Department of Surgery, University of North Dakota, School of Medicine and Health Sciences, Grand Forks, ND, USA.
Am J Surg. 2010 Dec;200(6):820-5; discussion 825-6. doi: 10.1016/j.amjsurg.2010.07.029.
Data regarding the practice patterns of surgeons are derived from indirect information and may not reflect practice patterns in rural surgery. The aim of this study was to analyze all procedures performed by rural surgeons in North Dakota and South Dakota in 2006.
All surgeons in the Dakotas were identified by state American College of Surgeons databases. Rural urban commuting area codes were used to identify rural surgeons. Current Procedural Terminology codes from clinic, outpatient, and inpatient procedures performed during 2006 were obtained.
Data were obtained from 81% of rural surgeons. A total of 46,052 Current Procedural Terminology procedure codes were analyzed. Rural surgeons averaged 1,071 procedures/year, composed of 25.6% general surgery, 39.8% endoscopy, 17.9% minor surgery, and 12.3% surgical specialty procedures. Surgeons in small and large rural communities differed in total procedures per year (1,346 vs 988). Significant differences existed in the types of procedures performed by surgeons in large and small rural communities (P < .001).
Rural surgeons perform a high volume of procedures, with endoscopic and minor surgical procedures comprising over 55% of their practices. Understanding rural surgeons' caseload will help guide the training of rural surgeons.
外科医生的实践模式数据来源于间接信息，可能无法反映农村外科手术的实际情况。本研究旨在分析 2006 年北达科他州和南达科他州所有农村外科医生所进行的所有手术。
通过州美国外科医师学院数据库确定达科他州的所有外科医生。使用农村城市通勤区代码来识别农村外科医生。获取 2006 年期间在诊所、门诊和住院进行的所有程序的当前操作术语代码。
从 81%的农村外科医生处获得了数据。共分析了 46,052 个当前操作术语程序代码。农村外科医生的平均手术量为每年 1,071 例，其中普外科占 25.6%，内镜检查占 39.8%，小手术占 17.9%，外科专科手术占 12.3%。小农村社区和大农村社区的外科医生每年的手术总量（1,346 与 988）存在差异。大农村社区和小农村社区的外科医生所进行的手术类型存在显著差异（P<0.001）。
农村外科医生的手术量较大，其中内镜检查和小手术占其手术量的 55%以上。了解农村外科医生的手术量将有助于指导农村外科医生的培训。
