title: Does resident involvement impact post-operative complications following primary total knee arthroplasty? An analysis of 24,529 cases.
abstract: Little is known about the impact of resident involvement on complication rates following total knee arthroplasty (TKA). The goal of our study was to determine the impact of resident involvement on complications following primary TKA. Using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database (2005-2012) we identified 24,529 patients who underwent primary TKA. Of these, 5960 (24.3%) had a resident involved in a primary TKA. Using a multivariate logistic regression which incorporated propensity score adjustment, no differences were seen in morbidity and mortality following those cases with resident involvement (OR: 1.15, P = 0.129). In the first large scale, comprehensive analysis of resident impact on short-term morbidity and mortality, no increase in complications was observed with resident involvement in primary TKA.
authors.affiliation: Department of Orthopaedic Surgery, Rush University, Chicago, Illinois.
authors.forename: Bryan D
authors.initials: BD
authors.lastname: Haughom
authors.affiliation: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York.
authors.forename: William W
authors.initials: WW
authors.lastname: Schairer
authors.affiliation: Department of Orthopaedic Surgery, Rush University, Chicago, Illinois.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Hellman
authors.affiliation: Boston University School of Medicine, Boston, Massachusetts.
authors.forename: Paul H
authors.initials: PH
authors.lastname: Yi
authors.affiliation: Department of Orthopaedic Surgery, Rush University, Chicago, Illinois.
authors.forename: Brett R
authors.initials: BR
authors.lastname: Levine
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects* / Q000401:mortality; D016208:Databases, Factual; D005260:Female; D006801:Humans; D007396:Internship and Residency; D016015:Logistic Models; D008297:Male; D019300:Medical Errors; D008875:Middle Aged; D009017:Morbidity; D010820:Physicians; D011183:Postoperative Complications / Q000453:epidemiology*; D058996:Quality Improvement; D014481:United States
keywords: NSQIP; TKA; complications; education; resident