Resident Involvement in Hip Arthroscopy Procedures Does Not Affect Short-Term Surgical Outcomes

Area of Science:

• Orthopedic Surgery
• Surgical Education
• Patient Safety

Background:

• Hip arthroscopy (HA) is a common orthopedic procedure.
• The role of resident surgeons in HA outcomes requires evaluation.

Purpose of the Study:

• To determine if resident involvement in hip arthroscopy impacts short-term surgical outcomes.
• To assess if resident participation is an independent risk factor for adverse events.

Main Methods:

• Analysis of the American College of Surgeons National Surgical Quality Improvement Program Database (2006-2012).
• Comparison of 30-day outcomes between HA patients with and without residents.
• Multivariate logistic regression and propensity score matching to control for confounding variables.

Main Results:

• No significant difference in overall complications, operative time, length of stay, reoperation, or readmission rates.
• Resident involvement was not identified as an independent risk factor for adverse outcomes.
• Patients with residents were younger and had fewer cardiac comorbidities, but other demographic and comorbidity factors were similar.

Conclusions:

• Resident involvement in hip arthroscopy does not increase 30-day complications.
• The presence of residents does not negatively affect key short-term surgical outcomes in HA.
• Findings support the safety of resident participation in hip arthroscopy procedures.