• 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 Surgery

Operating the night before daytime surgery appears to have no effect on safety

bys25qthea
November 6, 2013
in Surgery
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

Image: PD

1. There is no difference in conversion from laparoscopic to open cholecystectomies among surgeons who had vs. had not operated the night prior to elective daytime laparoscopic cholecystectomies. 

2. Operating the night before does not increase risk of iatrogenic injury or death compared to not operating the night before an elective laparoscopic cholecystectomy. 

Evidence Rating Level: 1 (Excellent) 

Study Rundown: Sleep deprivation may impair surgical performance, but insufficient evidence exists to support this claim. In this study, the number of complications by surgeons who operated the night before daytime laparoscopic cholecystectomies were compared to the number of complications by the same surgeons at a time when they had not operated the night prior to performing daytime laparoscopic cholecystectomies. The primary outcome was conversion from laparoscopic to open cholecystectomies. Secondary outcomes included iatrogenic injuries or death. There was no difference between conversion rates of surgeons who had (2.2%) vs. had not (1.9%) operated the night prior to elective daytime laparoscopic cholecystectomies (OR 1.18; 95% CI, 0.85-1.64).  No difference was found between iatrogenic injuries (0.7% vs. 0.9%, OR, 0.77; 95% CI, 0.43-1.37) or death (0.2% vs. 0.1%). Strengths of the study include its large sample size, as well as balanced characteristics between the two comparison groups including matching the same surgeon in the control group to account for variability in surgical expertise. Limitations include unknown variability in the level of fatigue or length of time surgeons spent operating the night prior to daytime surgeries. The study affects clinical practice by providing the first population-based evidence that suggests sleep deprivation does not impair surgical performance, which may influence regulation of policies affecting surgeon work hours.

Click to read the study, published today in JAMA

Click to read an accompanying editorial in JAMA

RELATED REPORTS

Chronic obstructive pulmonary disease associated with worse postoperative outcomes

Methylprednisolone after hip replacement surgery improves pain and sleep quality

Transversus abdominis plane block effective in open gynecological surgery

Relevant Reading: Risks of complications by attending physicians after performing nighttime procedures

In-Depth [retrospective cohort study]: This study included 331 individual community surgeons from 102 hospitals. Daytime elective laparoscopic cholecystectomies were performed between the hours of 7AM to 6 PM. “At risk” surgeries were defined as daytime surgeries performed by surgeons who had done a non-elective operation between the hours of midnight and 7 AM the previous night. 2078 “at risk” elective cholecystectomies were identified and were randomly matched to 8312 comparison surgeries performed by the same surgeon in the same year on days when the surgeon had not operated the night before for a total sample size of 10390 procedures. Of the “at risk” surgeries, 2.2% (95% CI, 1.6%-2.9%) were converted to open cholecystectomies vs.1.9% (95% CI, 1.6%-2.2%) of comparison surgeries. Iatrogenic injuries occurred in 0.7% (95% CI, 0.3%-1.0%) vs. 0.9% (95% CI, 0.7%-1.1%) of “at risk” vs. comparison surgeries respectively. Less than 0.2% of patients in “at risk” surgeries died vs. 0.1% (95% CI, 0.0%-0.2%) of patients in comparison surgeries. None of the findings for conversions, iatrogenic injuries, or deaths were statistically significant.

By Gayatri Boddupalli and Brittany Hasty 

More from this author: Sofosbuvir, ribavirin achieve high rates of Hepatitis C virus remission in toughest cases, Growth disorders detected using screening algorithms, Clinical decision rule highly sensitive in predicting SAH in patients with acute nontraumatic headache, Adjuvant gemcitabine improves long-term survival rates of patients with pancreatic cancer, Influenza vaccine associated with lower risk of major cardiovascular events

©2012-2013 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.  

Tags: cholecystectomySurgery
Previous Post

Autoantibodies may precede symptom onset in Sjögren’s Syndrome

Next Post

Assisted conception not associated with increased pediatric cancer risk

RelatedReports

2 Minute Medicine Rewind May 20, 2019
Chronic Disease

Chronic obstructive pulmonary disease associated with worse postoperative outcomes

January 26, 2023
Survival greater in cervical cancer patients undergoing abdominal hysterectomy compared to minimally invasive techniques: the LACC trial
Surgery

Methylprednisolone after hip replacement surgery improves pain and sleep quality

January 24, 2023
Obstetrics

Transversus abdominis plane block effective in open gynecological surgery

January 17, 2023
#VisualAbstract: Prophylactic methylprednisolone for cardiac surgery in infants does not improve post-operative outcomes
StudyGraphics

#VisualAbstract: Prophylactic methylprednisolone for cardiac surgery in infants does not improve post-operative outcomes

January 5, 2023
Next Post
Assisted conception not associated with increased pediatric cancer risk

Assisted conception not associated with increased pediatric cancer risk

High BMI linked to reduced risk of endometriosis

Higher BMI in girls correlated with early pubertal development

HIV-infected infant potentially cured with antiretroviral therapy

Dolutegravir regimen more effective than standard regimen in treatment of HIV-1

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

  • Chronic obstructive pulmonary disease associated with worse postoperative outcomes
  • Empagliflozin use is associated with slower progression of chronic kidney disease
  • Diagnostic tool may help identify cerebral palsy regardless of encephalopathy features
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