SynthesisSurgery today2021
Surgeon fatigue does not affect surgical outcomes: a systematic review and meta-analysis.
Synthesis in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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.
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.
Who cites it
10 citing papers in PubMed.
- The global surgical workforce crisis: narrative review of the role of surgical educator development and technological innovations.Surgery today · 2026Review
- Clinical outcomes of the implementation of acute care surgery system in South Korea: a multi-centre, retrospective cohort study.ANZ journal of surgery · 2025Article
- Response to the letter to the editor by Prof. Raju Vaishya and Dr. Abhishek Vaish regarding our recent publication in the Journal of Orthopaedic Surgery and Research: "The influence of operation time for hip hemiarthroplasty in patients with femoral neck fracture: a retrospective data analysis".Journal of orthopaedic surgery and research · 2024Article
- Clinical practice guidelines for molecular tumor markers, 2nd edition review part 1.International journal of clinical oncology · 2024Article
- Clinical Outcomes of Daytime Versus Nighttime Laparoscopic Appendectomy in Children.Children (Basel, Switzerland) · 2023Article
- Impact of sleep deficiency on surgical performance: a prospective assessment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Article
- Feasibility of two laparoscopic surgeries for colon cancer performed by the same surgeon on a single day.International journal of colorectal disease · 2023Article
- Using a modified Delphi process to explore international surgeon-reported benefits of robotic-assisted surgery to perform abdominal rectopexy.Techniques in coloproctology · 2022Article
- Feasibility of laparoscopy and factors associated with conversion to open in minimally invasive emergency major abdominal surgery: population database analysis.Surgical endoscopy · 2022Article
- Post-Surgical Hypoparathyroidism and the Impact of Experience, Timing of Surgery and Seasons - Analysis of Single Surgeon Dataset.Journal of the West African College of SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo systematically review the effects of surgeon fatigue on postoperative mortality and postoperative complications after elective and non-elective surgeries.
methodsA database search was conducted for original articles published in PubMed between 2000 and 2020 with the keywords: "surgeon," "sleep deprivation," "sleep deprived," "fatigued," "mortality," "morbidity," and "outcomes." We selected articles that disclosed actual numbers of patients who underwent surgery by fatigued or rested surgeons, rates of postoperative mortality, or total postoperative complications.
resultsOf the 1427 articles identified, 16 met the selection criteria and were included. Eight of the 16 also included total postoperative complications. Analysis revealed no significant differences in the rates of postoperative mortality after elective and non-elective surgeries or total postoperative complications of elective surgeries or non-elective surgeries performed by fatigued vs. rested surgeons. The relative risks were 1.03 [95% confidence interval (CI), 0.86-1.24], 1.08 (95% CI, 0.85-1.38), 0.99 (95% CI, 0.95-1.04), and 0.93 (95% CI, 0.67-1.28), respectively.
conclusionSurgeon fatigue does not affect the rates of postoperative mortality or total postoperative complications after elective surgeries and may have little to no effect on the rates of postoperative mortality or total postoperative complications after non-elective surgeries.
Indexed as
Identifiers
32924066What OpenQuestion holds
Registered trials
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.