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OpenTrials
Completed

NCT Number: NCT04532658

Evaluation of Coaching Impact on Surgical Outcomes

This two arms parallel cluster-randomized trial will evaluate the impact of a customized coaching program for surgeons on the occurrence of patient major adverse events. Trends in surgical outcomes before and after the intervention will be compared between surgeons randomly assigned to the coaching program against non-exposed surgeons.

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Key information

Conditions

Surgery

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hospices Civils de Lyon

Lyon, France

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All adults needing a surgery who are operated by one of the participating surgeons

Exclusion criteria

  • Age < 18 years old
  • Absence of surgical procedure
  • Palliative care
  • Organ transplantation
  • Refusal for personal data sharing

Treatment and study plan

Coaching Program

Behavioral
  • Charting system for outcomes feedback
  • Profiling of individual surgeon
  • Modules of improvement

Primary outcomes

  1. Occurrence of major adverse event

    Time frame: During surgery or within 30 days after the operation

  2. Occurrence of death

    Time frame: During surgery or within 30 days after the operation

  3. Occurrence of unplanned stay in critical/intensive care unit

    Time frame: Within 30 days after the operation

  4. Occurrence of unplanned reoperation

    Time frame: Within 30 days after the operation

  5. Occurrence of intraoperative and postoperative complications

    Time frame: During surgery or within 30 days after the operation

  6. : Occurrence of avoidable hospital readmission for complication

    Time frame: Within 30 days after the operation

  7. Operative time

    Time frame: From skin incision to wound closure

  8. Length of stay

    Time frame: From hospital admission to discharge, within 30 days after operation

  9. Hospitalization costs

    Time frame: Within 30 days after the operation

  10. Surgeon well-being

    Time frame: Throughout the study, Through study completion, an average of 1 year

Sponsors and collaborators

Lead sponsor

Hospices Civils de Lyon

Other

Registry information

Official study title

Understanding the Influence of Human and Organizational Factors on Surgeon Performance to Enhance Patient Outcomes: Experimental Evaluation of a Customized Coaching Program

Acronym: TopSurgeons

Important dates

Study start
2019
Primary completion
2024
Study completion
2025
First posted
Aug 31, 2020
Registry last updated
Jul 11, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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