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Evidence that surgical performance predicts clinical outcomes.

Mitchell G Goldenberg1

  • 1Division of Urology, Department of Surgery, University of Toronto, 149 College Street, Toronto, ON, M5T 1P5, Canada. mitchell.goldenberg@one-mail.on.ca.

World Journal of Urology
|July 1, 2019
PubMed
Summary

Surgeon performance directly impacts patient outcomes in surgery. Objective measurement of surgical skill, using techniques like AI, can improve quality and surgeon training.

Keywords:
AssessmentEducationPatient outcomesSurgical performance

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Area of Science:

  • Surgical Quality Improvement
  • Medical Performance Measurement
  • Surgical Education

Background:

  • Assessing surgeon performance in the operating room is a direct method for measuring surgical quality.
  • Existing research in urology and other surgical fields links surgeon and team performance to patient outcomes.
  • Validity evidence supports methodologies for performance measurement in surgery.

Purpose of the Study:

  • To review the relationship between surgeon performance and patient outcomes in surgical disciplines.
  • To highlight key findings from studies investigating surgeon performance measurement.
  • To discuss underlying concepts and current efforts in understanding this performance-outcome link.

Main Methods:

  • Review of seminal literature from urology and related research areas.
  • Analysis of current efforts to understand the performance-outcome relationship in surgery.
  • Discussion of quality improvement and educational interventions utilizing performance data.

Main Results:

  • Evidence across multiple surgical specialties confirms the association between surgeon skill and patient outcomes.
  • Novel performance measurement techniques, including surgeon kinematics and artificial intelligence, offer objective quantification.
  • These advanced methods enhance the reliability of surgical performance assessment.

Conclusions:

  • Data from performance assessments can drive quality improvement initiatives.
  • Objective performance metrics can innovate surgeon credentialing and recertification processes.
  • Future research should focus on integrating performance data into surgical practice and training.