Clinical results, including postoperative complications and length of stay, are influenced
by many factors. Surgeon's identity
1
and surgeon's volume have been identified as paramount factors in this regard.
2
Recently, Gilmore et al
3
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.To read this article in full you will need to make a payment
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References
- Key factors associated with postoperative complications in patients undergoing colorectal surgery.Dis Colon Rectum. 2013; 56: 64-71
- Surgeon volume and operative mortality in the United States.N Engl J Med. 2003; 349: 2117-2127
- Timing is everything—colectomy performed on Monday decreases length of stay.Am J Surg. 2013; 206: 340-345
Article info
Publication history
Published online: November 14, 2013
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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- Timing is everything—colectomy performed on Monday decreases length of stayThe American Journal of SurgeryVol. 206Issue 3
- PreviewPerioperative 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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