@article{3032668,
    title = "Postoperative outcomes in oesophagectomy with trainee involvement",
    author = "Evans, R. P. T. and Hodson, J. and Kamarajah, S. K. and Griffiths, E. A. and and Singh, P. and Alderson, D. and Bundred, J. and Gossage, J. and and Jefferies, B. and McKay, S. and Mohamed, I and Nepogodiev, D. and and Siaw-Acheampong, K. and van Hillegersberg, R. and Vohra, R. and and Wanigasooriya, K. and Whitehouse, T. and Gjata, A. and Moreno, I, J. and and Takeda, F. R. and Kidane, B. and Castro, R. Guevara and Harustiak, T. and and Bekele, A. and Kechagias, A. and Gockel, I and Kennedy, A. and Da and Roit, A. and Bagajevas, A. and Azagra, J. S. and Mahendran, H. A. and and Mejia-Fernandez, L. and Wijnhoven, B. P. L. and El Kafsi, J. and Sayyed, and R. H. and Sousa, M. and Sampaio, A. S. and Negoi, I and Blanco, R. and and Wallner, B. and Schneider, P. M. and Hsu, P. K. and Isik, A. and and Gananadha, S. and Wills, V and Devadas, M. and Duong, C. and Talbot, M. and and Hii, M. W. and Jacobs, R. and Andreollo, N. A. and Johnston, B. and and Darling, G. and Isaza-Restrepo, A. and Rosero, G. and Arias-Amezquita, and F. and Raptis, D. and Gaedcke, J. and Reim, D. and Izbicki, J. and and Egberts, J. H. and Dikinis, S. and Kjaer, D. W. and Larsen, M. H. and and Achiam, M. P. and Saarnio, J. and Theodorou, D. and Liakakos, T. and and Korkolis, D. P. and Robb, W. B. and Collins, C. and Murphy, T. and and Reynolds, J. and Tonini, V and Migliore, M. and Bonavina, L. and and Valmasoni, M. and Bardini, R. and Weindelmayer, J. and Terashima, M. and and White, R. E. and Alghunaim, E. and Elhadi, M. and Leon-Takahashi, A. M. and and Medina-Franco, H. and Lau, P. C. and Okonta, K. E. and Heisterkamp, and J. and Rosman, C. and Beban, G. and Babor, R. and Gordon, A. and and Rossaak, I, J. and Pal, I, K. M. and Qureshi, A. U. and Naqi, S. A. and and Syed, A. A. and Barbosa, J. and Vicente, C. S. and Leite, J. and Freire, and J. and Casaca, R. and Costa, R. C. T. and Scurtu, R. R. and Mogoanta, S. and S. and Bolca, C. and Constantinoiu, S. and Sekhniaidze, D. and So, J. B. and Y. and Gacvski, G. and Loureiro, C. and Pera, M. and Bianchi, A. and and Gijon, M. Moreno and Fernandez, J. Martin and Carrera, M. S. Trugeda and and Vallve-Bernal, M. and Pascual, M. A. Citores and Elmahi, S. and and Halldestam, I and Hedberg, J. and Monig, S. and Gutknecht, S. and Tez, and M. and Guner, A. and Tirnaksiz, T. B. and Colak, E. and Sevinc, B. and and Hindmarsh, A. and Khan, I and Khoo, D. and Byrom, R. and Gokhale, J. and and Wilkerson, P. and Jain, P. and Chan, D. and Robertson, K. and Iftikhar, and S. and Skipworth, R. and Forshaw, M. and Higgs, S. and Nijjar, R. and and Viswanath, Y. K. S. and Turner, P. and Dexter, S. and Boddy, A. and and Allum, W. 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P. and Buduhan, G. and Tan, L. and Srinathan, S. and and Shea, P. and Yeung, J. and Allison, F. and Carroll, P. and and Vargas-Barato, F. and Gonzalez, F. and Ortega, J. and Nino-Torres, L. and and Beltran-Garcia, T. C. and Castilla, L. and Pineda, M. and Bastidas, and A. and Gomez-Mayorga, J. and Cortes, N. and Cetares, C. and Caceres, S. and and Duarte, S. and Pazdro, A. and Snajdauf, M. and Faltova, H. and and Sevcikova, M. and Mortensen, P. B. and Katballe, N. and Ingemann, T. and and Morten, B. and Kruhlikava, I and Ainswort, A. P. and Stilling, N. 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A. and Ackroyd, R. and Patel, K. and and Tamhankar, A. and Wyman, A. and Walker, R. and Grace, B. and Abbassi, N. and and Slim, N. and Ioannidi, L. and Blackshaw, G. and Havard, T. and and Escofet, X. and Powell, A. and Owera, A. and Rashid, F. and Jambulingam, and P. and Padickakudi, J. and Ben-Younes, H. and McCormack, K. and Makey, and I. A. and Karush, M. K. and Seder, C. W. and Liptay, M. J. and and Chmielewski, G. and Rosato, E. L. and Berger, A. C. and Zheng, R. and and Okolo, E. and Singh, A. and Scott, C. D. and Weyant, M. J. and Mitchell, and J. D. and West Midlands Res Collaborative",
    journal = "BJS OPEN",
    year = "2021",
    volume = "5",
    number = "6",
    publisher = "Oxford University Press",
    doi = "10.1093/bjsopen/zrab132",
    abstract = "Background The complexity of oesophageal surgery and the significant
risk of morbidity necessitates that oesophagectomy is predominantly
performed by a consultant surgeon, or a senior trainee under their
supervision. The aim of this study was to determine the impact of
trainee involvement in oesophagectomy on postoperative outcomes in an
international multicentre setting. Methods Data from the multicentre
Oesophago-Gastric Anastomosis Study Group (OGAA) cohort study were
analysed, which comprised prospectively collected data from patients
undergoing oesophagectomy for oesophageal cancer between April 2018 and
December 2018. Procedures were grouped by the level of trainee
involvement, and univariable and multivariable analyses were performed
to compare patient outcomes across groups. Results Of 2232
oesophagectomies from 137 centres in 41 countries, trainees were
involved in 29.1 per cent of them (n = 650), performing only the
abdominal phase in 230, only the chest and/or neck phases in 130, and
all phases in 315 procedures. For procedures with a chest anastomosis,
those with trainee involvement had similar 90-day mortality,
complication and reoperation rates to consultant-performed
oesophagectomies (P = 0.451, P = 0.318, and P = 0.382, respectively),
while anastomotic leak rates were significantly lower in the trainee
groups (P = 0.030). Procedures with a neck anastomosis had equivalent
complication, anastomotic leak, and reoperation rates (P = 0.150, P =
0.430, and P = 0.632, respectively) in trainee-involved versus
consultant-performed oesophagectomies, with significantly lower 90-day
mortality in the trainee groups (P = 0.005). Conclusion Trainee
involvement was not found to be associated with significantly inferior
postoperative outcomes for selected patients undergoing oesophagectomy.
The results support continued supervised trainee involvement in
oesophageal cancer surgery.
The aim of this study was to determine the impact of trainee involvement
in oesophagectomy on perioperative outcomes in the international
multicentre Oesophago-Gastric Anastomosis Audit (OGAA). Analysis of 2232
oesophagectomies has shown that trainee involvement did not negatively
impact perioperative outcomes."
}