ArticleJournal of cardiothoracic surgery2026
Safety and feasibility of a single-surgeon cardiac surgery program during workforce shortage: a propensity-matched cohort study.
Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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6 authors.
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Abstract
objectivesThis study compared clinical outcomes of cardiac surgeries performed by a single surgeon (operating alone [OA]) versus those performed by multiple surgeons (operating together [OT]) to evaluate the feasibility and safety of different surgical staffing models.
methodsWe retrospectively reviewed adult patients who underwent cardiac surgery at Chung-Ang University Hospital from September 2016 to August 2021. Between September 2016 and August 2018, two or three surgeons assisted each other (OT), while from September 2018 to August 2021, a single surgeon operated alone (OA). After propensity score matching, 79 patients were selected in each group for analysis.
resultsMajor postoperative adverse events, including mortality, stroke, new-onset atrial fibrillation, and low cardiac output, did not statistically significant differ between groups. Other postoperative outcomes such as, acute kidney injury, ICU stay length, hospital days, CPB time, ACC time was not statistically different, whereas operation time was shorter in the OT group than in the OA group (median 300 vs. 379 min, P < 0.001).
conclusionsExcept for differences in operation time, there were not significantly different short-term postoperative outcomes in OT and OA groups. Given the various limitations of the present study, the result should be interpreted cautiously.
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