Evidence map›Paper›PMID 41854731›Full record

SynthesisChirurgie (Heidelberg, Germany)2026

[Patient safety in surgical residency training : A systematic review and meta-analysis].

Josefine Schardey, Lina Lang, Florian Kühn, Jens Werner, Ulrich Wirth

Abstract readSystematic ReviewMeta-AnalysisEnglish Abstract
PubMed Publisher
In one paragraph

Synthesis in Chirurgie (Heidelberg, Germany), 2026. 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

5 authors.

Josefine SchardeyKlinik für Allgemein‑, Viszeral- und Transplantationschirurgie, LMU Klinikum, LMU München, Marchioninistr. 15, 81377, München, Deutschland. Josefine.Schardey@med.uni-muenchen.de.
Lina LangKlinik für Allgemein‑, Viszeral- und Transplantationschirurgie, LMU Klinikum, LMU München, Marchioninistr. 15, 81377, München, Deutschland.
Florian KühnKlinik für Allgemein‑, Viszeral- und Transplantationschirurgie, LMU Klinikum, LMU München, Marchioninistr. 15, 81377, München, Deutschland.
Jens WernerKlinik für Allgemein‑, Viszeral- und Transplantationschirurgie, LMU Klinikum, LMU München, Marchioninistr. 15, 81377, München, Deutschland.
Ulrich WirthKlinik für Allgemein‑, Viszeral- und Transplantationschirurgie, LMU Klinikum, LMU München, Marchioninistr. 15, 81377, München, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical residency training stands in a field of tension between educational needs and patient safety. The aim of this review was to evaluate the impact of surgical training on patient safety.

methodsA systematic PubMed search (2011-2025) was conducted, including original studies with an explicit focus on residency training. Out of 419 identified records 32 studies were analyzed and 30 were included in the meta-analysis based on complete datasets.

resultsAcross most surgical specialties, interventions involving residents showed comparable morbidity and mortality rates to surgery guided by specialists, with a pooled odds ratio (OR) of 1.03 (95% confidence interval (CI) 0.88-1.21); however, the operative time was significantly longer by a mean of 15.04 min (95% CI 5.16-24.93, p = 0.0029). Structured curricula and direct supervision enabled safe performance even of complex procedures by residents.

conclusionSurgical training is largely safe when adequate structure and supervision are provided. Structured training programs and competency-based entrustment concepts can enhance both patient safety and operative autonomy.

Indexed as

Clinical CompetenceGeneral SurgeryInternship and ResidencyPatient SafetySpecialties, SurgicalCurriculumHumansCompetency-based trainingPatient safety in surgeryQuality in surgeryResponsibility transferSimulation-based training

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.