Cohen Lara L, Massel Dustin H, Geller Joseph S, Chen David L, Dodds Seth D
Department of Orthopaedics, University of Miami, Miller School of Medicine, Miami, Florida.
J Wrist Surg. 2021 Jul 15;11(1):35-40. doi: 10.1055/s-0041-1731330. eCollection 2022 Feb.
Recent efforts to standardize reporting of surgeon experience in novel technique publications have recommended reporting of Tang level of expertise (LOE). The aim of this study was to document trends in LOE reporting for novel technique articles published in the and evaluate whether author experience affects novel research outcomes. A total of 261 articles published from 2018 to 2020 were reviewed. Articles describing novel surgical techniques were included and examined for Tang LOE. Author variables were collected online. Eight percent (21/261) of articles discussed novel surgical techniques and one reported LOE. Nearly half (47.6%) of articles did not conduct statistical analysis. Four (19.0%) reported insignificant statistical results and 7 (33.3%) reported significant findings. All significant statistical findings were positive. Number of prior related publications by the senior author did not affect new technique result significance ( = 0.34). From 2018 to 2020, only one article documented LOE. Authors' variables, including number of prior related publications, were not correlated with significant results in their new publications. This may suggest that an author's established experience in a novel technique, quantified by prior publications on the topic, does not make one more likely to achieve significantly better or worse outcomes in their reviewed study. Tang LOE is an important way for readers to classify expertise and should be reported, and potentially modified to better define contributing variables.
近期在新技术出版物中规范外科医生经验报告的努力建议报告唐式专业水平（LOE）。本研究的目的是记录发表在[具体期刊名称未给出]上的新技术文章中LOE报告的趋势，并评估作者经验是否会影响新的研究结果。共审查了2018年至2020年发表的261篇文章。纳入了描述新型手术技术的文章并检查其唐式LOE。作者变量通过在线收集。8%（21/261）的文章讨论了新型手术技术，其中一篇报告了LOE。近一半（47.6%）的文章未进行统计分析。4篇（19.0%）报告了无统计学意义的结果，7篇（33.3%）报告了显著结果。所有显著的统计结果都是阳性的。资深作者之前相关出版物的数量不影响新技术结果的显著性（P = 0.34）。2018年至2020年，只有一篇文章记录了LOE。作者变量，包括之前相关出版物的数量，与他们新出版物中的显著结果无关。这可能表明，作者在新技术方面已有的经验（通过该主题之前的出版物量化）并不会使其在其综述研究中更有可能获得显著更好或更差的结果。唐式LOE是读者对专业水平进行分类的重要方式，应予以报告，并可能进行修改以更好地定义影响变量。
