The coblation tonsillectomy learning curve.
Otolaryngol Head Neck Surg
; 138(2): 149-52, 2008 Feb.
Article
em En
| MEDLINE
| ID: mdl-18241706
ABSTRACT
OBJECTIVE:
To establish if there is a learning curve for coblation tonsillectomy. STUDYDESIGN:
Regression analysis of data obtained from surgeons identified from the Australian Tonsillectomy Survey. SUBJECTS ANDMETHODS:
Thirty otolaryngologists were invited to contribute audit data. Data were stratified into groups of 10 procedures and analysed with regression analysis.RESULTS:
Nineteen (70%) surgeons responded. Complete data were obtained for 1700 cases and return to theatre data on 2062 cases. There was a significant learning curve with respect to both primary (P = 0.050) and secondary (P = 0.028) hemorrhage rates. Mean rates were 0.3% (95% CI 0.1% to 0.7%) and 2.1% (95% CI 1.5% to 2.9%) for primary and secondary bleeds, respectively, with return to theatre in 0.2% (95% CI 0.1% to 0.5%) and 1.3% (95% CI 0.9% to 1.9%), respectively.CONCLUSION:
The introduction of coblation tonsillectomy into Australia was associated with a statistically significant learning curve with respect to both primary and secondary hemorrhage rates.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Otolaringologia
/
Tonsilectomia
/
Competência Clínica
/
Educação Médica Continuada
/
Eletrocoagulação
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Oceania
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article