{"id":16849,"date":"2023-10-04T10:16:38","date_gmt":"2023-10-04T14:16:38","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=16849"},"modified":"2023-10-17T10:27:00","modified_gmt":"2023-10-17T14:27:00","slug":"association-between-surgeon-anesthesiologist-sex-discordance","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/association-between-surgeon-anesthesiologist-sex-discordance\/","title":{"rendered":"Association between surgeon\/anesthesiologist sex discordance and one-year mortality among adults undergoing noncardiac surgery: a population-based retrospective cohort study"},"content":{"rendered":"<p><strong>Objective<\/strong> \u2014 To investigate the association between surgeon-anesthesiologist sex discordance and patient mortality after noncardiac surgery.<\/p>\n<p><strong>Summary<\/strong> \u2014 Background Data Evidence suggests different practice patterns exist amongst female and male physicians. However, the influence of physician sex on team-based practices in the operating room and subsequent patient outcomes remains unclear in the context of noncardiac surgery.<\/p>\n<p><strong>Methods<\/strong> \u2014 We conducted a population-based, retrospective cohort study of adult Ontario residents who underwent index, inpatient noncardiac surgery between January 2007 and December 2017. Primary exposure was physician sex discordance (i.e., surgeon and anesthesiologist were of the opposite sex). The primary outcome was 1-year mortality. The association between physician sex discordance and patient outcomes was modeled using multivariable Cox proportional hazard regression with adjustment for relevant physician, patient, and hospital characteristics.<\/p>\n<p><strong>Results<\/strong> \u2014 Of 541,209 patients, 158,084 (29.2%) were treated by sex-discordant physician teams. Physician sex discordance was associated with a lower rate of mortality at 1 year (5.2% vs. 5.7%; adjusted HR 0.95 [0.91-0.99]). Patients treated by teams composed of female surgeons and male anesthesiologists were more likely to be alive at 1 year than those treated by all-male physician teams (adjusted HR 0.90 [0.81-0.99]).<\/p>\n<p><strong>Conclusions<\/strong> \u2014 Noncardiac surgery patients had a lower likelihood of 1-year mortality when treated by sex discordant surgeon-anesthesiologist teams. The likelihood of mortality was further reduced if the surgeon was female. Further research is needed to explore the underlying mechanisms of these observations and design strategies to diversify OR teams to optimize performance and patient outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective \u2014 To investigate the association between surgeon-anesthesiologist sex discordance and patient mortality after noncardiac surgery. Summary \u2014 Background Data Evidence suggests different practice patterns exist amongst female and male physicians. However, the influence of physician sex on team-based practices in the operating room and subsequent patient outcomes remains unclear in the context of noncardiac [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,25],"migration-helper-qa-sample-set":[],"class_list":["post-16849","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-surgery"],"acf":{"citation":"Etherington C, Boet S, Chen I, Duffy M, Mamas MA, Bader Eddeen A, Bateman BT, Sun LY. <em>Ann Surg<\/em>. 2023; Oct 4 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1097\/sla.0000000000006111","ices_scientist":[1350],"site":[6734],"research_program":[6742],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Association between surgeon\/anesthesiologist sex discordance and one-year mortality among adults undergoing noncardiac surgery: a population-based retrospective cohort study<\/title>\n<meta name=\"description\" content=\"Objective \u2014 To investigate the association between surgeon-anesthesiologist sex discordance and patient mortality after noncardiac surgery. 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