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Surgeon case conferencing in elective aortic surgery.

Jane Newman1, Tom Revington1, David Szalay1

  • 1From the Department of Surgery, Western University, London, Ont. (Newman); the Department for Continuing Education, University of Oxford, Oxford, United Kingdom (Revington); the Department of Surgery, University of Toronto, Toronto, Ont. (Szalay); the Department of Surgery and Department of Oncology, McMaster University, Hamilton, Ont. (Simunovic).

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|October 28, 2025
PubMed
Summary

Surgeon case conferences (SCCs) changed 39% of vascular surgeons' initial aortic procedure plans. This structured input is recommended for all cases, not just challenging ones, to improve patient care.

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Area of Science:

  • Vascular Surgery
  • Surgical Education
  • Healthcare Quality Improvement

Background:

  • Surgeon case conferences (SCCs) involve surgeons of the same specialty discussing patient cases.
  • Previous studies indicated SCCs can alter treatment plans for gastrointestinal malignancy patients.
  • This study evaluated the efficacy of SCCs in vascular surgery.

Purpose of the Study:

  • To assess the impact of structured SCCs on treatment plans in vascular surgery.
  • To determine the rate of treatment plan changes resulting from SCCs.
  • To evaluate surgeon confidence levels before and after SCC discussions.

Main Methods:

  • A pre-study workshop defined SCC elements for aortic procedures, including change definitions and a standardized form.
  • Vascular surgeons presented initial treatment plans and confidence scores (1-5) for 100 consecutive aortic cases.
  • Consensus treatment plans were developed through group discussion, noting any changes.

Main Results:

  • 33 aortic SCCs reviewed 100 patients over 10 months, involving six surgeons.
  • Treatment plans changed in 39% of cases: 10% major changes and 29% minor changes.
  • Confidence scores for initial plans were similar between patients with and without treatment changes (median 4 vs. 5, p=0.09).

Conclusions:

  • Structured SCCs significantly altered initial treatment plans for 39% of vascular surgery aortic procedures.
  • The findings suggest that routine, structured peer input is valuable for all vascular surgery cases.
  • SCCs can enhance surgical decision-making and potentially improve patient outcomes.