The Cost of the "July Effect" in Microsurgery.
Ayyala H, Weisberger J, Malhotra R, Lee E. The Cost of the "July Effect" in Microsurgery. Annals Of Plastic Surgery 2020, 85: 392-396. PMID: 32101999, DOI: 10.1097/sap.0000000000002294.Peer-Reviewed Original ResearchConceptsLength of stayAssociated with increased operative timeFree flapsNational Surgical Quality Improvement Program registryOperative timeFree tissue transfer proceduresIncreased complication rateFree flap proceduresCost of inpatient stayJuly effectMultivariate logistic regressionTissue transfer proceduresReoperation rateComplication rateFlap procedureNo significant differenceIncreased riskProgram registryDemographic dataSignificant differenceReadmission ratesConfounding variablesStayHighest average differenceLogistic regression