@jdimick1 While 36 fold is true, roughly still only 11 percent use, and still less than open in your data. Your paper poses the theory that robotic appendectomy may be used as training for entry into clinical practice. If true…then cost more acceptable?
Don't miss out: This Thursday's Grand Rounds welcomes Jacob A. Greenberg, MD, EdM, to give the Lazar G. Greenfield Lecture in Surgical Innovation.
Dr. Greenberg's talk: Surgical Psychology 101.
Location: Ford Auditorium
Meet Dr. Brent Matthews, a director on the General Surgery Board of the ABS.
Thank you, Dr. Matthews, for dedicating your time and expertise in support of the certification process.
"8.6 fold increase" was 0.3%-->2.6%.
"Higher operative recurrence" was 3.78% for robot vs 3.21% for lap.
This was Medicare-only so everyone above age 65, and much of the meaningful variables (pain, return to work, etc) were not measured.
This obviously doesn't control for so many things on the patient and surgeon end, so such modest differences don't seem meaningful to a non-hernia surgeon such as myself.
One thing to consider, as well, is robot acting as a bridge and allowing surgeons to tackle more difficult hernias MIS that they would have done open (and thus a higher recurrence would be expected, no?)
Also, table 1 shows modest-but-likely-statistically-significant differences between lap and robot patients in several important patient characteristics with robots having higher rates of diabetes, COPD, PVD, CKD, liver disease, etc.
If this study proves anything to you, it's likely confirmation bias.
#FeatureFriday:
Denver Health became the first hospital in the Rocky Mountain region to earn Emergency General Surgery Verification from @AmCollSurgeons.
Congratulations to Dr. @DanteYeh and the entire @DenverHealthMed team!
🚨 New publication!
Does surgeon specialty matter for hernia repair—MIS vs Acute Care vs General? 🤔
Our findings: not really. Outcomes were driven more by patient factors than surgeon specialty.
Read the full article 👉 https://t.co/CdcHwWFLwW
It was truly amazing to give the Claude Organ Memorial Lecture at the Annual Meeting of the Southwestern Surgical Congress in Tuscan Arizona. Many thanks to President Dr Dissanaike for the kind invitation. Dr Organ was an icon in American Surgery.@UCSFSurgery, @SWSC26, @SBAS
A MUCH cuter me with my amazing mom Rose & my beloved late dad Ray, on the occasion of their getting their degrees from @UCBerkeley… so happy they came here and I was lucky to be born 🇺🇸 !
“It is a privilege to serve on the Editorial Board of the Merck Manual, as they are truly committed to making medical knowledge accessible for everyone.” — @DavidASpain 📚🌍
Thank you to @MarkSoliman for coming and giving a wonderful grand rounds on surgical mastery. An honor to have someone so dedicated to surgical education come speak to our residents! #roboticsurgery#surgicaleducation
‼️A National Honor for a Career Shaping Surgeons🌟
Dr. Adnan Alseidi @HPB_Surgeon has received the Distinguished Master Educator Award from the Association for @Surg_Education —one of the field’s highest recognitions for excellence and leadership in surgical education👏👏