Physician procedure volume and related adverse events after surgically induced abortion: a population-based cohort study.

Physician procedure volume and related adverse events after surgically induced abortion: a population-based cohort study. CMAJ. 2019 May 13;191(19):E519-E528 Authors: Liu N, Vigod SN, Farrugia MM, Urquia ML, Ray JG Abstract BACKGROUND: Induced abortion is a common procedure performed by physicians with varying degrees of clinical experience. We aimed to determine whether a physician's procedure volume influences complications after induced abortion. METHODS: We obtained population-based retrospective data on surgically induced abortion procedures in Ontario between 2003 and 2015 from Ontario health administrative databases held at ICES. Physician procedure volume was defined as the number of surgically induced abortions performed in the 1-year period preceding the index procedure date, categorized as low (< 10th percentile of yearly volume) or higher (≥ 10th percentile). The primary outcome was a severe adverse event (maternal end organ damage, severe maternal morbidity, intensive care unit admission or death) within 42 days after an induced abortion. The secondary outcome was any adverse event within 42 days. RESULTS: Among 529 141 surgical abortion procedures, we found 850 severe adverse events (1.6 per 1000 procedures, 95% confidence interval [CI] 1.5-1.7), and 5664 any adverse events (10.7 per 1000 procedures, 95% CI 10.4-11.0). Severe adverse events occurred in 194 out of 52 889 procedures in the low-volume ...
Source: cmaj - Category: General Medicine Authors: Tags: CMAJ Source Type: research