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Marko Martinovski, A. Navratil, T. Zeni, M. Jonker, Jane Ferraro, Jeremy Albright, R. Cleary (2017)
Effects of Resident or Fellow Participation in Sleeve Gastrectomy and Gastric Bypass: Results from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP)Journal of The American College of Surgeons, 225
Alan Daniels, C. Ames, Justin Smith, R. Hart (2014)
Variability in spine surgery procedures performed during orthopaedic and neurological surgery residency training: an analysis of ACGME case log data.The Journal of bone and joint surgery. American volume, 96 23
Daniel Schwartz, J. Auerbach, J. Dormans, J. Flynn, D. Drummond, J. Bowe, S. Laufer, Suken Shah, J. Bowen, P. Pizzutillo, Kristofer Jones (2007)
Neurophysiological detection of impending spinal cord injury during scoliosis surgery.The Journal of bone and joint surgery. American volume, 89 11
K. Verma, B. Lonner, Laura Dean, D. Vecchione, V. Lafage (2013)
Reduction of Mean Arterial Pressure at Incision Reduces Operative Blood Loss in Adolescent Idiopathic ScoliosisSpine Deformity, 1
J. Auerbach, B. Lonner, M. Antonacci, Kristin Kean (2008)
Perioperative Outcomes and Complications Related to Teaching Residents and Fellows in Scoliosis SurgerySpine, 33
(1976)
the learning curve and evolution in technique in the treatment of adolescent idiopathic scoliosis
M. Heffernan, Derek Seehausen, L. Andras, D. Skaggs (2014)
Comparison of Outcomes After Posterior Spinal Fusion for Adolescent Idiopathic and Neuromuscular Scoliosis: Does the Surgical First Assistant's Level of Training Matter?Spine, 39
B. Lonner, J. Auerbach, M. Estreicher, Kristin Kean (2009)
Thoracic Pedicle Screw Instrumentation: The Learning Curve and Evolution in Technique in the Treatment of Adolescent Idiopathic ScoliosisSpine, 34
Amer Samdani, A. Ranade, D. Sciubba, P. Cahill, M. Antonacci, D. Clements, R. Betz (2009)
Accuracy of free-hand placement of thoracic pedicle screws in adolescent idiopathic scoliosis: how much of a difference does surgeon experience make?European Spine Journal, 19
F. Schroeck, C. Sousa,, Ross Kalman, Maitri Kalia, S. Pierre, G. Haleblian, Leon Sun, J. Moul, D. Albala (2008)
Trainees do not negatively impact the institutional learning curve for robotic prostatectomy as characterized by operative time, estimated blood loss, and positive surgical margin rate.Urology, 71 4
Carolyn Seib, D. Greenblatt, M. Campbell, W. Shen, J. Gosnell, O. Clark, Q. Duh (2014)
Adrenalectomy outcomes are superior with the participation of residents and fellows.Journal of the American College of Surgeons, 219 1
L. Carreon, J. Sanders, M. Diab, D. Sucato, P. Sturm, S. Glassman (2010)
The Minimum Clinically Important Difference in Scoliosis Research Society-22 Appearance, Activity, and Pain Domains After Surgical Correction of Adolescent Idiopathic ScoliosisSpine, 35
B. Lonner, C. Scharf, D. Antonacci, Y. Goldstein, G. Panagopoulos (2005)
The Learning Curve Associated With Thoracoscopic Spinal InstrumentationSpine, 30
W. Muhly, J. Mccloskey, J. Feldman, Barbara Dezayas, Michael Blum, Blair Kraus, Vaidehi Mehta, Devika Singh, R. Keren, J. Flynn (2017)
Sustained improvement in intraoperative efficiency following implementation of a dedicated surgical team for pediatric spine fusion surgeryPerioperative Care and Operating Room Management, 7
P. Cahill, J. Pahys, J. Asghar, B. Yaszay, M. Marks, T. Bastrom, B. Lonner, Suken Shah, H. Shufflebarger, P. Newton, R. Betz, A. Samdani (2014)
The effect of surgeon experience on outcomes of surgery for adolescent idiopathic scoliosis.The Journal of bone and joint surgery. American volume, 96 16
A. Edelstein, F. Lovecchio, Sujata Saha, W. Hsu, John Kim (2014)
Impact of Resident Involvement on Orthopaedic Surgery Outcomes: An Analysis of 30,628 Patients from the American College of Surgeons National Surgical Quality Improvement Program Database.The Journal of bone and joint surgery. American volume, 96 15
Background: At academic medical centers, residents and fellows play an integral role as surgical first assistants in spinal deformity surgery. However, limited data exist on whether the experience level of the surgical assistant affects outcomes. Methods: We conducted a multicenter, multisurgeon study comparing perioperative and postoperative outcomes after adolescent idiopathic scoliosis (AIS) surgery for the same 11 surgeons who performed cases that were assisted by residents compared with cases that were assisted by fellows. Blood loss, operative time, duration of hospitalization, complication rates, Scoliosis Research Society (SRS)-22 questionnaire scores, and radiographic outcomes were compared between the 2 groups. Results: We evaluated outcomes for 347 surgical procedures; 118 cases were assisted by residents and 229 were assisted by fellows. Preoperative radiographic and demographic parameters were not different between the groups. The resident group had significantly more estimated blood loss than the fellow group (939 compared with 762 mL, p = 0.02). Otherwise, the perioperative characteristics were similar between the groups, including the volume of the autologous blood recovery system product that was transfused, the operative time, and the occurrence of intraoperative neuromonitoring changes. Postoperatively, the percentage correction of the Cobb angle, the number of levels that had been fused, the number of days until the discharge criteria had been met, and the rate of major complications were similar between the groups. At the 2-year follow-up, the overall and subdomain SRS-22 questionnaire scores were not different between the groups, except that patients in the resident-assisted group had slightly worse pain scores than those in the fellow-assisted group (4.3 compared with 4.5, p = 0.01). Conclusions: The first assistant’s level of training did not affect clinical or radiographic outcomes following AIS surgery. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. 1Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania 2Shriners Hospitals for Children—Philadelphia, Philadelphia, Pennsylvania 3Rady Children’s Hospital—San Diego, San Diego, California 4Mount Sinai Beth Israel Medical Center, New York, NY 5BC Children’s Hospital, Vancouver, British Columbia, Canada 6Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware Investigation performed at Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania Disclosure: This study was supported by a research grant from the Setting Scoliosis Straight Foundation in support of the Harms Study Group, of which 8 of the authors (J.M.F., J.M.P., A.F.S., B.Y., B.S.L., F.M., S.A.S., and P.J.C.) are members. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work; “yes” to indicate that the author had a patent and/or copyright, planned, pending, or issued, broadly relevant to this work; and “yes” to indicate that the author had other relationships or activities that could be perceived to influence, or have the potential to influence, what was written in this work (http://links.lww.com/JBJS/F176).
The Journal of Bone & Joint Surgery – Wolters Kluwer Health
Published: Mar 20, 2019
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