Surgical trial design – learning curve and surgeon volume
نویسندگان
چکیده
منابع مشابه
Re: The Surgical Learning Curve for One-Stage Anterior Urethroplasty: A Prospective Single-Surgeon Study.
BACKGROUND The learning process for one-stage anterior urethroplasty has never been addressed before. OBJECTIVE To evaluate the surgical learning curve for one-stage anterior urethroplasty. DESIGN, SETTING, AND PARTICIPANTS Data from 641 consecutive patients treated with one-stage urethroplasty for urethral stricture were collected prospectively. All the procedures were performed by a singl...
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Methods and results One significant issue for surgical trials is to ensure surgeons recruiting to the trial are over their initial ‘learning curve’. To ensure surgeon competency and minimise any ‘learning curve’ effect, ROLARR only includes surgeons who have performed at least 30 rectal cancer resections (minimum of 10 for each procedure). Randomisation also stratifies by surgeon to ensure bala...
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BACKGROUND The increased focus on quality and efficiency improvement within academic surgery has met with variable success among plastic surgeons. Traditional surgical performance metrics, such as morbidity and mortality, are insufficient to improve the majority of today's plastic surgical procedures. In-process analyses that allow rapid feedback to the surgeon based on surrogate markers may pr...
متن کاملThe learning curve of laparoscopic holecystectomy in general surgery resident training: old age of the patient may be a risk factor?
A well-designed learning curve is essential for the acquisition of laparoscopic skills: but, are there risk factors that can derail the surgical method? From a review of the current literature on the learning curve in laparoscopic surgery, we identified learning curve components in video laparoscopic cholecystectomy; we suggest a learning curve model that can be applied to assess the progress o...
متن کاملEliminating learning curve-related morbidity in fast track laparoscopic Roux-en-Y gastric bypass.
BACKGROUND Laparoscopic Roux-en-Y gastric bypass (LRYGB) is associated with a significant learning curve. We report the results of a systematic training program from a high-volume bariatric center measuring the outcome by comparing the results with data from a consecutive series of 1000 fast-track LRYGB. METHODS Using a stepwise training program, the Roux-en-Y gastric bypass operation was div...
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عنوان ژورنال:
دوره 6 شماره
صفحات -
تاریخ انتشار 2017