Evidence map›Paper›PMID 34696846›Full record

ArticleAmerican journal of surgery2021

Novel method to link surgical trainee performance data to patient outcomes.

Angela E Thelen, Daniel E Kendrick, Xilin Chen, John Luckoski, Tanvi Gupta, Hoda Bandeh-Ahmadi, Michael Clark, Brian C George

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Angela E ThelenCenter for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, MI, USA; Department of Surgery, University of Michigan, Ann Arbor, MI, USA. Electronic address: aethelen@umich.edu.
Daniel E KendrickDepartment of Surgery, University of Minnesota, Minneapolis, MN, USA.
Xilin ChenCenter for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
John LuckoskiCenter for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, MI, USA; Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Tanvi GuptaCenter for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Hoda Bandeh-AhmadiCenter for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
Michael ClarkConsulting for Statistics, Computing and Analytics Research, University of Michigan, Ann Arbor, MI, USA.
Brian C GeorgeCenter for Surgical Training and Research, Department of Surgery, University of Michigan, Ann Arbor, MI, USA; Department of Surgery, University of Michigan, Ann Arbor, MI, USA.

Funding

Obesity Surgery Scientist Training ProgramT32DK108740 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Justin Brigham Dimick, RANDY J SEELEY · 2016 to 2026
$2.2M
Early career surgeon performance - a patient safety blind spotK08HS027653 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GEORGE, BRIAN · 2021 to 2025
$729k
AHRQ HHS K08 HS027653NIDDK NIH HHS T32 DK108740
6 · The paper itself

Abstract

backgroundA significant roadblock in surgical education research has been the inability to compare trainee performance to the outcomes of those surgeons after they enter independent practice. We describe the feasibility of an innovative method to link trainee performance data with patient outcomes.

methodsWe extracted surgeon NPI numbers from Medicare claims data for common general surgery procedures between 2007 and 2017. Next, American Board of Surgery (ABS) trainee performance data was cross-referenced with additional resources to supplement NPI data. The patient and trainee datasets were linked using NPI number and a linkage rate was calculated.

resultsWe identified 12,952 unique surgeons in the Medicare file. Medicare surgeons were matched with ABS records by NPI number, with 96.2% (n = 12,460) of surgeons linked successfully.

conclusionsWe demonstrated a novel process to link patient outcomes to trainee performance. This innovation can enable future research investigating the relationship between surgical trainee performance and patient outcomes in independent practice.

Indexed as

Clinical CompetenceAgedAged, 80 and overEducational MeasurementEducation, Medical, GraduateFemaleGeneral SurgeryHumansInformation Storage and RetrievalMaleSurgical Procedures, OperativeTreatment OutcomeGraduate medical educationPatient outcomesSurgical educationTrainee competence

Identifiers

PMID34696846
PMCPMC8671253

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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.