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.
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.
Study Type
OBSERVATIONAL
Enrollment
800
Carotid Surgery in patients with symptomatic or asymptomatic stenosis
University Hospital Augsburg
Augsburg, Germany
The impact of surgeons' gender, team gender and patients gender on postoperative apoplexy
stroke \[observed in a time frame of 30 days after the operation\]
Time frame: 0-30 days
The impact of surgeons' gender team gender and patients gender on postoperative peripheral nerve lesions
Impairment of peripheral cervial nerves \[observed in a time frame of 30 days after the operation\]
Time frame: 0-30 days
The impact of surgeons' gender team gender and patients gender on reinterventions
Number of patients with surgical revision
Time frame: 0-30 days
The impact of surgeons' gender team gender and patients gender on procedure related death
Number of patients who died following surgery
Time frame: 0-30 days
The impact of surgeons' gender team gender and patients gender on procedure time
Duration of surgery measured in minutes
Time frame: 0-30 days
The impact of surgeons' gender team gender and patients gender on the length of stay
length of stay in days
Time frame: 0-30 days
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