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Comment & Response |

Next-Day Surgical Complications After Nighttime Procedures

Lijun Hou, MD, PhD1; Xi Han, MD, PhD2; Yan Dong, MD, PhD1
[+] Author Affiliations
1Department of Neurosurgery, Changzheng Hospital, Shanghai, China
2Department of Neurosurgery, Huashan Hospital, Shanghai, China
JAMA. 2014;311(8):860-861. doi:10.1001/jama.2014.330.
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To the Editor Interest in the effects of sleep deprivation on physician performance and patient safety has existed for a long time. A study by Dr Vinden and colleagues1 found that surgeons operating the night before did not perform next-day elective laparoscopic cholecystectomies with more complications, such as conversion to open cholecystectomy, iatrogenic complications, or death. Although these findings are interesting, some issues should be clarified.


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February 26, 2014
Christopher Vinden, MD; Danielle Nash, MSc
1Division of General Surgery, Western University, London, Ontario, Canada
2Institute for Clinical Evaluative Sciences, London, Ontario, Canada
JAMA. 2014;311(8):861-862. doi:10.1001/jama.2014.333.
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