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Papers of the Week


2021 May 31


J Vasc Surg

Surgeon Experience Versus Volume Differentially Impact Lower Extremity Bypass Outcomes in Contemporary Practice.

Authors

Scali ST, Martin AJ, Neal D, Berceli SA, Beach J, Suckow BD, Goodney PP, Powell RJ, Huber TS, Stone DH
J Vasc Surg. 2021 May 31.
PMID: 34082002.

Abstract

Calls for minimum case thresholds to guide surgeon credentialing paradigms are increasing in contemporary practice. To date, the volume-outcome relationship and the role of surgeon experience as a proxy for quality have remained primarily focused on non-vascular extirpative surgery and aneurysm repair. However, it is unclear whether this work can be rightly extrapolated to predict lower extremity bypass(LEB) outcomes. Accordingly, the purpose of this study was to examine whether annualized case volume versus surgeon experience is more consequential in predicting successful LEB reconstruction.