{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T16:57:16Z","timestamp":1758905836834,"version":"3.38.0"},"reference-count":7,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2013,2,9]],"date-time":"2013-02-09T00:00:00Z","timestamp":1360368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2014,1]]},"abstract":"Purpose<\/jats:title> To highlight missed training opportunities in daycase surgery for trainees to acquire competency in vascular anastomosis by performing arteriovenous fistula (AVF) formations. <\/jats:p><\/jats:sec>Methods<\/jats:title> Operative Room Management Information System records were reviewed for AVF procedures in daycase and general theatres at a UK Foundation Trust between 2007 and 2012. Data collected included procedure, procedure time (PT), patient length of stay (LOS), readmissions within 30 days of procedure and lead and assistant surgeons involved. <\/jats:p><\/jats:sec>Results<\/jats:title> Of 199 daycase AVF procedures reviewed, 59.3% (n=118) were brachiocephalic formations and 34.2% (n=68) radiocephalic formations. Trainees attended 41.2% of daycase AVF procedures and were lead surgeon in 7.3% of these. Mean PT was 64 minutes for consultants compared with 56 minutes for trainees, with no significant difference (p=0.297). Median patient LOS was less than 24 hours for both groups. Six daycase AVF procedures resulted in patient readmission within 30 days; five of these were operated on by consultants and one by a staff grade. During the same period, 258 AVF procedures were performed in general theatres. Trainees attended 64.3% of AVF formations performed in general theatres and were lead surgeon in 5.8% of these. <\/jats:p><\/jats:sec>Conclusions<\/jats:title> Trainees attended and led few daycase AVF formations despite no significant difference in PT, patient LOS or readmission rate between consultant-led and trainee-led cases. Trainees attended more AVF formations performed in general theatres than daycase. However, trainees led a greater proportion of daycase AVF formations, possibly due to a less complex case mix that is more suitable for training. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.5000171","type":"journal-article","created":{"date-parts":[[2014,3,11]],"date-time":"2014-03-11T13:21:44Z","timestamp":1394544104000},"page":"18-21","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Arteriovenous Fistula Formations: Key to Vascular Surgical Training"],"prefix":"10.1177","volume":"15","author":[{"given":"Ahmed M.","family":"El-Sharkawy","sequence":"first","affiliation":[{"name":"Daycase Unit Department of Surgery, Royal Derby Hospitals Foundation Trust, Derby - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel L.J.","family":"Morris","sequence":"additional","affiliation":[{"name":"Daycase Unit Department of Surgery, Royal Derby Hospitals Foundation Trust, Derby - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balvinder S.","family":"Grewal","sequence":"additional","affiliation":[{"name":"Daycase Unit Department of Surgery, Royal Derby Hospitals Foundation Trust, Derby - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John W.","family":"Quarmby","sequence":"additional","affiliation":[{"name":"Daycase Unit Department of Surgery, Royal Derby Hospitals Foundation Trust, Derby - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy E.","family":"Rowlands","sequence":"additional","affiliation":[{"name":"Daycase Unit Department of Surgery, Royal Derby Hospitals Foundation Trust, Derby - UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,2,9]]},"reference":[{"doi-asserted-by":"publisher","key":"bibr1-jva.5000171","DOI":"10.2310\/6670.2009.00013"},{"doi-asserted-by":"publisher","key":"bibr2-jva.5000171","DOI":"10.1016\/j.ejvs.2008.09.015"},{"doi-asserted-by":"publisher","key":"bibr3-jva.5000171","DOI":"10.1016\/j.surge.2009.10.013"},{"doi-asserted-by":"publisher","key":"bibr4-jva.5000171","DOI":"10.1001\/archsurg.2012.89"},{"doi-asserted-by":"publisher","key":"bibr5-jva.5000171","DOI":"10.1308\/147870804281"},{"doi-asserted-by":"publisher","key":"bibr6-jva.5000171","DOI":"10.1016\/j.ejvs.2007.11.018"},{"doi-asserted-by":"publisher","key":"bibr7-jva.5000171","DOI":"10.1097\/SLA.0b013e31816c4044"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000171","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/jva.5000171","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T18:38:45Z","timestamp":1740854325000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/jva.5000171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,9]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,1]]}},"alternative-id":["10.5301\/jva.5000171"],"URL":"https:\/\/doi.org\/10.5301\/jva.5000171","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"type":"print","value":"1129-7298"},{"type":"electronic","value":"1724-6032"}],"subject":[],"published":{"date-parts":[[2013,2,9]]}}}