Effect of surgeon experience with laparoscopy

Overview

Featured Article


Gani F, Cerullo M, Zhang X et al. Effect of surgeon “experience” with laparoscopy on postoperative outcomes after colorectal surgery. Surgery. 2017 Oct 162;4:880-890

 

 

Expert Reviews


Methodological Reviewer: Mantaj S. Brar, MD, MSc, GradStat, FRCSC, Department of Surgery, University of Toronto

Clinical Reviewer: James W. Fleshman MD, FACS, Department of Surgery, Baylor University

Clinical ReviewerHusein Moloo MD, MSc, FRCSC, Department of Surgery, University of Ottawa

Supplementary Articles


Rochon PA, Gurwitz JH, Sykora K et al. Reader’s guide to critical appraisal of cohort studies: 1. Role and design. BMJ 2005;330:895-897

Mamdani M, Sykora K, Li P et al. Reader’s guide to critical appraisal of cohort studies: 2. Assessing potential for confounding. BMJ 2005;330:960-962

Normand SLT, Sykora K, Li P, et al. Reader’s guide to critical appraisal of cohort studies: 3. Analytical strategies to reduce confounding. BMJ 2005;330:1021-3

Questions


Please read the above articles and be prepared to discuss the following:

  1. What is the clinical question being addressed?
  2. What is the study design? Is it appropriate?
  3. What are the sources of data?
  4. Are the data accurate and valid?
  5. What was the intervention and how was it assessed?
  6. What outcomes were considered?
  7. Are there other clinically important outcomes that should be considered?
  8. How large and precise was the difference in the outcome?
  9. Are there any factors (confounders) that might explain the differences in the results?
  10. State the conclusion. Have the authors addressed the clinical question posed?
  11. Does the evidence support the conclusion?