Revalidation and Retinal Detachment

Aylward, Bill

doi:10.1159/000328214

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…RD surgery is considered to be a benchmark operation for systematic evaluation of ophthalmic surgery [ 1 ]. It provides important data for the quality of surgical performance in ophthalmology, which in many other cases is difficult to measure.…”

Section: Discussionmentioning

confidence: 99%

The learning curve of retinal detachment surgery

Radeck

Helbig

Barth

et al. 2021

Graefes Arch Clin Exp Ophthalmol

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Purpose To investigate the learning curve of vitreoretinal (VR) surgeons beginning training in retinal detachment (RD) surgery. Methods The files of all consecutive patients undergoing VR surgery for uncomplicated RD between Jan 2005 und Mar 2020 were retrospectively reviewed. Successful outcome was defined as no retinal redetachment within 3 months after surgery. Results Ten surgeons started their VR career during this period. Together, these 10 surgeons performed 3786 RD operations (mean 379; median 251; range 71–1053). Primary success rate after one operation was 90% (3420 of 3786). When starting to operate retinal detachments, VR surgeons had a primary success rate of about 80%. Redetachment rates steadily decreased and stabilized at just under 10% after about 200 operations. Beginners needed more than twice the time for the procedure compared to experienced surgeons. The individual learning curves varied widely. In our series, female surgeons seem to have a faster learning curve. Conclusion RD surgery performed by VR surgeons in training had acceptable results. With increasing experience, success rates continuously improve reaching stable levels after approximately 200 operations. The training of VR surgeons requires considerable resources.

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Section: Discussionmentioning

confidence: 99%

The learning curve of retinal detachment surgery

Radeck

Helbig

Barth

et al. 2021

Graefes Arch Clin Exp Ophthalmol

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“…Despite variability in the clinical spectrum leading to variable outcomes, RD repair has been proposed as the benchmark operation for the systematic evaluation of vitreo-retinal specialists [2]. …”

Section: Introductionmentioning

confidence: 99%

Sequential Hypothesis Testing to Characterise the Learning Curve and Monitor Surgical Performance in Retinal Detachment Surgery

Keller

Haynes²,

Sparrow³

2016

Ophthalmologica

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Purpose: To characterise the learning curve of primary retinal detachment (RD) repair for trainee surgeons and monitor the outcomes of surgery for established surgeons. Procedures: Primary RD operations were analysed sequentially using the cumulative sum (CUSUM) and the sequential probability ratio test (SPRT). Results: 359 analysed cases of primary RD were audited with a recurrent RD (ReRD) rate of 14.7%. The individual rate of ReRD ranged from 9.4 to 17.4% (p = 0.74). SPRT and CUSUM analyses showed that ReRD occurred at random when operated by senior surgeons but a learning curve was discernible for junior surgeons. There was a trend for a higher proportion of ReRD caused by untreated breaks in cases operated by junior surgeons (p = 0.75). Conclusion: SPRT and CUSUM are useful methods to monitor surgical outcomes and should be included in audits of sequential operations such as RD. Trainee surgeons experience a quantifiable learning curve.

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Revalidation and Retinal Detachment

Cited by 2 publications

References 2 publications

The learning curve of retinal detachment surgery

The learning curve of retinal detachment surgery

Sequential Hypothesis Testing to Characterise the Learning Curve and Monitor Surgical Performance in Retinal Detachment Surgery

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