The Influence of Surgical Operative Experience on the Duration of First Ventriculoperitoneal Shunt Function and Infection
| العنوان: | The Influence of Surgical Operative Experience on the Duration of First Ventriculoperitoneal Shunt Function and Infection |
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| المؤلفون: | John R. W. Kestle, D. Douglas Cochrane |
| المصدر: | Pediatric Neurosurgery. 38:295-301 |
| بيانات النشر: | S. Karger AG, 2003. |
| سنة النشر: | 2003 |
| مصطلحات موضوعية: | Reoperation, Canada, medicine.medical_specialty, Ventriculoperitoneal Shunt, Central nervous system disease, medicine, Humans, Surgical Wound Infection, Derivation, Surgeon volume, Retrospective Studies, business.industry, Infant, General Medicine, Ventricular shunt, medicine.disease, Infection rate, Surgery, Hydrocephalus, Shunt (medical), Survival Rate, Pediatrics, Perinatology and Child Health, Equipment Failure, Clinical Competence, Neurology (clinical), Complication, business, Follow-Up Studies |
| الوصف: | The relationship of surgeon experience, measured by operative volume, to the outcomes of ventricular shunt treatment of hydrocephalus in children is not clear. This paper explores this relationship based on first ventriculoperitoneal shunts (VPS) implanted in English-speaking Canada during the period from April 1989 to March 2001. Three thousand seven hundred and ninety-four first VPS insertions, performed by 254 surgeons, were reviewed. Surgical experience was represented by the number of shunt operations performed during the study period by each surgeon prior to the date of the operation. The 6-month shunt failure risk for less experienced surgeons was 38%, compared to 31% for more experienced surgeons. This difference decreased to 4% at 60 months and 3% at 120 months (p = 0.001). The infection rate for initial shunt insertions was 7% for patients treated by more experienced surgeons and 9.4% for those treated by less experienced surgeons (p = 0.006). A relationship between surgeon experience and shunt outcome that appears to be based on the operative experience that a surgeon brings to a procedure is in keeping with clinical experience. This observation has implications for public policy, service planning and surgical mentorship during the earlier years of a surgeon’s career. |
| تدمد: | 1423-0305 1016-2291 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::43abd07fd604e2703a664a4c0c76f43aTest https://doi.org/10.1159/000070413Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....43abd07fd604e2703a664a4c0c76f43a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14230305 10162291 |
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