Differences of the Postoperative Outcome for Carotid Surgery Patients Treated by Either Male or Female Surgeons
- Conditions
- Carotid Stenosis
- Interventions
- Procedure: Carotid Surgery in patients with symptomatic or asymptomatic stenosis
- Registration Number
- NCT06485102
- Lead Sponsor
- University Hospital Augsburg
- Brief Summary
This research will focus on the differences of the postoperative outcome for carotid surgery patients treated by either male or female surgeons. Since 2012, in Germany, the surgical treatment of carotid stenosis has an established quality assurance, making the thematic especially suitable for testing the surgical results of either male or female surgeons.
- Detailed Description
Data about physician gender having impact on the treatment quality of a patient first appeared in 1999, the publication being about patients with breast cancer. This discussion was resumed in 2016 when Y. Tsugawa et. al showed that female doctors have, in comparison to male doctors, better treatment results. Primary outcomes for the study were mortality and readmissions, which were lower if the treatment has been done by a female doctor. Until today, there are only a few reports about the role of physician gender, especially that of surgeons, in the treatment quality. Studies like the ones from Blohm et. al and Wallis et. al show that female surgeons have a better outcome and a lower mortality, 30 days after the surgery. Wallis et. al also showed that the correlation between male surgeons and female patients have the worst results\].
None of the studies that were written until today focussed on carotid surgery. Since 2012, in Germany, the surgical treatment of carotid stenosis has an established quality assurance, with specific documentation and a standard surgical course of action. This is why we consider that this surgery is especially suitable for comparison of results, depending on surgeon genders.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 800
- Age above 18 years
- All the patients that had a carotid revascularisation between jan. 2012 and dec. 2023.
- No quality assurance
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Patients undergoing surgery Carotid Surgery in patients with symptomatic or asymptomatic stenosis A retrospective data collection will be conducted for all the patients, that between jan. 2012 and dec. 2023, were operated because of a carotid stenosis in the University Clinic for Vascular and Endovascular Surgery in Augsburg. This stenosis may have been symptomatic or asymptomatic. The surgery must respect the latest quality assurance for that period.
- Primary Outcome Measures
Name Time Method The impact of surgeons' gender, team gender and patients gender on postoperative apoplexy 0-30 days stroke \[observed in a time frame of 30 days after the operation\]
The impact of surgeons' gender team gender and patients gender on reinterventions 0-30 days Number of patients with surgical revision
The impact of surgeons' gender team gender and patients gender on postoperative peripheral nerve lesions 0-30 days Impairment of peripheral cervial nerves \[observed in a time frame of 30 days after the operation\]
The impact of surgeons' gender team gender and patients gender on procedure related death 0-30 days Number of patients who died following surgery
- Secondary Outcome Measures
Name Time Method The impact of surgeons' gender team gender and patients gender on the length of stay 0-30 days length of stay in days
The impact of surgeons' gender team gender and patients gender on procedure time 0-30 days Duration of surgery measured in minutes
Trial Locations
- Locations (1)
University Hospital Augsburg
🇩🇪Augsburg, Germany