Laparoscopy-assisted vaginal hysterectomy (LAVH) was introduced into our hospital in 1993 and a clinical pathway for LAVH started in January 1998. It is expected that with time the surgeon becomes more efficient with a resultant reduction in costs and maintaining quality of care. In this study, we evaluated the physician experience effect on costs and clinical outcomes for LAVH.
This retrospective study involved a sample of 120 patients who underwent LAVH in a medical center in central Taiwan. Patients were divided into two groups on the basis of whether they received treatment by senior attending physicians or junior attending physicians. The study period was from January 1998 to March 1999. Both of the senior doctors had performed LAVH for more than 6 years, while the three junior ones had less than 3 years’ experience. The junior attending physician group consisted of 36 patients with a mean age of 45.6±8.3 years. The senior attending physician group consisted of 84 patients with a mean age of 44.7±6.3 years. There was no difference in patients with chronic diseases (diabetes mellitus, hypertension or asthma) or pelvic adhesions between the two groups (Table 1).
關聯:
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 79(1):39~41
