{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T02:52:59Z","timestamp":1774407179248,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,7,16]],"date-time":"2019-07-16T00:00:00Z","timestamp":1563235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,7,16]],"date-time":"2019-07-16T00:00:00Z","timestamp":1563235200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,7,16]],"date-time":"2019-07-16T00:00:00Z","timestamp":1563235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Evidence is lacking regarding the potential association between daily variation in individual surgeon's operative time, procedure after procedure, and risk of patient complication. We assumed that surgeon deviation from the expected procedure duration may be harmful for patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All patients who underwent a thyroidectomy undertaken in five hospitals during a 1\u2010year period were included prospectively. For each thyroidectomy, we estimated the expected operative time from a multilevel linear regression considering the attending surgeon who performed the operation, the patient preoperative risk, and the procedure complexity. Three groups of thyroidectomies were identified according to whether the observed duration is: slower than expected, as expected, or faster than expected. Rates of permanent recurrent laryngeal nerve palsy and hypoparathyroidism at 6\u00a0months were then compared between these groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 3102 patients who underwent a thyroidectomy undertaken by 22 surgeons were considered. Risk of laryngeal nerve palsy was higher in the \u201cslow\u201d group than in the \u201cnormal\u201d group (OR\u2009=\u20094.63, 95% confidence interval 2.21\u20139.70), as was that of hypoparathyroidism (OR\u2009=\u20092.43, 95% confidence interval 1.21\u20134.88). There was no significant difference between \u201cfast\u201d and \u201cnormal\u201d groups for either complication. Deviation from expected procedure duration was more frequent at the end than at the beginning of the daily operation schedule (29.4% vs. 18.3%, respectively, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients had a greater risk of complication when the surgeon performed thyroidectomy slower than expected. Surgeons avoiding excessive deviations from their expected procedures durations reflect safer practice.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-05081-0","type":"journal-article","created":{"date-parts":[[2019,7,16]],"date-time":"2019-07-16T19:02:32Z","timestamp":1563303752000},"page":"2720-2727","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Influence of Daily Variations in Individual Surgeon's Operative Time on Patient Outcomes"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2811-9022","authenticated-orcid":false,"given":"Etienne","family":"Meunier","sequence":"first","affiliation":[{"name":"Health Data Centre, Public Health Department Hospices Civils de Lyon Lyon France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9cile","family":"Payet","sequence":"additional","affiliation":[{"name":"Health Data Centre, Public Health Department Hospices Civils de Lyon Lyon France"},{"name":"Health Services and Performance Research Lab (EA 7425 HESPER) Universit\u00e9 Claude Bernard Lyon 1 Lyon France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Louis","family":"Peix","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale et Endocrinienne Centre Hospitalier Lyon Sud, Hospices Civils de Lyon Pierre B\u00e9nite, Lyon France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Louis","family":"Kraimps","sequence":"additional","affiliation":[{"name":"Department of Endocrine Surgery Jean Bernard Hospital, Poitiers University Poitiers France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrice","family":"Menegaux","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale, Visc\u00e9rale et Endocrinienne H\u00f4pital la Piti\u00e9\u2010Salp\u00eatri\u00e8re, Assistance Publique\u2010H\u00f4pitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Pattou","sequence":"additional","affiliation":[{"name":"Chirurgie G\u00e9n\u00e9rale et Endocrinienne Centre Hospitalier R\u00e9gional Universitaire de Lille Lille France"},{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM) Universit\u00e9 Lille Nord de France Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9deric","family":"Sebag","sequence":"additional","affiliation":[{"name":"Chirurgie G\u00e9n\u00e9rale, Endocrinienne et M\u00e9tabolique Centre Hospitalier Universitaire la Conception, Assistance Publique\u2010H\u00f4pitaux de Marseille Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Christophe","family":"Lifante","sequence":"additional","affiliation":[{"name":"Health Services and Performance Research Lab (EA 7425 HESPER) Universit\u00e9 Claude Bernard Lyon 1 Lyon France"},{"name":"Service de Chirurgie G\u00e9n\u00e9rale et Endocrinienne Centre Hospitalier Lyon Sud, Hospices Civils de Lyon Pierre B\u00e9nite, Lyon France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antoine","family":"Duclos","sequence":"additional","affiliation":[{"name":"Health Data Centre, Public Health Department Hospices Civils de Lyon Lyon France"},{"name":"Health Services and Performance Research Lab (EA 7425 HESPER) Universit\u00e9 Claude Bernard Lyon 1 Lyon France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the CATHY study group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.12.040"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2014.03.018"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010014\u20102489\u2010z"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010010\u20101550\u20108"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0181424"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.1841"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.12.003"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2016.02.043"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000163"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.05.051"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2015.05.011"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102013\u2010004046"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182865a0c"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0041944"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.260"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010193204000\u201000001"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742\u20101241.2008.01875.x"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900459"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12157"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2017.09.024"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.07.077"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2012.06.007"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090820X14528503"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010009\u20100527\u20109"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.268"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.04.049"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537\u2010200201000\u201000022"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104266(16)30010\u20105"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542\u2010200702000\u201000024"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304\u2010017\u20100475\u20103"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010015\u20104443\u2010z"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.255"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.256"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182864ffe"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05081-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-019-05081-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05081-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-019-05081-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,7]],"date-time":"2024-01-07T16:02:26Z","timestamp":1704643346000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-019-05081-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,16]]},"references-count":34,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1007\/s00268-019-05081-0"],"URL":"https:\/\/doi.org\/10.1007\/s00268-019-05081-0","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,16]]},"assertion":[{"value":"16 July 2019","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}