Evidence map›Paper›PMID 41139184›Full record

ArticleAnnals of surgical oncology2026

Defining the Surgical Oncology Experience during General Surgery Residency: A Multi-Institutional Study from the US ROPE Consortium.

Anna M Reagan, Kelsey B Montgomery, Matthew R Woeste, Jeffrey M Sutton, Savannah R Smith, Lauren M Postlewait, Deborah Farr, Jonathan S Abelson, Nancy L Cho, Darci C Foote and 23 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

33 authors.

Anna M ReaganDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Kelsey B MontgomeryDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Matthew R WoesteDepartment of Surgery, University of Louisville, Pediatric Research Institute, Louisville, KY, USA.
Jeffrey M SuttonDivision of Oncologic and Endocrine Surgery, Department of Surgery, Medical University of South Carolina, Charlston, SC, USA.
Savannah R SmithDepartment of Surgery, Emory University, Atlanta, GA, USA.
Lauren M PostlewaitDepartment of Surgery, Emory University, Atlanta, GA, USA.
Deborah FarrDepartment of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Jonathan S AbelsonDepartment of Surgery, Lahey Hospital and Medical Center, Burlington, MA, USA.
Nancy L ChoBrigham and Women's Hospital, Department of Surgery, Harvard Medical School, Boston, MA, USA.
Darci C FooteDepartment of Surgery, Beaumont Health, Royal Oak, MI, USA.
Katherine M MeisterDepartment of Surgery, Good Samaritan Hospital, Cincinnati, OH, USA.
Brenessa LindemanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Mary K KimbroughDepartment of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Jeffry NahmiasDepartment of Surgery, University of California, IrvineOrange, CA, USA.
Zachary M CallahanUniversity of Tennessee Health Science Center-Nashville, Nashville, TN, USA.
Joshua A MarksDepartment of Surgery, Thomas Jefferson University, Philadelphia, PA, USA.
Ali ElsaadiTexas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.
Erin BurtonTexas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.
Robyn RichmondTexas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.
Shah-Jahan M DodwadMcGovern Medical School at UTHealth, Department of Surgery, Houston, TX, USA.
Sasha D AdamsMcGovern Medical School at UTHealth, Department of Surgery, Houston, TX, USA.
Christie L BuonpaneDepartment of Surgery, University of Louisville, Pediatric Research Institute, Louisville, KY, USA.
Purvi PatelDepartment of Surgery, Loyola University, Maywood, IL, USA.
Michael J AnstadtDepartment of Surgery, Loyola University, Maywood, IL, USA.
Bilal Waqar NasimDepartment of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Desmond LayneDepartment of Surgery, University of Wisconsin-Madison, Madison, WI, USA.
Sarah JungDepartment of Surgery, University of Wisconsin-Madison, Madison, WI, USA.
Catherine G PrattCincinnati Research on Education in Surgical Training (CREST), Department of Surgery, University of Cincinnati, Cincinnati, OH, USA.
Ralph C QuillinCincinnati Research on Education in Surgical Training (CREST), Department of Surgery, University of Cincinnati, Cincinnati, OH, USA.
Joseph KimDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Jitesh A PatelDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Alexander R CortezDepartment of Surgery, Mayo Clinic, Rochester, MN, USA.
Leah K WinerDepartment of Surgery, University of Kentucky, Lexington, KY, USA. Leah.Winer@uky.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical oncology operative experience during general surgery residency is poorly characterized. We hypothesized that graduates pursuing the Complex General Surgical Oncology (CGSO) fellowship would have greater surgical oncology exposure and log more surgical oncology relevant (SOR) cases. PATIENTS AND

methodsDemographics, program characteristics, and Accreditation Council for Graduate Medical Education (ACGME) case logs were collected from 20 general surgery residency programs in the US Resident OPerative Experience (ROPE) Consortium spanning 2010-2020. CGSO matriculants (CGSO group) were compared with graduates entering other surgical fellowships/practice (non-CGSO group). SOR cases included liver, pancreas, breast, endocrine, laparoscopic colorectal, and abdominoperineal resection.

resultsAmong 1343 graduates, 80 (6%) pursued CGSO fellowships. Demographics, including sex, race/ethnicity, and underrepresented in medicine, were similar between groups (all p > 0.05). CGSO matriculants more often graduated from university-based programs with CGSO-trained faculty (95% vs 86%), dedicated surgical oncology divisions (81% vs 66%), and National Cancer Institute (NCI)-designated Cancer Centers (85% vs 68%, all p < 0.05). Median total cases were similar between groups; however, CGSO-bound graduates logged greater SOR procedures (162 vs 141), including liver (+4), pancreas (+10), endocrine (+7), and laparoscopic colorectal (+5, all p < 0.05). In multivariable analysis, factors associated with CGSO matriculation included departmental NIH funding (OR 4.82, 95% CI 1.18-19.79, p = 0.02), dedicated research experience (OR 5.62, 95% CI 3.02-10.44, p < 0.001), and increased SOR cases (OR 1.01, 95% CI 1.001-1.01, p = 0.02).

conclusionsCGSO matriculants have a unique general surgery training experience and log more SOR cases, which could reflect efforts to prepare for fellowship and/or the influence of surgical oncology immersion on career interest. These data highlight opportunities to bolster CGSO recruitment and fellowship preparation.

Indexed as

Career ChoiceClinical CompetenceEducation, Medical, GraduateFellowships and ScholarshipsGeneral SurgeryInternship and ResidencySurgical OncologyAdultFemaleHumansMaleUnited StatesCase logsComplex general surgical oncologyGeneral surgery residencyOperative experience

Identifiers

PMID41139184

What OpenQuestion holds

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Registered trials

None linked

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.