Diseases of the Colon & Rectum

, Volume 37, Issue 9, pp 905–908 | Cite as

Colorectal operative experience

Results of a survey
  • David E. Beck
Original Contributions
  • 7 Downloads

Abstract

PURPOSE: This study was designed to document the operative colorectal experience of members and fellows of The American Society of Colon and Rectal Surgeons. METHODS: A mail survey of 900 members and fellows of The American Society of Colon and Rectal Surgeons was conducted. RESULTS: One hundred eighty questionnaires (20 percent) were returned; however, 25 respondents had retired or lacked accurate operative data. The remaining 155 surgeons averaged 49 (range, 35–83) years in age and had been in practice an average of 14.7 (range, 2–51) years. The respondents performed a median of 135 and a mean of 177 anorectal procedures per year (range, 20–1,471) and a median of 67 and a mean of 79 abdominal colorectal procedures (range, 6–443). Operative hemorrhoidectomy was the most common anorectal procedure (median, 25; mean, 47/year), while partial colectomy was the most common abdominal procedure (median, 18; mean, 26). The number of anorectal procedures correlated directly with the respondents' time in practice, and the number of abdominal procedures peaked between the tenth and fifteenth years. CONCLUSION: Despite the limitations associated with this type of study, the information is useful in assessing practice patterns and experience level.

Key words

Operative experience Abdominal surgery Anorectal surgery Residency training 

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References

  1. 1.
    Fry RD. Colorectal surgical training: A matter of numbers and quality? [Audiotape]. Chicago, IL. ASCRS Annual Meeting, May 3, 1993.Google Scholar
  2. 2.
    Hyman NH, Hebert JC. Do general surgery residency programs adequately train surgeons to perform anorectal surgery? Dis Colon Rectum 1993;36:734–5.PubMedGoogle Scholar
  3. 3.
    Graves EJ. Detailed diagnosis and procedures, National Hospital Discharge Survey: 1987 National Center for Health Statistics. Vital Health Stat 1989: 13–100.Google Scholar
  4. 4.
    Wheeler HB. Myth and reality in general surgery. Am Coll Surg Bull 1993;78:21–7.Google Scholar
  5. 5.
    Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N Engl J Med 1979;301:1364–9.PubMedGoogle Scholar
  6. 6.
    Kelly JV, Hellinger FJ. Physician and hospital factors associated with mortality of surgical patients. Med Care 1986;24:785–800.PubMedGoogle Scholar
  7. 7.
    Roos LL Jr, Cageorge SM, Roos NP, Danzinger R. Centralization, certification, and monitoring: Readmissions and complications after surgery. Med Care 1986;24:1044–66.PubMedGoogle Scholar
  8. 8.
    Luft HS, Hunt SS. Evaluating individual hospital quality through outcome statistics [Comment]. JAMA 1986;255:2780–4.PubMedGoogle Scholar
  9. 9.
    Hughes RG, Hunt SS, Luft HS. Effects of surgeon volume and hospital volume on quality of care in hospitals. Med Care 1987;25:489–503.PubMedGoogle Scholar
  10. 10.
    Luft H, Garnick D, Mark D,et al. Evaluating research on the use of volume of services performed in hospitals or by physicians as an indicator of quality. San Francisco: Institute for Health Policy Studies, University of California, December 1987.Google Scholar
  11. 11.
    Hughes RG, Garnick DW, Luft HS, McPhee SS, Hunt SS. Hospital volume and patient outcomes. The care of hip fracture patients. Med Care 1988;26:1057–67.PubMedGoogle Scholar
  12. 12.
    Hannan EL, O'Donnell JF, Kilburn H Jr, Bernard HR, Yazic A. Investigation of the relationship between volume and mortality for surgical procedures performed in New York State hospitals [Comments]. JAMA 1989;262:503–10.PubMedGoogle Scholar
  13. 13.
    Garnick DW, Luft HS, McPhee SJ, Mark DH. Surgeon volume vs hospital volume: which matters more [Editorial]? JAMA 1989;262:547–8.PubMedGoogle Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1994

Authors and Affiliations

  • David E. Beck
    • 1
  1. 1.Department of Colon and Rectal SurgeryOchsner Clinic and Alton Ochsner Medical FoundationNew Orleans

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