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成人重建领域外科医生的专业水平:关于报告专业水平必要性的简短交流

Surgeon Level of Expertise in Adult Reconstruction: A Brief Communication Regarding the Need for Reporting the Level of Expertise.

作者信息

Yakkanti Ramakanth R, Massel Dustin H, Lezak Bradley A, Haziza Sagie, Milner Jacob E, Chen David, Hernandez Victor H

机构信息

Department of Orthopaedics, University of Miami, Miami, FL, USA.

University of Miami Miller School of Medicine, Miami, FL, USA.

出版信息

Arthroplast Today. 2021 Feb 17;8:1-4. doi: 10.1016/j.artd.2020.12.011. eCollection 2021 Apr.

DOI:10.1016/j.artd.2020.12.011
PMID:33665274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7899946/
Abstract

The purpose of the current brief communication is to establish a discussion regarding level of expertise (LOE) documentation in future arthroplasty clinical studies and to document the trend in adoption of LOE among arthroplasty publications to date. A review of (), (), and () databases for original studies published between April 2016 and July 2020 was performed. A total of 105 articles were identified and evaluated in , 1011 in , 127 in , and 383 in . Of 1011 articles identified in , only one manuscript (1/1011; 0.1%), by Uluyardimci et.al, included the LOE of the surgeon(s) involved in the study. No articles in (0/125; 0%), (0/127; 0%), or (0/383; 0%) reported the LOE according to Tang's recommendations during the same period. Documenting LOE may provide readers with additional information for incorporation of novel techniques into their practices as well as identify procedures that require a baseline LOE for effective performance. Further evaluation of LOE criteria may improve the reliability of the numeric scale, while widespread adoption of this scale will allow future outcome analysis by LOE.

摘要

本简短通讯的目的是就未来关节置换临床研究中的专业水平(LOE)记录展开讨论,并记录迄今为止关节置换出版物中采用LOE的趋势。对2016年4月至2020年7月期间发表的原始研究的()、()和()数据库进行了回顾。在()中总共识别并评估了105篇文章,在()中为1011篇,在()中为127篇,在()中为383篇。在()中识别出的1011篇文章中,只有Uluyardimci等人的一篇手稿(1/1011;0.1%)纳入了参与研究的外科医生的LOE。同期,()(0/125;0%)、()(0/127;0%)或()(0/383;0%)中没有文章根据Tang的建议报告LOE。记录LOE可为读者提供将新技术纳入其实践的额外信息,并识别有效实施需要基线LOE的程序。对LOE标准的进一步评估可能会提高数字量表的可靠性,而该量表的广泛采用将允许未来按LOE进行结果分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e482/7899946/230053ec0906/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e482/7899946/230053ec0906/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e482/7899946/230053ec0906/gr1.jpg

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本文引用的文献

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Influence of patient selection, component positioning and surgeon's caseload on the outcome of unicompartmental knee arthroplasty.患者选择、部件定位和外科医生手术量对单髁膝关节置换术结果的影响。
Arch Orthop Trauma Surg. 2020 Jun;140(6):807-813. doi: 10.1007/s00402-020-03413-7. Epub 2020 Mar 19.
3
The Combination of Inlay Patellofemoral Arthroplasty and Medial Unicompartmental Knee Arthroplasty Versus Total Knee Arthroplasty for Mediopatellofemoral Osteoarthritis: A Comparison of Mid-Term Outcomes.
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J Arthroplasty. 2019 Nov;34(11):2614-2619. doi: 10.1016/j.arth.2019.06.043. Epub 2019 Jun 26.
4
Level of surgical experience is associated with change in hip center of rotation following cementless total hip arthroplasty: A radiographic assessment.手术经验水平与非骨水泥型全髋关节置换术后髋关节旋转中心的变化相关:一项影像学评估。
PLoS One. 2017 May 24;12(5):e0178300. doi: 10.1371/journal.pone.0178300. eCollection 2017.
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Why and how to report surgeons' levels of expertise.为何以及如何报告外科医生的专业水平。
J Hand Surg Eur Vol. 2016 May;41(4):365-6. doi: 10.1177/1753193416641590.
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What is the learning curve for the anterior approach for total hip arthroplasty?全髋关节置换术前路入路的学习曲线是怎样的?
Clin Orthop Relat Res. 2015 Dec;473(12):3860-6. doi: 10.1007/s11999-015-4565-6.
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The levels of evidence and their role in evidence-based medicine.证据的级别及其在循证医学中的作用。
Plast Reconstr Surg. 2011 Jul;128(1):305-310. doi: 10.1097/PRS.0b013e318219c171.
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The John Charnley Award: risk factors for cup malpositioning: quality improvement through a joint registry at a tertiary hospital.约翰·查恩利奖:杯位错位的危险因素:通过三级医院联合注册中心进行质量改进。
Clin Orthop Relat Res. 2011 Feb;469(2):319-29. doi: 10.1007/s11999-010-1487-1.
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J Hand Surg Eur Vol. 2009 Feb;34(1):137-8. doi: 10.1177/17531934097321.
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Orthopaedic surgeons prefer to participate in expertise-based randomized trials.骨科医生更倾向于参与基于专业知识的随机试验。
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