Amber L Vermeesch, Layla Garrigues, Chloé Littzen-Brown
Integrative Wellness Approaches to Mitigate Perceived Stress, Increase Vitality, and Build Community during COVID-19: A Pilot Study
International journal of environmental research and public health
increasing surgeon age may influence patient outcomes complex procedures due gained experience also decreased technical cognitive abilities study aimed clarify whether surgeon age influences patients longterm survival gastrectomy gastric adenocarcinoma populationbased cohort study including patients underwent open curatively intended gastrectomy gastric adenocarcinoma 2006 2015 sweden followup throughout 2020 surgeon age categorized three equalsized groups tertiles assessed relation 5year allcause mortality rate main outcome 5year diseasespecific death secondary outcome using multivariable cox regression adjusted patient age sex education comorbidity pathological tumour stage tumour sublocation neoadjuvant therapy lymph node yield resection margin status inhospital complications annual surgeon volume gastrectomy considered potential mediators among 1647 patients 5year allcause mortality rate increased surgeon age 55 years adjusted hr 121 95 ci 104 141 borderline elevated age 4754 years hr 116 95 ci 099 136 compared age 46 years fiveyear diseasespecific death increased surgeon age 55 years hr 125 95 ci 106 148 4754 years hr 122 95 ci 102 144 compared age 46 years associations attenuated became statistically nonsignificant adjustment lymph node yield resection margin status complications surgeon age 47 years might associated worse longterm survival patients undergo gastrectomy gastric adenocarcinoma possibly mediated part differences lymph node yield resection margin status complications