• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Public Health

Operating the day after performing surgery the previous night not associated with adverse patient outcomes

byJake EngelandMichael Pratte
May 24, 2022
in Public Health, Surgery
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. This cross-sectional study demonstrated no significant increase in major surgical complications or mortality when attending physician surgeons operated the day after performing surgery during the previous night.

Evidence Rating Level: 3 (Average)

Study Rundown: Despite relatively new policies on limiting resident physicians’ work hours, no such policies were implemented for attending physicians; rather, their workload may have increased as a result of these new rules. The data are not clear as to whether patient outcomes are affected by physicians who operate the day after working overnight. This cross-sectional study evaluated the association between operating the day after working overnight with the risk of mortality and surgical complications. The data were compiled from a large multicentre registry within the United States and Netherlands, the Multicenter Perioperative Outcomes Group (MPOG), between January 1, 2010, and August 30, 2020. The primary outcome was a composite of in-hospital mortality or major surgical complications. The study’s definition of working the previous night was whether the surgeon operated any time between 11 pm and 7 am. The analysis was a within-surgeon approach, which means that surgeons were compared to themselves when they worked the night before compared to when they did not. The unadjusted incidence of mortality or major complication increased when the attending worked overnight (absolute difference: 4.06% [95% CI: 2.86-5.27; p<0.001). However, baseline patient characteristics differed between groups; after adjustment for confounding variables, the adjusted incidence of mortality or major complication after working overnight was not significantly increased (absolute adjusted difference: 0.021% [95% CI: -0.47 to 0.51]; p= 0.93). There was also no significant increase in minor complications in the adjusted analysis (absolute adjusted difference: 0.07% [95% CI: -0.24 to 0.39]; p= 0.67). Furthermore, even among physicians who worked 6-8 hours the previous night, there remained no significant difference in major complications or death (absolute adjusted difference: -0.65% [95% CI: -2.27 to 0.97]; p= 0.43). Overall, this study demonstrated that overnight operating was not associated with serious adverse patient outcomes when performing procedures the following day. However, it is important to consider that this may not apply to different institutions with different policies. Additionally, despite no difference in major patient outcomes shortly after surgery, post-discharge outcomes were not assessed.

Click to read the study in JAMA Internal Medicine

Click to read an accompanying editorial in JAMA Internal Medicine

Relevant Reading: Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review

Image: PD

RELATED REPORTS

Palliative care improves satisfaction in patients with progressive neurologic diseases and their caregivers

Mycobacterium abscessus infections after cardiac surgery linked to hospital water system

Hydrochlorothiazide does not impact risk of kidney-stone recurrence

©2022 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: burnoutphysician burnoutSurgery
Previous Post

Gratitude-focused writing may improve mental wellness during periods of chronic stress

Next Post

Pelvic lymph node radiotherapy and androgen deprivation therapy augment progression-free status following prostatectomy

RelatedReports

Quick Take: Risk of rhabdomyolysis with donepezil compared with rivastigmine or galantamine
Chronic Disease

Palliative care improves satisfaction in patients with progressive neurologic diseases and their caregivers

March 28, 2023
Standardized central line care practices reduce bloodstream infections
Infectious Disease

Mycobacterium abscessus infections after cardiac surgery linked to hospital water system

March 23, 2023
Renal stones in women linked with increased risk of coronary heart disease
Nephrology

Hydrochlorothiazide does not impact risk of kidney-stone recurrence

March 22, 2023
Benefits of high-intensity surveillance following colorectal adenoma removal likely outweigh costs
Chronic Disease

Adenoma detection rate is inversely associated with post-colonoscopy colorectal cancer risk

March 20, 2023
Next Post
Patient-reported outcomes differ significantly based on treatment in prostate cancer: The ProtecT trial

Pelvic lymph node radiotherapy and androgen deprivation therapy augment progression-free status following prostatectomy

Diffusion tensor imaging may aid in Parkinson’s diagnosis

Early onset Lewy Body Dementia is more clinically distinct from Alzheimer Dementia than late onset Lewy Body Dementia

FDA-approved weight loss medications associated with weight loss at one year

Mediterranean diet superior to low-fat diet in secondary prevention of cardiovascular events

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • SAR-CoV-2 infection during pregnancy may lead to adverse neurodevelopmental outcomes in male offspring
  • Hyperfractionated radiotherapy reduces complication rates compared to standard fractionation for locally advanced nasopharyngeal carcinoma
  • Lebrikizumab effective in treating moderate-to-severe atopic dermatitis
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options