Variation in Surgeon Proficiency Scores and Association With Digit Replantation Outcomes

Key Points Question Is surgeon proficiency associated with outcomes for digit replantation and revascularization? Findings In this case series, greater surgeon proficiency, measured by a novel grading system for procedure difficulty that scored surgeon outcomes in digit replantation and revascularization, was associated with a greater likelihood of digit survival and fewer complications even after controlling for case mix and injury characteristics known to affect outcomes. Surgeon proficiency scores accounted for 17% of the variation in digit survival. Meaning These results suggest that improving surgeon proficiency may not only improve quality of surgical care delivered but also optimize health care resource use.