Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis - 14/06/19
, Kristin Alves b, Níssia C. Brasil c, Matthew Mossanen d, Elizabeth Mort e, Cameron D. Wright a, Carrie C. Lubitz a, Collin May fAbstract |
Background |
The practice of overlapping surgery impacts patients, providers, and policy-makers. While several studies have examined the relationship between overlapping surgery and clinical outcomes, a combined analysis of all available data has not been performed. We aimed to evaluate the impact of overlapping surgery on 30-day mortality, morbidity, and length of surgery.
Methods |
A systematic literature review revealed all relevant studies examining outcomes of overlapping versus non-overlapping surgery as of March 2018. A pooled meta-analysis with stratification by study quality grade was performed, and heterogeneity and publication bias were assessed.
Results |
A total of 14 sets of analyses met inclusion and exclusion criteria. Meta-analysis revealed no significant differences in 30-day mortality (OR = 0.84; p = 0.277) or overall morbidity (OR = 0.96; p = 0.632) between patients who underwent overlapping versus non-overlapping surgery. The standardized mean difference for length of surgery between the groups indicated a small statistically significant increase in length of surgery for the overlapping surgery group (SMD = 0.079, p < 0.05).
Conclusion |
While further study is warranted, current literature suggests that overlapping surgery is not associated with increased risk of mortality or morbidity.
Le texte complet de cet article est disponible en PDF.Highlights |
• | No difference in 30-day mortality between overlapping and non-overlapping surgery groups. |
• | No difference in overall morbidity between overlapping and non-overlapping surgery groups. |
• | No difference in unplanned reoperation rates between the two groups. |
• | Small increase in length of surgery for the overlapping surgery group. |
• | Results unchanged after stratification by study quality grade. |
Keywords : Overlapping surgery, Concurrent surgery, Mortality, Complications, Operative time, Patient safety
Plan
Vol 218 - N° 1
P. 181-191 - juillet 2019 Retour au numéro
Article précédent
- Patient-reported experience after outpatient breast surgery
- Brittany L. Murphy, Kristine T. Hanson, Tina J. Hieken, Sarah McLaughlin, Richard J. Gray, Elizabeth B. Habermann
- The efficacy of antibiotic treatment versus surgical treatment of uncomplicated acute appendicitis: Systematic review and network meta-analysis of randomized controlled trial
- Napaphat Poprom, Pawin Numthavaj, Chumpon Wilasrusmee, Sasivimol Rattanasiri, John Attia, Mark McEvoy, Ammarin Thakkinstian
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?