ArticleWorld journal of otorhinolaryngology - head and neck surgery2025
Impact of the "July effect" in head and neck microvascular reconstruction: A retrospective review.
Article in World journal of otorhinolaryngology - head and neck surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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Who cites it
1 citing paper in PubMed.
- Impact of the "July effect" in head and neck microvascular reconstruction: A retrospective review.World journal of otorhinolaryngology - head and neck surgery · 2025Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: The "July effect," a theory that the beginning of the academic year has worse operative outcomes and complication rates, remains controversial. We evaluated the "July effect" as a risk factor for negative operative outcomes in head and neck microvascular reconstruction. Methods: Multi-institutional retrospective review at three academic tertiary care centers from January 2010 to August 2021. Free flaps were stratified by the academic quarter. Patient factors, operative variables, length of stay (LOS), flap failures, and postoperative complications and adverse events were compared between academic quarters 1 and 4. Results: We identified 2897 free flaps: 749 quarter 1 (Q1), 693 quarter 2 (Q2), 770 quarter 3 (Q3), and 685 quarter 4 (Q4). Overall flap failure rate was 4.9% ( Conclusion: Although Q1 surgeries had significantly longer operative times and higher dehiscence rates, we found no other differences in postoperative complications, flap failures, or adverse events by the academic quarter. While a "July effect" may exist due to the integration of new trainees into the surgical workflow, this effect does not translate into meaningful differences in overall free flap or patient outcomes.
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Registered trials
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