open access

Vol 88, No 1 (2017)
Research paper
Published online: 2017-01-31
Get Citation

The content of this article is also available in the following languages:
Polski

Cumulative summation test for learning curve (LC-CUSUM) in outpatient hysteroscopy

Tadeusz Issat, Jaroslaw Beta, Marcin Januszewski, Artur J. Jakimiuk
·
Pubmed: 28157252
·
Ginekol Pol 2017;88(1):9-12.

open access

Vol 88, No 1 (2017)
ORIGINAL PAPERS Gynecology
Published online: 2017-01-31

Abstract

Objectives: Outpatient hysteroscopy has become an integral part of postgraduate training in gynecology. It is an operator-dependent procedure, however there are no recommendations regarding total number of performed procedures to reach proficiency.

Material and methods: This study aimed to assess the learning curve (LC) using cumulative summation test for learning curve (LC-CUSUM).

Results: A success rate of 97% a failure rate ≥ 10% were established to denote an adequate and an inadequate performance. A third-year trainee needed 56 procedures to reach the predefined level of performance.

Conclusions: As the length of the LC for outpatient hysteroscopy seems highly variable, it is reasonable to provide tailored monitoring while training.

Abstract

Objectives: Outpatient hysteroscopy has become an integral part of postgraduate training in gynecology. It is an operator-dependent procedure, however there are no recommendations regarding total number of performed procedures to reach proficiency.

Material and methods: This study aimed to assess the learning curve (LC) using cumulative summation test for learning curve (LC-CUSUM).

Results: A success rate of 97% a failure rate ≥ 10% were established to denote an adequate and an inadequate performance. A third-year trainee needed 56 procedures to reach the predefined level of performance.

Conclusions: As the length of the LC for outpatient hysteroscopy seems highly variable, it is reasonable to provide tailored monitoring while training.

Get Citation

Keywords

LC-CUSUM, CUSUM, learning curve, hysteroscopy, outpatient hysteroscopy

About this article
Title

Cumulative summation test for learning curve (LC-CUSUM) in outpatient hysteroscopy

Journal

Ginekologia Polska

Issue

Vol 88, No 1 (2017)

Article type

Research paper

Pages

9-12

Published online

2017-01-31

Page views

1796

Article views/downloads

2394

DOI

10.5603/GP.a2017.0002

Pubmed

28157252

Bibliographic record

Ginekol Pol 2017;88(1):9-12.

Keywords

LC-CUSUM
CUSUM
learning curve
hysteroscopy
outpatient hysteroscopy

Authors

Tadeusz Issat
Jaroslaw Beta
Marcin Januszewski
Artur J. Jakimiuk

References (12)
  1. Dagash H, Chowdhury M, Pierro A. When can I be proficient in laparoscopic surgery? A systematic review of the evidence. J. Pediatr. Surg. 2003; 38(5): 720–724.
  2. Steiner SH, Cook RJ, Farewell VT. Monitoring paired binary surgical outcomes using cumulative sum charts. Stat Med. 1999; 18(1): 69–86, doi: 10.1002/(sici)1097-0258(19990115)18:1<69::aid-sim966>3.0.co;2-l.
  3. Nizard RS, Porcher R, Ravaud P, et al. Use of the Cusum technique for evaluation of a CT-based navigation system for total knee replacement. Clin. Orthop. Relat. Res. 2004(425): 180–188.
  4. Boulkedid R, Sibony O, Bossu-Salvador C, et al. Monitoring healthcare quality in an obstetrics and gynaecology department using a CUSUM chart. BJOG. 2010; 117(10): 1225–1235.
  5. Balsyte D, Schäffer L, Burkhardt T, et al. Continuous independent quality control for fetal ultrasound biometry provided by the cumulative summation technique. Ultrasound Obstet Gynecol. 2010; 35(4): 449–455.
  6. Biau DJ, Porcher R, Salomon LJ. CUSUM: a tool for ongoing assessment of performance. Ultrasound Obstet Gynecol. 2008; 31(3): 252–255.
  7. Biau DJ, Williams SM, Schlup MM, et al. Quantitative and individualized assessment of the learning curve using LC-CUSUM. Br J Surg. 2008; 95(7): 925–929.
  8. Dessolle L, Fréour T, Barrière P, et al. How soon can I be proficient in embryo transfer? Lessons from the cumulative summation test for learning curve (LC-CUSUM). Hum. Reprod. 2010; 25(2): 380–386.
  9. Campbell RD, Hecker KG, Biau DJ, et al. Student attainment of proficiency in a clinical skill: the assessment of individual learning curves. PLoS ONE. 2014; 9(2): e88526.
  10. Montgomery DC. Introduction to Statistical Quality Control. 6th edn. Chichester: John Wiley & Sons. : 2008.
  11. Issat T, Beta J, Nowicka MA, et al. Accuracy and diagnostic value of outpatient hysteroscopy for malign and benign disease. Eur. J. Gynaecol. Oncol. 2014; 35(1): 52–55.
  12. De Angelis C, Santoro G, Re ME, et al. Office hysteroscopy and compliance: mini-hysteroscopy versus traditional hysteroscopy in a randomized trial. Hum. Reprod. 2003; 18(11): 2441–2445.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl