Learning curves in orthopaedic surgery: A case for super-specialisation?

Annals of the Royal College of Surgeons of England

Volumn 89, Issue 2, 2007, Pages 143-146

  Jain, N P M ^a   Jowett, A J L ^a   Clarke, N M P ^a  

^a SOUTHAMPTON GENERAL HOSPITAL   (United Kingdom)

Author keywords

Avascular necrosis; Developmental dysplasia of the hip; Learning curves; Specialist centres

Indexed keywords

ARTICLE; AVASCULAR NECROSIS; CONTROLLED STUDY; FRACTURE REDUCTION; HIP DYSPLASIA; HUMAN; INCIDENCE; LEARNING; MAJOR CLINICAL STUDY; OPEN REDUCTION; ORTHOPEDIC SURGERY; OUTCOME ASSESSMENT; RADIODIAGNOSIS; SURGEON;

CLINICAL COMPETENCE; HIP DISLOCATION, CONGENITAL; HUMANS; INFANT; MEDICAL AUDIT; ORTHOPEDIC PROCEDURES; ORTHOPEDICS; RETROSPECTIVE STUDIES; SPECIALISM;

EID: 33847784471     PISSN: 00358843     EISSN: None     Source Type: Journal    
DOI: 10.1308/003588407X155798     Document Type: Article

References (16)

1. Dyer C. Bristol case surgeon claimed to have been on 'learning curve'. BMJ 1999; 319: 1456.
2. Gallivan S. The Bristol Inquiry - Learning curves in relation to surgery. A discussion paper. .
3. The Senate of Surgery of Great Britain and Ireland. Response to the General Medical Council determination on the Bristol case: Senate Paper 5 - October 1998.
4. Birkmeyer JD, Siewers AF, Finlayson EV, Stukel TA, Lucas FI, Batista I et al. Hospital volume and surgical mortality in the United States. N Engl J Med 2002; 346: 1128-37.
5. Sollano JA, Geljins AC, Moskowitz AJ, Heitjan DF, Cullinane S, Saha T. Volume-outcome relationships in cardiovascular operations: New York State, 1990-1995. J Thorac Cardiovasc Surg 1999; 117: 419-30.
6. Spiegelhalter DJ. Mortality and volume of cases in paediatric cardiac surgery: retrospective study based on routinely collected data. BMJ 2001; 327: 1-5.
7. Tonnis D. Ischaemic necrosis as a complication of treatment of CDH. Acta Orthop Belg 1990; 56: 195-206.
8. Thomas IH, Dunin AJ, Cole WG, Menelaus MB. Avascular necrosis after open reduction for congenital dislocation of the hip: analysis of the causative factors and natural history. J Pediatr Orthop 1989; 95: 25-31.
9. Fisher RL, Cary JM. Avascular necrosis complicating congenital dislocation of the hip. Course, prognosis, and orthopaedic management. Int Orthop 1978; 2: 229-40.
10. Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 1980; 62: 876-88.
11. Novick RJ, Stitt LW. The learning curve of an academic surgeon: use of the CUSUM method. J Card Surg 1999; 14: 312-20.
12. Forbes TL, DeRose G, Kribs SW, Harris KA. Cumulative sum failure analysis of the learning curve with endovascular abdominal aortic aneurysm repair. J Vasc Surg 2004; 39: 102-8.
13. Borges JLP, Kumar SJ, Guille JT. Congenital dislocation of the hip in boys. J Bone Joint Surg Am 1995; 77: 975-84.
14. Hasan A, Pozzi M, Hamilton L. New surgical procedures: can we minimise the learning curve? BMJ 2000; 320: 171-3.
15. Moore RG, Averch TD, Schulam PG, Adams JB, Chen RN, Kavoussi LR. Laparoscopic pyeloplasty: experience with the initial 30 cases. J Urol 1997; 157: 459-62.
16. Treasure T, Utley M, Bailey A. Assessment of whether in hospital mortality for lobectomy is a useful standard for the quality of lung cancer surgery: retrospective study. BMJ 2003; 327: 73-5.