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  1. Spectrum of general surgery in rural America. Discussion. Commentary.

    Article, Communication - En anglais

    Scientific Session of the Western Surgical Association. Portland, Ore (USA), 1996/11/19.

    Objectives 

    To define the types of surgery performed by rural surgeons, to compare their experience to that of graduating US surgical residents and to document rural surgical mortality.

    Design 

    Prospective registry of consecutive cases recorded by 7 rural general surgeons working in one department of surgery from December 31,1994, through March 30,1996.

    Comparison with the 1995 Report C (Resident Operative Logs) of the Residency Review Committee.

    National survey of surgical residency programs regarding formal gynecology experience.

    Setting 

    Nine rural community hospitals in the Midwest.

    Patients 

    Patients undergoing surgery in 9 cities with populations of fewer than 10 000.

    Main Outcome Measures 

    Type of surgery and postoperative (30-day) mortality.

    Results 

    Two thousand four hundred twenty procedures were performed by 7 surgeons practicing in 9 cities with populations of 1500 to 8000.

    There were 6 (0.25%) postoperative deaths.

    Case types are as follows :

    • endoscopy, 686 (28.3%) ;

    • gynecology, 498 (20.6%) ;

    • hernia, 241 (10%) ;

    • colorectal, 194 (8%) ;

    • biliary, 183 (7.6%) ;

    • cesarean sections, 130 (5.4%) ;

    • breast, 129 (5.3%) ;

    • orthopedic, 115 (4.8%) ;

    • carpal tunnel, 63 (2.6%) ;

    • otolaryngology, 35 (1.4%) ;

    • and endocrine, 1 (0.4%) ;

    • for a total of 2420 (100%). Report C indicated 1995 graduating chief residents averaged 8 obstetric and and gynecologic and 5.3 orthopedic cases during their residency. (...)

    Mots-clés Pascal : Chirurgie, Milieu rural, Etiologie, Expérience professionnelle, Morbidité, Mortalité, Etude statistique, Homme, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Surgery, Rural environment, Etiology, Professional experience, Morbidity, Mortality, Statistical study, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0330140

    Code Inist : 002B30A03C. Création : 12/09/1997.