Resident Involvement Does Not Influence Complication After Total Hip Arthroplasty: An Analysis of 13,109 Cases

Haughom, Bryan D.; Schairer, William W.; Hellman, Michael D.; Yi, Paul H.; Levine, Brett R.

doi:10.1016/j.arth.2014.06.003

Cited by 64 publications

(58 citation statements)

References 31 publications

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“…This is in accordance with literature reporting a prolonged operative time due to surgical training 9, 24, 27, 28 . In abdominal surgery resident involvement in laparoscopic appendectomy was related with an extension in surgical time of 14 minutes 27 .…”

Section: Discussionsupporting

confidence: 93%

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Trainee Surgeons Affect Operative Time but not Outcome in Minimally Invasive Total Hip Arthroplasty

Weber¹,

Benditz²,

Woerner³

et al. 2017

Sci Rep

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Training of young surgeons in total hip arthroplasty (THA) is crucial, but might affect operative time and outcome especially in minimally invasive (MIS) THA. We asked whether the learning curve of orthopaedic residents trained on MIS THA has an impact on (1) operative time (2) complication rates and (3) early postoperative outcome. In a retrospective analysis of over 1000 MIS THAs from our institutional joint registry, operative time, complication rates, patient reported outcome measures (Western Ontario and McMaster Universities Arthritis Index [WOMAC] and Euro-Qol 5D-5L [EQ-5D]) within the first year and responder rates for positive outcome as defined by the Outcome Measures in Rheumatology and Osteoarthritis Research Society International consensus responder (OMERACT-OARSI) criteria were compared between trainee and senior surgeons. Mean operative time was nine minutes longer for trainees compared to senior surgeons (78.1 ± 25.4 min versus 69.3 ± 23.8 min, p < 0.001). Dislocation (p = 0.21), intraoperative fracture (p = 0.84) and infection rates (p = 0.58) were comparably low in both groups. Both trainee and senior THAs showed excellent improvement of EQ-5D (0.34 ± 0.26 versus 0.32 ± 0.23, p = 0.40) and WOMAC (45.9 ± 22.1 versus 44.9 ± 20.0, p = 0.51) within the first year after surgery without clinical relevant differences. Similarly, responder rates for positive outcome were comparable between trainees with 92.9% and senior surgeons with 95.2% (p = 0.17). MIS THA seems to be a safe procedure during the learning curve of young orthopaedic specialists, but requires higher operative time.

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Section: Discussionsupporting

confidence: 93%

“…Furthermore, the growing socioeconomic pressure for time efficient surgery additionally interferes with the opportunity for young surgeons to train operative procedures. However, the debate on outcome and complication rates after THA performed by trainees is still controversial 6–9 .…”

Section: Introductionmentioning

confidence: 99%

Trainee Surgeons Affect Operative Time but not Outcome in Minimally Invasive Total Hip Arthroplasty

Weber¹,

Benditz²,

Woerner³

et al. 2017

Sci Rep

View full text Add to dashboard Cite

show abstract

“…What effect does this have on patient safety and quality when compared to those with faculty-only surgical procedures [7]? Perioperative complications do not appear to be influenced by resident involvement [7,10,12,19]. This is also the case in other countries [8].…”

Section: Trends In Residency Programsmentioning

confidence: 94%

CORR ® Curriculum — Orthopaedic Education: Developing Safe, Independent Practitioners

Dougherty

DeMaio

DeRosa

2015

Clinical Orthopaedics &Amp; Related Research

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“…The most recent studies utilizing the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) in orthopedics have demonstrated no difference in the complication rates when evaluating the effect of residents' involvement in total joint arthroplasty, arthroscopy, lower extremity (LE) trauma, and spine surgery. [12][13][14][15][16] To date, no study has looked at the impact of residents' intraoperative involvement in orthopedic trauma. Previous studies assessing the effect of residents' involvement in orthopedic surgery have evaluated cohorts composed largely of arthroplasty, spine, and arthroscopy patients.…”

Section: Introductionmentioning

confidence: 99%

The impact of resident involvement on outcomes in orthopedic trauma: An analysis of 20,090 cases

Mitchell¹,

Гаврилова²,

Dodd³

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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Resident Involvement Does Not Influence Complication After Total Hip Arthroplasty: An Analysis of 13,109 Cases

Cited by 64 publications

References 31 publications

Trainee Surgeons Affect Operative Time but not Outcome in Minimally Invasive Total Hip Arthroplasty

Trainee Surgeons Affect Operative Time but not Outcome in Minimally Invasive Total Hip Arthroplasty

CORR ® Curriculum — Orthopaedic Education: Developing Safe, Independent Practitioners

The impact of resident involvement on outcomes in orthopedic trauma: An analysis of 20,090 cases

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