Association of Surgical Practice Patterns and Clinical Outcomes With Surgeon Training in University- or Nonuniversity-Based Residency Program

摘要

P ??.001) and performed a greater proportion of procedures in the outpatient setting (risk difference, 6.5; 95% CI, 6.4 to 6.7; P ??.001). Before matching, the mean proportion of patients with documented inpatient mortality was lower for NUBR-trained surgeons than for UBR-trained surgeons (risk difference, ?1.01; 95% CI, ?1.41 to ?0.61; P ??.001). The mean proportion of patients with complications (risk difference, ?3.17%; 95% CI, ?4.21 to ?2.13; P ??.001) and prolonged length of stay (risk difference, ?1.89%; 95% CI, ?2.79 to ?0.98; P ??.001) was also lower for NUBR-trained surgeons. After matching, no significant differences in patient mortality, complications, and prolonged length of stay were found between NUBR- and UBR-trained surgeons. Conclusions and Relevance ? Surgeons trained in NUBR and UBR programs have distinct practice patterns. After controlling for patient, procedure, and hospital factors, no differences were observed in the inpatient outcomes between the 2 groups.