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Patient mortality after surgery on the surgeon's birthday: observational study

Objective To determine whether patient mortality after surgery differs between surgeries performed on surgeons’ birthdays compared with other days of the year.

Design Retrospective observational study.

Setting US acute care and critical access hospitals.

Participants 100% fee-for-service Medicare beneficiaries aged 65 to 99 years who underwent one of 17 common emergency surgical procedures in 2011-14.

Main outcome measures Patient postoperative 30 day mortality, defined as death within 30 days after surgery, with adjustment for patient characteristics and surgeon fixed effects.

Results 980 876 procedures performed by 47 489 surgeons were analyzed. 2064 (0.2%) of the procedures were performed on surgeons’ birthdays. Patient characteristics, including severity of illness, were similar between patients who underwent surgery on a surgeon’s birthday and those who underwent surgery on other days. The overall unadjusted 30 day mortality on the oper ....

United Kingdom , United States , Yusuke Tsugawa , Charles Liu , Thomas Tsai , Ruthl Newhouse , Los Angeles , Ashishk Jha , Hirotaka Kato , Anupamb Jena , Eli Lilly , Rivfka Shenoy , Sanofi Aventis , National Institutes Of Health , University Of California , Bristol Myers Squibb , Precision Health Economics , Centers For Medicare Medicaid Service , Agency For Health Research , Hill Rom Services , Analysis Group , Vertex Pharmaceuticals , Among Medicare , Medicaid Service , Medicare Provider Enrollment , Ownership System ,

Frailty Increases Risk of Adverse Events After Noncardiac Surgery

Standardized frailty assessment prior to surgery may permit interventions to reduce modifiable risk factors. Frailty may increase the odds of experiencing adverse events after surgery among older adults. ....

Wake Forest University , North Carolina , United States , Winston Salem , Ashishk Khanna , Atrium Health Wake Forest Baptist , Wake Forest University School Of Medicine , Frailty Index , Wake Forest University School , Patient Safety Indicators ,