Annual Repeat Rates of Laparoscopic Surgery: A Marker of Practice Variation

Jarrell J, John Jarrell
American journal of medical quality : the official journal of the American College of Medical Quality · 2010 · vol. 25(5) , pp. 378–383 · doi:10.1177/1062860610366588 · PMID:20833984 · W2134200853
article OA: closed CC0 ⤵ 6 in-corpus citations
Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This study analyzed administrative data to find that repeat laparoscopic surgery rates vary significantly by individual woman and fiscal year, indicating potential overuse and the need for policy initiatives.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-09-21 · read from full text ⓘ

This study analyzed administrative data from Alberta Health and Wellness spanning 1996 to 2007 to evaluate individual-specific annual repeat rates of laparoscopic surgery. Using statistical process control methods, the researchers determined that reoperation rates for both diagnostic and operative procedures exhibited significant variation with special causes over time. The authors attribute this fluctuation to factors such as operating room access, initial clinical enthusiasm for new surgical techniques, evolving surgeon skills, and changing decision-making processes. They conclude that such practice variation necessitates policy initiatives to address potentially high rates of repeated procedures. Relevance to endometriosis: listed as one indication for laparoscopic surgery, though the paper's main focus is general practice variation in surgical repeat rates.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Use of laparoscopy is an area of interest owing to a previous report of significant numbers of repeat laparoscopic surgery in some women in Alberta, Canada. It was hypothesized that analyzing individual-woman rates of annual repeat procedures documents potential overuse of laparoscopic surgery. Administrative data concerning yearly individual specific laparoscopy experiences were obtained from Alberta Health and Wellness for the years 1996 to 2007. Rates of repeat diagnostic and operative laparoscopic procedures were determined for each fiscal year and analyzed using statistical process control methods. The rate of reoperation for an individual woman for both procedures has "special causes" of variation. Rates of reoperation within the fiscal year varied significantly. The reasons could include operating room access, initial clinical enthusiasm for new surgery, changing surgical skills, and changing processes in decision making. The presence of such variation will require policy initiatives to address high rates of annual repeat procedures.
Full text 1,156 characters · extracted from oa-doi-fallback · click to expand
Annual Repeat Rates of Laparoscopic Surgery: A Marker of Practice Variation - John Jarrell Abstract Use of laparoscopy is an area of interest owing to a previous report of significant numbers of repeat laparoscopic surgery in some women in Alberta, Canada. It was hypothesized that analyzing individual-woman rates of annual repeat procedures documents potential overuse of laparoscopic surgery. Administrative data concerning yearly individual specific laparoscopy experiences were obtained from Alberta Health and Wellness for the years 1996 to 2007. Rates of repeat diagnostic and operative laparoscopic procedures were determined for each fiscal year and analyzed using statistical process control methods. The rate of reoperation for an individual woman for both procedures has “special causes” of variation. Rates of reoperation within the fiscal year varied significantly. The reasons could include operating room access, initial clinical enthusiasm for new surgery, changing surgical skills, and changing processes in decision making. The presence of such variation will require policy initiatives to address high rates of annual repeat procedures.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosis

MeSH descriptors

Laparoscopy Practice Patterns, Physicians' Reoperation Alberta Databases, Factual Endometriosis Endometriosis Female Humans Laparoscopy Medical Audit Quality of Health Care Reoperation

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (43)

Cited by (5)

Source provenance

europepmc
last seen: 2026-09-27T09:11:36.575535+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:17:00.782903+00:00
unpaywall
last seen: 2026-09-28T06:20:55.906821+00:00
License: CC0 · commercial use OK