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Table 4 Summary of studies analysing the impacts on quality of patient care

From: Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review

Patient care

     

Improved

No Change

Worsen

Source

Outcome

Source

Outcome

Source

Outcome

Basu et al, 2004[14]

A 68-item survey of plastic surgery residents (n = 12)

Residents noted an improved ability to deliver patient care, hight consensus that this policy is benefitial for patient care

Rogers et al, 2005[40]

Pre-post study of complications, missed injuries, delayed diagnoses, and admission rates

No significant difference in the overall complication rate, delayed diagnoses, or missed injuries

Chung et al, 2004[15]

Pre-post survey of surgical resident

The new regulation reduced continuity of care, reduced consultations seen

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_

Hutter et al, 2006[18]

Prospective study of mortality, complication rates, NSQIP

No significan difference in quality of patient care, no differences in mortality rates

Kort et al, 2004[16]

Survey of general surgery residents (n = 164)

Continuity and safety of care were perceived negatively by surgical residents

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_

Schneider et al, 2007

Pre-post evaluation of operative case logs, standardized scores, residents perception survey

Patient outcome measures, including monthly mortality and number of admissions showed no changes

Cohen-Gadol et al, 2005[29]

Nationwide survey of program directors (n = 93) and residents (n = 617)

93% thought that the new reform has had a negative impact on continuity of patient care.

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_

Shetty et al, 2007[37]

Pre-post study of mortality rates in 551 community hospitals (n = 1.511.945 patients)

In surgical patients there were no significant changes of mortality rates

Myers et al, 2006[28]

Pre-post survey of general surgery residents (n = 200) at 5 academic medical centers

Errors related to reduced continuity of care significantly increased. The continuity of care had decreased a lot.

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Volpp et al, 2007[38]

Pre-post study of mortality rates in 3321 nonfederal hospitals (n = 8.529.595 patients)

The new reform was not associated with either significant worsening or improvements of mortality

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_

_

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Morrison et al, 2008[39]

Retrospective pre-post study of mortality, length of hospitalisation Data from NTDB

This analysis demonstrates slightly decreased mortality and morbidity rates. But more likely clinically not important

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