Abstract

Background: Complication rates after colectomy remain high. Previous work has failed to establish the relative contribution of patient comorbidities, surgeon performance, and hospital systems in the development of complications after elective colectomy.

Study design: We identified all patients undergoing elective colectomy between 2012 and 2018 at hospitals participating in the Michigan Surgical Quality Collaborative. The primary outcome was development of a postoperative complication. We used risk- and reliability-adjusted generalized linear mixed models to estimate the degree to which variance in patient-, surgeon-, and hospital-level factors contribute to complications.

Read the full research article from the Journal of the American College of Surgeons

Author(s): Michaela C Bamdad, Craig S Brown, Neil Kamdar, Wenjing Weng, Michael J Englesbe, Alisha Lussiez

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