Relation between surgeon age and postoperative outcomes: a population-based cohort study

BACKGROUND: Aging may detrimentally affect cognitive and motor function. However, age is also associated with experience, and how these factors interplay and affect outcomes following surgery is unclear. We sought to evaluate the effect of surgeon age on postoperative outcomes in patients undergoing common surgical procedures.

METHODS: We performed a retrospective cohort study of patients undergoing 1 of 25 common surgical procedures in Ontario, Canada, from 2007 to 2015. We evaluated the association between surgeon age and a composite outcome of death, readmission and complications. We used generalized estimating equations for analysis, accounting for relevant patient-, procedure-, surgeon- and hospital-level factors.

RESULTS: We found 1 159 676 eligible patients who were treated by 3314 surgeons and ranged in age from 27 to 81 years. Modelled as a continuous variable, a 10-year increase in surgeon age was associated with a 5% relative decreased odds of the composite outcome (adjusted odds ratio [OR] 0.95, 95% confidence interval [CI] 0.92 to 0.98,  = 0.002). Considered dichotomously, patients receiving treatment from surgeons who were older than 65 years of age had a 7% lower odds of adverse outcomes (adjusted OR 0.93, 95% CI 0.88–0.97, p = 0.03; crude absolute difference = 3.1%).

Raj Satkunasivam, Zachary Klaassen, Bheeshma Ravi, Kai-Ho Fok, Terri Menser, Bita Kash, Brian J. Miles, Barbara Bass, Allan S. Detsky and Christopher J.D. Wallis

Satkunasivam, R., Klaassen, Z., Ravi, B., Fok, K., Menser, T., & Kash, B. et al. (2020). Relation between surgeon age and postoperative outcomes: a population-based cohort study. Canadian Medical Association Journal192(15), E385-E392. doi: 10.1503/cmaj.190820