Surgeon experience influences patient characteristics and outcomes in spine deformity surgery
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Surgeon experience influences patient characteristics and outcomes in spine deformity surgery Alexander J. Schupper1 · Sean N. Neifert1 · Michael L. Martini1 · Jonathan S. Gal2 · Frank J. Yuk1 · John M. Caridi1 Received: 26 May 2020 / Accepted: 10 October 2020 © Scoliosis Research Society 2020
Abstract Purpose To characterize differences in patient demographics and outcomes by surgeon experience in a cohort of patients undergoing adult spinal deformity surgery. Methods Patients undergoing degenerative spinal deformity were included. Patients whose surgeons graduated from fellowship ≤ 5 years prior to surgery versus > 5 years were compared. Multivariable linear and logistic regression, controlling for age, sex, comorbidity burden, number of segments fused, blood loss and operative time were used to evaluate differences in outcomes. Characteristics of operative invasiveness were plotted against surgeons’ level of experience, and trends in these measures were assessed with univariate linear regression. Results Three-hundred sixty-three patients were included. 147 patients’ surgeons had ≤ 5 years of experience. Patient demographics were evenly matched. Patients with junior surgeons had more pre-existing medical complications, and senior surgeons were less likely to take care of patients with Medicare/Medicaid (p
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