Effect of surgeon-patient sex discordance on ventral hernia repair outcomes
- 23.09.2024
- Original Article
Erschienen in:
- Verfasst von
- Claiborne J. Lucas
- M. Wes Love
- Jeremy A. Warren
- William S. Cobb
- Alfredo M. Carbonell
- Erschienen in
- Hernia | Ausgabe 6/2024
Abstract
Purpose
Concordance is an important dimension of the physician-patient relationship that may be linked to health care disparities. The purpose of this study was to determine if sex discordance between surgeon and patient impacts surgical outcomes.
Methods
A retrospective review of prospectively collected data obtained from the Abdominal Core Health Quality Collaborative (ACHQC) registry was performed on all patients who underwent ventral hernia repair. Surgical site occurrences (SSO), surgical site infections (SSI), surgical site occurrence requiring procedural intervention (SSOPI) and 30-day readmission rates were recorded.
Results
Female patients operated on by male surgeons have increased odds of having an SSI/SSO (OR 1.099, 95% CI 1.022–1.181), SSOPI (OR 1.156, 95% CI 1.031–1.297), and readmission (OR 1.259, 95% CI 1.128–1.406) when compared to male patients operated on by male surgeons. There was no significant difference in adverse outcomes between patient groups when operated on by female surgeons.
Conclusion
Sex discordance between surgeon and patient is associated with increased odds adverse outcomes when male surgeons operate on female patients.
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- Titel
- Effect of surgeon-patient sex discordance on ventral hernia repair outcomes
- Verfasst von
-
Claiborne J. Lucas
M. Wes Love
Jeremy A. Warren
William S. Cobb
Alfredo M. Carbonell
- Publikationsdatum
- 23.09.2024
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 6/2024
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03100-1
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