Tom 18, Nr 1-2 (2016)
Prace poglądowe
Opublikowany online: 2017-06-13
Wyświetlenia strony
668
Wyświetlenia/pobrania artykułu
3224
Krzywa uczenia w kontekście praktyki chirurgicznej
Chirurgia Polska 2016;18(1-2):16-23.
Streszczenie
Termin „krzywa uczenia” nie jest pojęciem nowym w chirurgii. W związku ze stałym rozwojem technik operacyjnych jej znaczenie rośnie. Jest to przydatne narzędzie do oceny postępu w czasie nabywania nowych umiejętności chirurgicznych lub w okresie wprowadzania nowej procedury na oddziale chirurgicznym.
Sporządzanie i analiza krzywych uczenia pozwala ponadto na adekwatną kontrolę postępów w trakcie szkolenia chirurgicznego, a także, w razie potrzeby, na jego modyfikację.
W artykule opisano idee krzywych uczenia, mierników rezultatów oraz potencjalne korzyści płynące z wyznaczania krzywych dla procedur chirurgicznych.
Słowa kluczowe: krzywa uczeniaszkolenie chirurgicznemiernik rezultatu
Referencje
- Wright TP. Factors Affecting the Cost of Airplanes. Journal of the Aeronautical Sciences. 1936; 3(4): 122–128.
- Grober ED, Roberts M, Shin EJ, et al. Intraoperative assessment of technical skills on live patients using economy of hand motion: establishing learning curves of surgical competence. Am J Surg. 2010; 199(1): 81–85.
- Dagher I, O'Rourke N, Geller DA, et al. Laparoscopic major hepatectomy: an evolution in standard of care. Ann Surg. 2009; 250(5): 856–860.
- Coe TM, Fong ZV, Wilson SE, et al. Outcomes Improvement Is Not Continuous Along the Learning Curve for Pancreaticoduodenectomy at the Hospital Level. J Gastrointest Surg. 2015; 19(12): 2132–2137.
- Fisher WE, Hodges SE, Wu MF, et al. Assessment of the learning curve for pancreaticoduodenectomy. Am J Surg. 2012; 203(6): 684–690.
- Cameron JL, Riall TS, Coleman J, et al. One thousand consecutive pancreaticoduodenectomies. Ann Surg. 2006; 244(1): 10–15.
- Harrysson IJ, Cook J, Sirimanna P, et al. Systematic review of learning curves for minimally invasive abdominal surgery: a review of the methodology of data collection, depiction of outcomes, and statistical analysis. Ann Surg. 2014; 260(1): 37–45.
- Hopper AN, Jamison MH, Lewis WG. Learning curves in surgical practice. Postgrad Med J. 2007; 83(986): 777–779.
- Georgiou PA, Bhangu A, Brown G, et al. Learning curve for the management of recurrent and locally advanced primary rectal cancer: a single team's experience. Colorectal Dis. 2015; 17(1): 57–65.
- Wolff T, Schumacher M, Dell-Kuster S, et al. Surgical complications in kidney transplantation: no evidence for a learning curve. J Surg Educ. 2014; 71(5): 748–755.
- Parikh D, Johnson M, Chagla L, et al. D2 gastrectomy: lessons from a prospective audit of the learning curve. Br J Surg. 1996; 83(11): 1595–1599.
- Birkmeyer JD, Finlayson SR, Tosteson AN, et al. Effect of hospital volume on in-hospital mortality with pancreaticoduodenectomy. Surgery. 1999; 125(3): 250–256.
- Cai X, Li Z, Zhang Y, et al. Laparoscopic liver resection and the learning curve: a 14-year, single-center experience. Surg Endosc. 2014; 28(4): 1334–1341.
- Bansal VK, Raveendran R, Misra MC, et al. A prospective randomized controlled blinded study to evaluate the effect of short-term focused training program in laparoscopy on operating room performance of surgery residents (CTRI /2012/11/003113). J Surg Educ. 2014; 71(1): 52–60.
- Palter VN, Orzech N, Reznick RK, et al. Validation of a structured training and assessment curriculum for technical skill acquisition in minimally invasive surgery: a randomized controlled trial. Ann Surg. 2013; 257(2): 224–230.
- Kluger MD, Vigano L, Barroso R, et al. The learning curve in laparoscopic major liver resection. J Hepatobiliary Pancreat Sci. 2013; 20(2): 131–136.
- Prakash K, Kamalesh NP, Pramil K, et al. Does case selection and outcome following laparoscopic colorectal resection change after initial learning curve? Analysis of 235 consecutive elective laparoscopic colorectal resections. J Minim Access Surg. 2013; 9(3): 99–103.
- Pecorelli N, Balzano G, Capretti G, et al. Effect of surgeon volume on outcome following pancreaticoduodenectomy in a high-volume hospital. J Gastrointest Surg. 2012; 16(3): 518–523.
- Hofer I, Spivack J, Yaport M, et al. Association between anesthesiologist experience and mortality after orthotopic liver transplantation. Liver Transpl. 2015; 21(1): 89–95.
- Weller J, Cumin D, Torrie J, et al. Multidisciplinary operating room simulation-based team training to reduce treatment errors: a feasibility study in New Zealand hospitals. N Z Med J. 2015; 128(1418): 40–51.
- Patriti A, Marano L, Casciola L. MILS in a general surgery unit: learning curve, indications, and limitations. Updates Surg. 2015; 67(2): 207–213.
- Nomi T, Fuks D, Kawaguchi Y, et al. Learning curve for laparoscopic major hepatectomy. Br J Surg. 2015; 102(7): 796–804.
- Yamamoto M, Okuda J, Tanaka K, et al. Evaluating the learning curve associated with laparoscopic left hemicolectomy for colon cancer. Am Surg. 2013; 79(4): 366–371.
- Richardson MC, Bell G, Fullarton GM. Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5913 cases. West of Scotland Laparoscopic Cholecystectomy Audit Group. Br J Surg. 1996; 83(10): 1356–1360.
