Communication

On parle du projet…

Communications de l’équipe sur le projet

  • Chirurgien : un athlète du quotidien qui s’ignore. What’s Up en Vasculaire, Paris, 16 Nov 2024
  • Surgeon Intraoperative Sympathovagal Balance Influences Patient Outcomes. The American College of Surgeons Clinical Congress, San Francisco, 21 Oct 2024
  • A Familiar Working Environment Influences Surgeon’s Stress In The Operating Room. The American College of Surgeons Clinical Congress, San Francisco, 21 Oct 2024
  • Comparison Of Self-Reported And Actual Surgeon Physical Activity. The American College of Surgeons Clinical Congress, San Francisco, 21 Oct 2024
  • Association BetweenSurgical Team Familiarity In The Operating Room And Patient Outcomes. The American College of Surgeons Clinical Congress, San Francisco, 20 Oct 2024
  • Association between Surgeon’s Operative Workload in the 7-30 Days Preceding Surgery and Patient Outcomes. The American College of Surgeons Clinical Congress, San Francisco, 20 Oct 2024
  • Enhancing patient outcomes with control charts and surgeon coaching. Institute for Healthcare Policy and Innovation – University of Michigan, Ann Arbor, 26 Apr 2024
  • Performance Monitoring Using Control Chart and Surgeon Coaching to Enhance Patient Outcomes. Ariadne Labs, Boston, 19 Sep 2023.
  • Mon chirurgien est un sportif de haut niveau! Sport Unlimitech, Paris, 29 Jun 2023. (video at: https://m.youtube.com/watch?v=i9I2iF0Yp90)
  • Performance monitoring and surgeon coaching to enhance patient outcomes: the TopSurgeons project. Harvard Surgical HSR speaker series, Boston, 17 Jan 2023. (webinar at: https://bwhedtech.media.partners.org/programs2/hsr2/duclos20230117hsr/)
  • Understanding variations in surgical team performance to enhance patient outcomes. Jiao Tong University & Ruijin Hospital, Shanghaï. 06 Dec 2019
  • Understanding variations in surgical team performance to enhance patient, outcomes. University of Information Technology & West China Hospital, Chengdu. 03 Dec 2019
  • Reducing variation in surgeons performance to enhance patient outcomes. INSERM Methods. Centre of Research in Epidemiology and Statistics (CRESS), Paris. 20 Février 2019
  • Comprendre et maîtriser les facteurs humains et organisationnels pouvant influencer les résultats individuels du chirugien. Modélisation des compétences chirurgicales et interventionnelles (MediCIS), Inserm – UR1 – UMR 1099 LTSI, Rennes. 31 Janvier 2019

Références scientifiques sur la thématique

    1. Dagnino F, Polazzi S, Lifante JC, Dey T, Duclos A; TopSurgeons Study Group. Influence of the Surgeon’s First Operation of the Day on Patient Outcomes. Ann Surg. 2026 Jul 1;284(1):43-50. doi: 10.1097/SLA.0000000000006666 . hal: hal-04950798
    2. Pascal L, Polazzi S, Skinner SC, Lifante JC, Mazza S, Duclos A; TopSurgeons Study Group. Surgeon Social Jet Lag and Patient Risk of Major Adverse Events. JAMA Surg. 2026 Jun 3:e261796. doi: 10.1001/jamasurg.2026.1796 . hal: hal-05644749
    3. Awtry JA, Skinner SC, Pascal L, Polazzi S, Lifante JC, Duclos A; TopSurgeons Study Group. A Familiar Working Environment Influences Surgeon’s Stress in the Operating Room: A Multi-Specialty Prospective Cohort Study. Ann Surg. 2026 Apr 1;283(4):620-627. doi: 10.1097/SLA.0000000000006543 . hal: hal-04721602
    4. Pascal L, Ducarroz S, Skinner SC, Cordier Q, Lifante JC, Mazza S, Duclos A. Surgeons’ physiological parameters and surgical performance: a systematic scoping review. Patient Saf Surg. 2025 Oct 1;19(1):27. doi: 10.1186/s13037-025-00445-z . hal: hal-05350685
    5. Cordier Q, Prieur H, Duclos A; Top Surgeons Study Group. Risk-adjusted observed minus expected cumulative sum (RA O-E CUSUM) chart for visualisation and monitoring of surgical outcomes. BMJ Qual Saf. 2025 Apr 17;34(5):330-338. doi: 10.1136/bmjqs-2024-017935 . hal: hal-04839477
    6. Skinner SC, Awtry JA, Pascal L, Polazzi S, Lifante JC, Duclos A. Daily physical activity habits influence surgeons’ stress in the operating room: a prospective cohort study. Int J Surg. 2025 Mar 1;111(3):2505-2515. doi: 10.1097/JS9.0000000000002258 . hal: hal-04994750
    7. Stelzl DR, Polazzi S, Lifante JC, Dey T, Duclos A; TopSurgeons Study Group. The influence of familiarity between the surgeon and their assistant on patient outcomes: a prospective observational cohort study. Int J Surg. 2025 Mar 1;111(3):2525-2534. doi: 10.1097/JS9.0000000000002269 . hal: hal-05009799
    8. Awtry J, Skinner S, Polazzi S, Lifante JC, Dey T, Duclos A; TopSurgeons Study Group. Association Between Surgeon Stress and Major Surgical Complications. JAMA Surg. 2025 Mar 1;160(3):332-340. doi: 10.1001/jamasurg.2024.6072 . hal: hal-04891541
    9. Soelling S, Polazzi S, Lifante JC, Dey T, Duclos A. Surgeon ability to predict physical activity and sedentary time: Comparison of self-reported and measured activity. Surgeon. 2024 Dec;22(6):332-337. doi: 10.1016/j.surge.2024.09.008 . hal: hal-05009767
    10. Duclos A, Frits ML, Iannaccone C, Lipsitz SR, Cooper Z, Weissman JS, Bates DW. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024 Nov 13;387:e080480. doi: 10.1136/bmj-2024-080480 . hal: hal-05006338
    11. Pasquer A, Cordier Q, Lifante JC, Poncet G, Polazzi S, Duclos A. Influence of a surgeon’s exposure to operating room turnover delays on patient outcomes. BJS Open. 2024 Sep 3;8(5):zrae117. doi: 10.1093/bjsopen/zrae117 . hal: hal-05009747
    12. Cordier Q, Duclos A. Comment on A Method for Continuous Surgeon Improvement in Rectal Cancer: Observed Minus Expected (O-E) Chart Versus CUSUM Chart. Ann Surg Open. 2024 Aug 1;5(3):e473. doi: 10.1097/AS9.0000000000000473 . hal: hal-05652011
    13. Duclos A. Pragmatic trials are needed to assess the effectiveness of enhanced recovery after surgery protocols on patient safety. BMJ Qual Saf. 2024 May 17;33(6):348-350. doi: 10.1136/bmjqs-2023-016966 . hal: hal-05008633
    14. Cordier Q, Le Thien MA, Polazzi S, Chollet F, Carty MJ, Lifante JC, Duclos A. A time-adjusted control chart for monitoring surgical outcome variations. PLoS One. 2024 May 15;19(5):e0303543. doi: 10.1371/journal.pone.0303543 . hal: hal-05006321
    15. Skinner S, Pascal L, Polazzi S, Chollet F, Lifante JC, Duclos A; SHEWHART Trial Group. Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial. BMJ Qual Saf. 2024 Apr 24;33(5):284-292. doi: 10.1136/bmjqs-2022-015390 . hal: hal-05044293
    16. Pasquer A, Ducarroz S, Lifante JC, Skinner S, Poncet G, Duclos A. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024 Jan 29;18(1):5. doi: 10.1186/s13037-023-00388-3 . hal: hal-05009752
    17. Skinner S, Duclos A. Continued Performance Improvement-What Practicing Surgeons Can Learn From Athletes. JAMA Surg. 2023 May 1;158(5):439-440. doi: 10.1001/jamasurg.2022.7732 . hal: hal-05652034
    18. Duclos A, Payet C, Baboi L, Allaouchiche B, Argaud L, Aubrun F, Bohé J, Dailler F, Fellahi JL, Lehot JJ, Piriou V, Rimmelé T, Terragrossa D, Polazzi S, Guérin C. Nurse-to-Nurse Familiarity and Mortality in the Critically Ill: A Multicenter Observational Study. Am J Respir Crit Care Med. 2023 Apr 15;207(8):1022-1029. doi: 10.1164/rccm.202204-0696OC . hal: inserm-03987314
    19. Le Thien MA, Cordier Q, Lifante JC, Carty MJ, Duclos A. Control Charts Usage for Monitoring Performance in Surgery: A Systematic Review. J Patient Saf. 2023 Mar 1;19(2):110-116. doi: 10.1097/PTS.0000000000001103 . hal: hal-05046936
    20. Duclos A, Cordier Q, Polazzi S, Colin C, Rimmelé T, Lifante JC, Carty MJ, Boyer L. Excess mortality among non-COVID-19 surgical patients attributable to the exposure of French intensive and intermediate care units to the pandemic. Intensive Care Med. 2023 Mar;49(3):313-323. doi: 10.1007/s00134-023-07000-3 . hal: hal-05005344
    21. Pasquer A, Pascal L, Polazzi S, Skinner S, Poncet G, Lifante JC, Duclos A. Association of Hospital Bed Turnover With Patient Outcomes in Digestive Surgery. Ann Surg Open. 2022 Dec 7;3(4):e229. doi: 10.1097/AS9.0000000000000229 . hal: hal-05046143
    22. Sens F, Viprey M, Piriou V, Peix JL, Herquelot E, Occelli P, Bourdy S, Gawande AA, Carty Mj MJ, Michel P, Lifante JC, Colin C, Duclos A; IDILIC Study Group. Safety Attitude of Operating Room Personnel Associated With Accurate Completion of a Surgical Checklist: A Cross-sectional Observational Study. J Patient Saf. 2022 Aug 1;18(5):449-456. doi: 10.1097/PTS.0000000000000954 . hal: hal-04329586
    23. Skinner SC, Mazza S, Carty MJ, Lifante JC, Duclos A. Coaching for Surgeons: A Scoping Review of the Quantitative Evidence. Ann Surg Open. 2022 Jul 8;3(3):e179. doi: 10.1097/AS9.0000000000000179 . hal: hal-05046141
    24. Payet C, Polazzi S, Rimmelé T, Duclos A. Mortality Among Noncoronavirus Disease 2019 Critically Ill Patients Attributable to the Pandemic in France. Crit Care Med. 2022 Jan 1;50(1):138-143. doi: 10.1097/CCM.0000000000005215 . hal: hal-05652123
    25. Skinner SC, Duclos A. Comment on Greenberg et al. 2021 “Association of a Statewide Surgical Coaching Program With Clinical Outcomes and Surgeon Perceptions”. Ann Surg. 2021 Dec 1;274(6):e927-e928. doi: 10.1097/SLA0000000000005136
    26. Duclos A, Guerin C. From nurse-to-patient ratio to optimal team composition. Lancet. 2021 Sep 25;398(10306):1129-1130. doi: 10.1016/S0140-6736(21)01818-3 . hal: hal-05652210
    27. Payet C, Polazzi S, Obadia JF, Armoiry X, Labarère J, Rabilloud M, Duclos A. High-dimensional propensity scores improved the control of indication bias in surgical comparative effectiveness studies. J Clin Epidemiol. 2021 Feb;130:78-86. doi: 10.1016/j.jclinepi.2020.10.003 . hal: inserm-03282705
    28. Duclos A, Chollet F, Pascal L, Ormando H, Carty MJ, Polazzi S, Lifante JC; SHEWHART Trial Group. Effect of monitoring surgical outcomes using control charts to reduce major adverse events in patients: cluster randomised trial. BMJ. 2020 Nov 4;371:m3840. doi: 10.1136/bmj.m3840 . hal: hal-03188193
    29. Claverie D, Trousselard M, Sigwalt F, Petit G, Evain JN, Bui M, Guinet-Lebreton A, Chassard D, Duclos A, Lehot JJ, Rimmelé T, Canini F, Lilot M. Impact of stress management strategies and experience on electrodermal activity during high-fidelity simulation of critical situations. Br J Anaesth. 2020 Nov;125(5):e410-e412. doi: 10.1016/j.bja.2020.07.024 . hal: hal-04817106
    30. Brunaud L, Payet C, Polazzi S, Bihain F, Quilliot D, Lifante JC, Duclos A. Reoperation Incidence and Severity Within 6 Months After Bariatric Surgery: a Propensity-Matched Study from Nationwide Data. Obes Surg. 2020 Sep;30(9):3378-3386. doi: 10.1007/s11695-020-04570-9 . hal: hal-05042793
    31. Sigwalt F, Petit G, Evain JN, Claverie D, Bui M, Guinet-Lebreton A, Trousselard M, Canini F, Chassard D, Duclos A, Lehot JJ, Rimmelé T, Lilot M. Stress Management Training Improves Overall Performance during Critical Simulated Situations: A Prospective Randomized Controlled Trial. Anesthesiology. 2020 Jul;133(1):198-211. doi: 10.1097/ALN.0000000000003287 . hal: hal-04817138
    32. Pascal L, Polazzi S, Piriou V, Cotte E, Wegrzyn J, Carty MJ, Chollet F, Sanchez S, Lifante JC, Duclos A. Hospital Length of Stay Reduction Over Time and Patient Readmission for Severe Adverse Events Following Surgery. Ann Surg. 2020 Jul;272(1):105-112. doi: 10.1097/SLA.0000000000003206 . hal: hal-05043328
    33. Payet C, Polazzi S, Lifante JC, Cotte E, Grinberg D, Carty MJ, Sanchez S, Rabilloud M, Duclos A. Influence of trends in hospital volume over time on patient outcomes for high-risk surgery. BMC Health Serv Res. 2020 Apr 1;20(1):274. doi: 10.1186/s12973-020-05126-4 . hal: hal-04176674
    34. Meunier E, Payet C, Peix JL, Kraimps JL, Menegaux F, Pattou F, Sebag F, Lifante JC, Duclos A; CATHY study group. Influence of Daily Variations in Individual Surgeon’s Operative Time on Patient Outcomes. World J Surg. 2019 Nov;43(11):2720-2727. doi: 10.1007/s00268-019-05081-0 . hal: hal-04765587
    35. Haviari S, Chollet F, Polazzi S, Payet C, Beauveil A, Colin C, Duclos A. Effect of data validation audit on hospital mortality ranking and pay for performance. BMJ Qual Saf. 2019 Jun;28(6):459-467. doi: 10.1136/bmjqs-2018-008039 . hal: hal-04977955
    36. Mercier F, Laplace N, Mitmaker EJ, Colin C, Kraimps JL, Sebag F, Bourdy S, Duclos A, Lifante JC; CATHY Study Group. Unexpected discrepancies in hospital administrative databases can impact the accuracy of monitoring thyroid surgery outcomes in France. PLoS One. 2018 Dec 6;13(12):e0208416. doi: 10.1371/journal.pone.0208416 . hal: hal-05652401
    37. Armoiry X, Obadia JF, Pascal L, Polazzi S, Duclos A. Comparison of transcatheter versus surgical aortic valve implantation in high-risk patients: A nationwide study in France. J Thorac Cardiovasc Surg. 2018 Sep;156(3):1017-1025.e4. doi: 10.1016/j.jtcvs.2018.02.092 . hal: hal-01916324
    38. Patoir A, Payet C, Peix JL, Colin C, Pascal L, Kraimps JL, Menegaux F, Pattou F, Sebag F, Touzet S, Bourdy S, Lifante JC, Duclos A; CATHY Study Group. Determinants of operative time in thyroid surgery: A prospective multicenter study of 3454 thyroidectomies. PLoS One. 2017 Jul 27;12(7):e0181424. doi: 10.1371/journal.pone.0181424 . hal: hal-01579779
    39. Payet C, Lifante JC, Carty MJ, Rabilloud M, Duclos A. Methodological Quality of Surgical Mortality Studies Using Large Hospital Databases: A Systematic Review. Ann Surg. 2017 Jun;265(6):1113-1118. doi: 10.1097/SLA.0000000000002119 . hal: hal-01943815
    40. Lifante JC, Payet C, Ménégaux F, Sebag F, Kraimps JL, Peix JL, Pattou F, Colin C, Duclos A; CATHY Study Group. Can we consider immediate complications after thyroidectomy as a quality metric of operation? Surgery. 2017 Jan;161(1):156-165. doi: 10.1016/j.surg.2016.04.049 . hal: hal-05652482
    41. Duclos A, Peix JL, Piriou V, Occelli P, Denis A, Bourdy S, Carty MJ, Gawande AA, Debouck F, Vacca C, Lifante JC, Colin C; IDILIC Study Group. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Br J Surg. 2016 Dec;103(13):1804-1814. doi: 10.1002/bjs.10295 . hal: hal-04549124
    42. Maruthappu M, Gilbert BJ, El-Harasis MA, Nagendran M, McCulloch P, Duclos A, Carty MJ. The influence of volume and experience on individual surgical performance: a systematic review. Ann Surg. 2015 Apr;261(4):642-7. doi: 10.1097/SLA.0000000000000852 . hal: hal-05654375
    43. Maruthappu M, Duclos A, Lipsitz SR, Orgill D, Carty MJ. Surgical learning curves and operative efficiency: a cross-specialty observational study. BMJ Open. 2015 Mar 13;5(3):e006679. doi: 10.1136/bmjopen-2014-006679 . hal: hal-05654372
    44. Maruthappu M, El-Harasis MA, Nagendran M, Orgill DP, McCulloch P, Duclos A, Carty MJ. Systematic review of methodological quality of individual performance measurement in surgery. Br J Surg. 2014 Nov;101(12):1491-8; discussion 1498. doi: 10.1002/bjs.9642 . hal: hal-05654378
    45. Maruthappu M, Carty MJ, Lipsitz SR, Wright J, Orgill D, Duclos A. Patient- and surgeon-adjusted control charts for monitoring performance. BMJ Open. 2014 Jan 16;4(1):e004046. doi: 10.1136/bmjopen-2013-004046 . hal: hal-05654383
    46. Duclos A, Polazzi S, Lipsitz SR, Couray-Targe S, Gawande AA, Colin C, Berry W, Ayanian JZ, Carty MJ. Temporal variation in surgical mortality within French hospitals. Med Care. 2013 Dec;51(12):1085-93. doi: 10.1097/MLR.0b013e3182a97c54 . hal: hal-05667477
    47. Xu R, Carty MJ, Orgill DP, Lipsitz SR, Duclos A. The teaming curve: a longitudinal study of the influence of surgical team familiarity on operative time. Ann Surg. 2013 Dec;258(6):953-7. doi: 10.1097/SLA.0b013e3182864ffe . hal: hal-05667488
    48. Maruthappu M, Duclos A, Orgill D, Carty MJ. A monitoring tool for performance improvement in plastic surgery at the individual level. Plast Reconstr Surg. 2013 May;131(5):702e-710e. doi: 10.1097/PRS.0b013e3182865a0c . hal: hal-05667484
    49. Maruthappu M, Carty MJ, Duclos A. Hospital pay for performance in England. N Engl J Med. 2013 Mar 7;368(10):968-9. doi: 10.1056/NEJMc1215213 .
    50. Elbardissi AW, Duclos A, Rawn JD, Orgill DP, Carty MJ. Cumulative team experience matters more than individual surgeon experience in cardiac surgery. J Thorac Cardiovasc Surg. 2013 Feb;145(2):328-33. doi: 10.1016/j.jtcvs.2012.09.022 . hal: hal-05667489
    51. Duclos A, Carty MJ, Peix JL, Colin C, Lipsitz SR, Kraimps JL, Menegaux F, Pattou F, Sebag F, Voirin N, Touzet S, Bourdy S, Lifante JC; CATHY Study Group. Development of a charting method to monitor the individual performance of surgeons at the beginning of their career. PLoS One. 2012;7(7):e41944. doi: 10.1371/journal.pone.0041944 . hal: hal-02296984
    52. Duclos A, Peix JL, Colin C, Kraimps JL, Menegaux F, Pattou F, Sebag F, Touzet S, Bourdy S, Voirin N, Lifante JC; CATHY Study Group. Influence of experience on performance of individual surgeons in thyroid surgery: prospective cross sectional multicentre study. BMJ. 2012 Jan 10;344:d8041. doi: 10.1136/bmj.d8041 . hal: hal-02296983
    53. Duclos A, Carty MJ. Value of health care delivery. JAMA. 2011 Jul 20;306(3):267; author reply 267. doi: 10.1001/jama.2011.987 . hal: hal-05658413
    54. Duclos A, Lifante JC, Ducarroz S, Soardo P, Colin C, Peix JL. Influence of intraoperative neuromonitoring on surgeons’ technique during thyroidectomy. World J Surg. 2011 Apr;35(4):773-8. doi: 10.1007/s00268-011-0963-4 . hal: hal-05658411
    55. Duclos A, Voirin N, Touzet S, Soardo P, Schott AM, Colin C, Peix JL, Lifante JC. Crude versus case-mix-adjusted control charts for safety monitoring in thyroid surgery. Qual Saf Health Care. 2010 Dec;19(6):e17. doi: 10.1136/qshc.2008.031799 . hal: hal-00539471
    56. Duclos A, Voirin N. The p-control chart: a tool for care improvement. Int J Qual Health Care. 2010 Oct;22(5):402-7. doi: 10.1093/intqhc/mzq037 . hal: hal-02304746
    57. Duclos A, Touzet S, Soardo P, Colin C, Peix JL, Lifante JC. Quality monitoring in thyroid surgery using the Shewhart control chart. Br J Surg. 2009 Feb;96(2):171-4. doi: 10.1002/bjs.6418 . hal: hal-05654387

L’étude SHEWHART conduite par l’équipe du Service des Données de Santé (SDS) a évalué l’impact d’un suivi de la performance des équipes chirurgicales sur la morbi-mortalité postopératoire. http://shewhart.univ-lyon1.fr/

L’équipe a développé des outils de maîtrise statistique des processus spécifiquement adaptés à la chirurgie, notamment les cartes de contrôle de Shewhart, les funnel plots et les cartes CUSUM (Cumulative Sum), permettant un suivi continu de la performance chirurgicale et de la qualité des soins. https://github.com/antoineduclos

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