The DOI matches its Crossref record; 45 of the 45 references it cites were found in a registry or an index.
Prolonged operative duration is associated with complications: a systematic review and meta-analysis
Open accessAbstract
BACKGROUND: The aim of this study was to systematically synthesize the large volume of literature reporting on the association between operative duration and complications across various surgical specialties and procedure types. METHODS: An electronic search of PubMed, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews from January 2005 to January 2015 was conducted. Sixty-six observational studies met the inclusion criteria. RESULTS: Pooled analyses showed that the likelihood of complications increased significantly with prolonged operative duration, approximately doubling with operative time thresholds exceeding 2 or more hours. Meta-analyses also demonstrated a 14% increase in the likelihood of complications for every 30 min of additional operating time. CONCLUSIONS: Prolonged operative time is associated with an increase in the risk of complications. Given the adverse consequences of complications, decreased operative times should be a universal goal for surgeons, hospitals, and policy-makers. Future study is recommended on the evaluation of interventions targeted to reducing operating time.
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Cites
An estimation of the global volume of surgery: a modelling strategy based on available data
Weiser, T. G., Regenbogen, S. E., Thompson, K. D., Haynes, A. B., Lipsitz, S. R., Berry, W. R., & Gawande, A. A. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60878-8 · Cited by 2,511
Systematic Review and Meta-analysis: When One Study Is Just not Enough
Garg, A. X., Hackam, D., & Tonelli, M. (2008) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.01430307 · Cited by 2,258
The incidence and nature of in-hospital adverse events: a systematic review
de Vries, E. N., Ramrattan, M. A., Smorenburg, S. M., Gouma, D. J., & Boermeester, M. A. (2008) · Quality and Safety in Health Care · doi:10.1136/qshc.2007.023622 · Cited by 1,784
Surgical Risk Factors, Morbidity, and Mortality in Elderly Patients
Turrentine, F. E., Wang, H., Simpson, V. B., & Jones, R. S. (2006) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2006.08.026 · Cited by 1,061
Dimick, J. B., Chen, S. L., Taheri, P. A., Henderson, W. G., Khuri, S. F., & Campbell, D. A. (2004) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2004.05.276 · Cited by 933
Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review
Cheng, H., Chen, B. P.-H., Soleas, I. M., Ferko, N. C., Cameron, C. G., & Hinoul, P. (2017) · Surgical Infections · doi:10.1089/sur.2017.089 · Cited by 853
Self-citationSurgical risk factors, morbidity, and mortality in elderly patients
Turrentine, F. E., Wang, H., Simpson, V. B., & Jones, R. S. (2008) · Critical Reviews in Oncology/Hematology · doi:10.1016/s1040-8428(08)70016-7 · Cited by 711
A Systematic Review of Risk Factors Associated with Surgical Site Infections among Surgical Patients
Korol, E., Johnston, K., Waser, N., Sifakis, F., Jafri, H. S., Lo, M., & Kyaw, M. H. (2013) · PLoS ONE · doi:10.1371/journal.pone.0083743 · Cited by 450
Belmont, P. J., Goodman, G. P., Waterman, B. R., Bader, J. O., & Schoenfeld, A. J. (2014) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.m.00018 · Cited by 438
Procter, L. D., Davenport, D. L., Bernard, A. C., & Zwischenberger, J. B. (2010) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2009.09.034 · Cited by 351
Metadata
- Authors
- Cheng, H., Clymer, J. W., Po-Han Chen, B., Sadeghirad, B., Ferko, N. C., Cameron, C. G., & Hinoul, P.
- Venue
- Journal of Surgical Research
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 229
- Pages
- 134-144
- ISSN
- 0022-4804 (ISSN-L)
- OpenAlex
- W2799540909
- Cited by
- 913
- References
- 45
- FWCI
- 9.51
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Cheng, H., Clymer, J. W., Po-Han Chen, B., Sadeghirad, B., Ferko, N. C., Cameron, C. G., & Hinoul, P. (2018). Prolonged operative duration is associated with complications: a systematic review and meta-analysis. Journal of Surgical Research. https://doi.org/10.1016/j.jss.2018.03.022
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
