The impact of teaching on the duration of common urological operations Article Swipe
Blayne Welk
,
Jennifer Winick‐Ng
,
J. Andrew McClure
,
Chris Vinden
,
Sumit Davé
,
Stephen E. Pautler
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.5489/cuaj.3737
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.5489/cuaj.3737
Introduction: The ability of academic (teaching) hospitals to offer the same level of efficiency as non-teaching hospitals in a publicly funded healthcare system is unknown. Our objective was to compare the operative duration of general urology procedures between teaching and non-teaching hospitals. Methods: We used administrative data from the province of Ontario to conduct a retrospective cohort study of all adults who underwent a specified elective urology procedure (2002–2013). Primary outcome was duration of surgical procedure. Primary exposure was hospital type (academic or non-teaching). Negative binomial regression was used to adjust relative time estimates for age, comorbidity, obesity, anesthetic, and surgeon and hospital case volume.Results: 114 225 procedures were included (circumcision n=12 280; hydrocelectomy n=7221; open radical prostatectomy n=22 951; transurethral prostatectomy n=56 066; or mid-urethral sling n=15 707). These procedures were performed in an academic hospital in 14.8%, 13.3%, 28.6%, 17.1%, and 21.3% of cases, respectively. The mean operative duration across all procedures was higher in academic centres; the additional operative time ranged from 8.3 minutes (circumcision) to 29.2 minutes (radical prostatectomy). In adjusted analysis, patients treated in academic hospitals were still found to have procedures that were significantly longer (by 10‒21%). These results were similar in sensitivity analyses that accounted for the potential effect of more complex patients being referred to tertiary academic centres.Conclusions: Five common general urology operations take significantly longer to perform in academic hospitals. The reason for this may be due to the combined effect of teaching students and residents or due to inherent systematic inefficiencies within large academic hospitals.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.5489/cuaj.3737
- https://cuaj.ca/index.php/journal/article/download/3737/2692
- OA Status
- diamond
- Cited By
- 5
- References
- 15
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2437213215
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2437213215Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.5489/cuaj.3737Digital Object Identifier
- Title
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The impact of teaching on the duration of common urological operationsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2016Year of publication
- Publication date
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2016-06-16Full publication date if available
- Authors
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Blayne Welk, Jennifer Winick‐Ng, J. Andrew McClure, Chris Vinden, Sumit Davé, Stephen E. PautlerList of authors in order
- Landing page
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https://doi.org/10.5489/cuaj.3737Publisher landing page
- PDF URL
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https://cuaj.ca/index.php/journal/article/download/3737/2692Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://cuaj.ca/index.php/journal/article/download/3737/2692Direct OA link when available
- Concepts
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Medicine, Prostatectomy, Comorbidity, Retrospective cohort study, Duration (music), Cohort, General surgery, Urology, Emergency medicine, Surgery, Internal medicine, Prostate cancer, Cancer, Art, LiteratureTop concepts (fields/topics) attached by OpenAlex
- Cited by
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5Total citation count in OpenAlex
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2023: 1, 2019: 1, 2018: 2, 2016: 1Per-year citation counts (last 5 years)
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15Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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