quantifiable Differences in Clinical Performance.The Permanente journal · 2026Article
- Influence of sex differences among endoscopists in gastric cancer and precancerous condition detection rate during EGD in the artificial intelligence era: a retrospective study.Surgical endoscopy · 2026Article
- Impact of Disease Severity and Age on Outcomes After Laparoscopic Versus Open Appendectomy: A Single-Center Retrospective Cohort Study.Life (Basel, Switzerland) · 2026Article
- Mind the Gap: The Journey of Skull Base Specialties Toward Gender Parity.Journal of neurological surgery. Part B, Skull base · 2025Article
- On Patient Safety: The Weekend Effect.Clinical orthopaedics and related research · 2025Article
- The Association Between Online Surgeon Ratings and Patients' Postoperative Outcomes in the United States.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Surgical Outcomes and Patient Expectations and Satisfaction in Spine Surgery Stratified by Surgeon Age.JAMA network open · 2025Article
- Postoperative Outcomes Following Preweekend Surgery.JAMA network open · 2025Article
- Article
- Superstition in Surgery: A Population-Based Cohort Study to Assess the Association Between Surgery on Friday the 13th and Postoperative Outcomes.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Effect of gender discordance on surgical outcomes in predominantly female patient surgeries in NYS.Surgical endoscopy · 2024Article
- Surgeon Sex and Health Care Costs for Patients Undergoing Common Surgical Procedures.JAMA surgery · 2024Article
- Article
- The significance of task shifting for surgeons in high-income countries: an examination of the Japanese case.Frontiers in public health · 2024Article
- On the razor's edge: navigating mature experience and the challenges of aging in modern surgery.Frontiers in surgery · 2024Article
- Devaluing babies: neonatal implications of proposed changes in pediatric residency training.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Association between patient-surgeon gender concordance and mortality after surgery in the United States: retrospective observational study.BMJ (Clinical research ed.) · 2023Observational
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Authors and funding
10 authors.
Raj SatkunasivamDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn. raj.satkunasivam@gmail.com.
Zachary KlaassenDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn.
Bheeshma RaviDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn.
Kai-Ho FokDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn.
Terri MenserDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn.
Bita KashDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn.
Brian J MilesDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn.
Barbara BassDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn.
Allan S DetskyDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn.
Christopher J D WallisDepartment of Urology (Satkunasivam, Miles) and Center for Outcomes Research (Satkunasivam, Menser, Kash, Bass), Houston Methodist Hospital, Houston, Tex.; Division of Urology (Klaassen), Medical College of Georgia - Augusta University, Augusta, Ga.; Division of Orthopedic Surgery (Ravi), Department of Surgery, and Sunnybrook Health Sciences, Centre, and Division of Urology (Fok, Wallis), Department of Surgery, University of Toronto, Toronto, Ont.; Department of Health Policy and Management (Kash), School of Public Health, Texas A&M University, College Station Tex.; Department of Surgery (Menser, Bass), Houston Methodist Hospital, Houston, Tex.; Institute for Health Policy, Management and Evaluation and Department of Medicine (Detsky), University of Toronto; Department of Medicine (Detsky), Mount Sinai Hospital and University Health Network, Toronto, Ont.; Department of Urology (Wallis), Vanderbilt University Medical Center, Nashville, Tenn.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAging may detrimentally affect cognitive and motor function. However, age is also associated with experience, and how these factors interplay and affect outcomes following surgery is unclear. We sought to evaluate the effect of surgeon age on postoperative outcomes in patients undergoing common surgical procedures.
methodsWe performed a retrospective cohort study of patients undergoing 1 of 25 common surgical procedures in Ontario, Canada, from 2007 to 2015. We evaluated the association between surgeon age and a composite outcome of death, readmission and complications. We used generalized estimating equations for analysis, accounting for relevant patient-, procedure-, surgeon- and hospital-level factors.
resultsWe found 1 159 676 eligible patients who were treated by 3314 surgeons and ranged in age from 27 to 81 years. Modelled as a continuous variable, a 10-year increase in surgeon age was associated with a 5% relative decreased odds of the composite outcome (adjusted odds ratio [OR] 0.95, 95% confidence interval [CI] 0.92 to 0.98,
interpretationWe found that increasing surgeon age was associated with decreasing rates of postoperative death, readmission and complications in a nearly linear fashion after accounting for patient-, procedure-, surgeon- and hospital-level factors. Further evaluation of the mechanisms underlying these findings may help to improve patient safety and outcomes, and inform policy about maintenance of certification and retirement age for surgeons.
Indexed as
AdolescentAdultAgedAged, 80 and overAge FactorsCognitionFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPopulation SurveillancePostoperative ComplicationsRetrospective StudiesSurgeons
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