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| 篇名 |
Comparison case number of E‑Da hospital neurosurgical residency training in spine and peripheral nerve cases to America’s national data |
| 作者 |
Yu‑Ying Wu, Te‑Yuan Chen, Po‑Yuan Chen, Kang Lu, Cheng‑Loong Liang, Wei‑Jie Tzeng, Cien‑Leong Chye, Hao‑Kuang Wang, I‑Fan Lin |
| 卷期/出版年月 |
53卷3期 (2020/6) |
| 頁次 |
87-92 |
| 摘要 |
Background: The purpose of this study was to evaluate the trends in adult spinal cases performed by E‑Da hospital graduating neurological surgery residents, then comparing the case volumes against the national means in the US.
Materials and Methods: The E‑Da surgical case volumes were extracted using the hospital billing system for the years 2008–2017. These logs were coded according to the Accreditation Council for Graduate Medical Education guideline, providing a fair comparison against US national means. Linear regression analyses were conducted to identify changes in spinal categories. Finally, an unpaired student t‑test was performed to compare E‑Da case volumes to America’s national means.
Results: An average of 781.5 total spinal procedures were performed in the past 4 years of residency training for each of the four graduated E‑Da neurosurgical residents, with the individual total caseload increasing by 38.07 cases each year (r2 = 0.40). The US national average was 427.72 spinal procedures for each of the 877 graduating residents, increasing by 19.96 cases every year (r2 = 0.95). E‑Da has significantly more thoracic/lumbar instrumentation fusion procedures (mean 486.00 ± 90.27) and anterior
cervical approach for decompression/stabilization and fusion procedures (mean 182.75 ± 42.91) than the US (means 145.95 ± 3.07 and 72.66 ± 4.62, respectively). The US has significantly more lumbar discectomy
procedures (mean 125.70 ± 2.89), posterior cervical approach for decompression/stabilization and fusion procedures (mean 56.98 ± 3.73) and peripheral nerve procedures (mean 26.2 ± 0.79) than E‑Da (means
64.5 ± 8.54, 39.75 ± 4.99, and 8.50 ± 5.07, respectively).
Conclusion: Neurosurgical residents’ surgical case exposures to different spinal categories were very different in E‑Da and the US. Case entry logs provide valuable information nationally and internationally. |
| 關鍵詞 |
Accreditation council for graduate medical education, case logs, E‑Da hospital, neurological surgery, residency, spine and peripheral nerve |
| 分類 |
Original Article |
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