Observational studySurgery2021
The impact of team familiarity on intra and postoperative cardiac surgical outcomes.
Observational study in Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Impact of surgical non-technical skills on clinical outcomes: systematic review.The British journal of surgery · 2025Pooled it
- Intraoperative workload of the surgeon in robot-assisted radical prostatectomy: a systematic review.Journal of robotic surgery · 2024Pooled it
- A Familiar Working Environment Influences Surgeon's Stress in the Operating Room: A Multi-Specialty Prospective Cohort Study.Annals of surgery · 2026Article
- Consensus on Key Attributes of Cardiac Surgeons' Intraoperative Performance.Journal of surgical education · 2025Article
- A novel multimodal, intraoperative cognitive workload assessment of cardiac surgery team members.The Journal of thoracic and cardiovascular surgery · 2025Article
- Intraoperative Transesophageal Echocardiographic Guidance in Cardiac Surgery.Journal of cardiovascular development and disease · 2025Review
- Association between cardiopulmonary bypass duration and early major adverse cardiovascular events after surgical repair of supravalvular aortic stenosis.Frontiers in cardiovascular medicine · 2025Article
- Multicenter Analysis of the Relationship Between Operative Team Familiarity and Safety and Efficiency Outcomes in Cardiac Surgery.Circulation. Cardiovascular quality and outcomes · 2024Article
- The difficulties and solutions in operationalising a hybrid operating room.The Journal of international medical research · 2024Review
- Shift-Level Team Familiarity Is Associated with Improved Outcomes in Mechanically Ventilated Adults.American journal of respiratory and critical care medicine · 2024Article
- Nontechnical Skills for Intraoperative Team Members.Anesthesiology clinics · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundFamiliarity among cardiac surgery team members may be an important contributor to better outcomes and thus serve as a target for enhancing outcomes.
methodsAdult cardiac surgical procedures (n = 4,445) involving intraoperative providers were evaluated at a tertiary hospital between 2016 and 2020. Team familiarity (mean of prior cardiac surgeries performed by participating surgeon/nonsurgeon pairs within 2 years before the operation) were regressed on cardiopulmonary bypass duration (primary-an intraoperative measure of care efficiency) and postoperative complication outcomes (major morbidity, mortality), adjusting for provider experience, surgeon 2-year case volume before the surgery, case start time, weekday, and perioperative risk factors. The relationship between team familiarity and outcomes was assessed across predicted risk strata.
resultsMedian (interquartile range) cardiopulmonary bypass duration was 132 (91-192) minutes, and 698 (15.7%) patients developed major postoperative morbidity. The relationship between team familiarity and cardiopulmonary bypass duration significantly differed across predicted risk strata (P = .0001). High (relative to low) team familiarity was associated with reduced cardiopulmonary bypass duration for medium-risk (-24 minutes) and high-risk (-27 minutes) patients. Increasing team familiarity was not significantly associated with the odds of major morbidity and mortality.
conclusionTeam familiarity, which was predictive of improved intraoperative efficiency without compromising major postoperative outcomes, may serve as a novel quality improvement target in the setting of cardiac surgery.
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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.