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Letter to the Editor| Volume 207, ISSUE 6, P1003, June 2014

Factors influencing clinical results in colon surgical resection: surgeon, volume of cases and now day of the week?

Published:November 14, 2013DOI:https://doi.org/10.1016/j.amjsurg.2013.08.033
      Clinical results, including postoperative complications and length of stay, are influenced by many factors. Surgeon's identity
      • Manilich E.
      • Vogel J.D.
      • Kiran R.P.
      • et al.
      Key factors associated with postoperative complications in patients undergoing colorectal surgery.
      and surgeon's volume have been identified as paramount factors in this regard.
      • Birkmeyer J.D.
      • Stukel T.A.
      • Siewers A.E.
      • et al.
      Surgeon volume and operative mortality in the United States.
      Recently, Gilmore et al
      • Gilmore D.M.
      • Curran T.
      • Gautam S.
      • et al.
      Timing is everything—colectomy performed on Monday decreases length of stay.
      reported in an interesting study the influence of day of the week, specifically the notable effect of operations performed on Monday, on hospital length of stay.
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      References

        • Manilich E.
        • Vogel J.D.
        • Kiran R.P.
        • et al.
        Key factors associated with postoperative complications in patients undergoing colorectal surgery.
        Dis Colon Rectum. 2013; 56: 64-71
        • Birkmeyer J.D.
        • Stukel T.A.
        • Siewers A.E.
        • et al.
        Surgeon volume and operative mortality in the United States.
        N Engl J Med. 2003; 349: 2117-2127
        • Gilmore D.M.
        • Curran T.
        • Gautam S.
        • et al.
        Timing is everything—colectomy performed on Monday decreases length of stay.
        Am J Surg. 2013; 206: 340-345

      Linked Article

      • Timing is everything—colectomy performed on Monday decreases length of stay
        The American Journal of SurgeryVol. 206Issue 3
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          Perioperative care of patients undergoing colon resection requires a multidisciplinary approach by the operating surgeon, residents, and nurses. Operations performed on Monday take full advantage of hospital resources throughout the week to meet expected discharge by Friday. In a current health care environment of diminishing means, improving the timing of surgery in relation to expected length of stay may play an important role in preserving health care resources.
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