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pearl
1
Increasing surgeon age is almost linearly associated with decreases in patient death, readmission & post-operative complications.
Satkunasivam R, Klaassen Z, Ravi B et al. Relation between surgeon age and postoperative outcomes: a population-based cohort study. CMAJ. 2020 Apr 14; 192 (15): E385-E392.
  Daniel Jolley
comment
0
Interestingly that the difference disappeared when only high-volume physicians were considered, suggesting a very believable link between clinical volume and quality maintenance.
Tsugawa Y, Newhouse JP, Zaslavsky AM et al. Physician age and outcomes in elderly patients in hospital in the US: observational study. BMJ. 2017 May 16; 357: j1797.
  Daniel Jolley
pearl
1
Patients treated by older physicians experience higher 30-day mortality than with younger physicians.
Tsugawa Y, Newhouse JP, Zaslavsky AM et al. Physician age and outcomes in elderly patients in hospital in the US: observational study. BMJ. 2017 May 16; 357: j1797.
  Daniel Jolley
pearl
1
Treatment from female surgeons is associated with a lower 30 day mortality than the same from male surgeons.
Wallis CJ, Ravi B, Coburn N et al. Comparison of postoperative outcomes among patients treated by male and female surgeons: a population based matched cohort study. BMJ. 2017 Oct 10; 359: j4366.
  Daniel Jolley
pearl
1
Care from male surgeons and/or anaesthesiologists is associated with longer lengths of stay after cardiac surgery.
Sun LY, Boet S, Chan V et al. Impact of surgeon and anaesthesiologist sex on patient outcomes after cardiac surgery: a population-based study. BMJ Open. 2021 Aug 25; 11 (8): e051192.
  Daniel Jolley
pearl
1
Female heart-attack patients are less likely to survive when treated by a male physician than a female physician.
Greenwood BN, Carnahan S, Huang L. Patient-physician gender concordance and increased mortality among female heart attack patients. Proc. Natl. Acad. Sci. U.S.A. 2018 Aug 21; 115 (34): 8569-8574.
  Daniel Jolley
pearl
1
Female patients treated by male surgeons more commonly experience post-operative complications and death than when treated by female surgeons.
WallisChristopher J DCJDDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.Division of Urology, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.Division of Urology, Department of Surgery, Mount Sinai H, Jerath A, Coburn N et al. Association of Surgeon-Patient Sex Concordance With Postoperative Outcomes. JAMA Surg. 2021 Dec 8.
  Daniel Jolley
pearl
1
Consuming a small amount of milk with tea does not slow gastric emptying when compared with the same volume of water.
Irwin R, Gyawali I, Kennedy B et al. An ultrasound assessment of gastric emptying following tea with milk in pregnancy: A randomised controlled trial. Eur J Anaesthesiol. 2020 Apr 1; 37 (4): 303-308.
  Daniel Jolley
pearl
1
High-dose epidural fentanyl does not slow gastric emptying in labouring women compared to low-dose fentanyl.
Fiszer E, Aptekman B, Baar Y et al. The effect of high-dose versus low-dose epidural fentanyl on gastric emptying in nonfasted parturients: A double-blinded randomised controlled trial. Eur J Anaesthesiol. 2022 Jan 1; 39 (1): 505750-57.
  Daniel Jolley
pearl
1
Although reducing excessive anaesthetic depth, closed-loop TIVA did not reduce postoperative neurocognitive complications when compared to manual BIS-guided TIVA.
Mahr N, Bouhake Y, Chopard G et al. Postoperative Neurocognitive Disorders After Closed-Loop Versus Manual Target Controlled-Infusion of Propofol and Remifentanil in Patients Undergoing Elective Major Noncardiac Surgery: The Randomized Controlled Postoperative Cognitive Dysfunction-Electroencephalographic-Guided Anesthetic Administration Trial. Anesth. Analg. 2021 Oct 1; 133 (4): 837-847.
  Daniel Jolley