Graded operative autonomy in emergency appendectomy mirrors case-complexity: surgical training insights from the SnapAppy prospective observational study.

Nathalie YoungRebecka Ahl HulmeMaximilian Peter ForsstenLewis Jay KaplanThomas Noel WalshYang CaoShahin MohseniGary Alan Bassnull null

Published in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2023)

The linkage of case complexity with operator experience within the context of graduated autonomy is a central tenet of surgical training. Either subconsciously, or by design, patients operated on by trainees were younger, fitter and with earlier stage disease. At least in part, these explain why clinical outcomes following appendectomy do not differ depending on the experience of the operating surgeon.

Keyphrases

end stage renal disease
ejection fraction
chronic kidney disease
emergency department
healthcare
public health
primary care
gene expression
patient reported outcomes
hepatitis c virus