Abstract
Background: It is unclear whether shortened training of integrated vascular surgery residencies (IVSR) has detrimental effects on graduates’ performance. We sought to investigate whether there is a difference in frail patient outcomes based on the training paradigm completed by their surgeon. Methods: IVSR and vascular surgery fellowship (VSF)-trained surgeons were identified in the American Board of Surgery database and linked to the Vascular Quality Initiative registry (2013–2019) to evaluate provider-specific patient outcomes for frail patients following vascular procedures using mixed-effects logistic regression. Results: 105 IVSR graduates (31%) and 233 VSF graduates (69%) were included. Composite 1-year outcomes of frail patients were comparable between IVSR and VSF-trained surgeons following carotid endarterectomy (16%-IVSR vs 25%-VSF; p = 0.76), lower extremity revascularization (37%-IVSR vs 36%-VSF; p = 0.83), and aortic aneurysm repair (25%-IVSR vs 23%-VSF; p = 0.89). Conclusions: The type of training paradigm completed by vascular surgeons was not associated with differences in their post-operative outcomes in frail patients.
Original language | English (US) |
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Pages (from-to) | 881-887 |
Number of pages | 7 |
Journal | American journal of surgery |
Volume | 224 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2022 |
Keywords
- Integrated vascular surgery residency
- Outcomes
- Vascular surgery fellowship
- education
ASJC Scopus subject areas
- Surgery