Effect of cataract surgery training on operating room productivity: How long trainees take

Park, Dong Young; Walkden, Andrew; Klerk, Timothy A de

doi:10.1016/j.jcrs.2016.07.029

Cited by 8 publications

(2 citation statements)

References 3 publications

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“…For instance, in a retrospective study of 1904 cases in Manchester Royal Eye Hospital, the mean surgical training time decreased from 27.63 ± 12.57 minutes for 1-to 3-year trainees to 22.55 ± 11.90 minutes for 4-to 7-year trainees. 25 Aside from years in training and surgeon grade, a study at Epsom and St. Helier University National Health Service Trust in London examined factors which significantly affected cataract surgery operating time such as anesthesia type, case complexity, pupil size, pupil expander use, capsular tension ring use and presence of intraoperative complications. 26 The ICO-OSCAR, a standardized internationally valid tool to teach and assess an ophthalmologist's competence in performing surgery, is applied by the Philippine Board of Ophthalmology (PBO) for the assessment of residents' phacoemulsification surgeries.…”

Section: Discussionmentioning

confidence: 99%

<p>Operative Time and Complication Rates of Resident Phacoemulsification Surgeries in a National University Hospital: A Five-Year Review</p>

Umali¹,

Castillo²

2020

OPTH

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Purpose: To determine the operative time and complication rates of resident phacoemulsification surgeries at different time points in training. Methods: Retrospective cross-sectional study at the Department of Ophthalmology of the Philippine General Hospital. All resident-performed elective adult phacoemulsification surgeries from January 1, 2014, to December 31, 2018, were included, while operations with planned anterior or posterior procedures were excluded. Cases were arranged chronologically and divided into time points with 25 cases each. Operative time and complication rates were computed for each time point. As defined by the ICO Ophthalmology Surgical Competency Assessment Rubric (OSCAR), 30 minutes was used to gauge competency based on operative time, while complications were compared to published rates for residents. Results for the first 50 cases, the minimum number required by graduation, were also compared with succeeding cases. Results: A total of 4635 cases were included. Residents performed an average of 115.9 ± 30.4 cases, with no significant difference among residents (F(4,35)=2.64, p=0.12). Overall complication rate was 6% (n=276), similar to those reported internationally. Both median operative time and complication rates decreased significantly for every time point in training (p<0.001). After 50 cases, only 40% (n=16) of residents reached the operative time of 30 minutes. Median operative time is significantly lower when comparing the first 50 surgeries with the succeeding cases (37 minutes vs 29 minutes, p<0.001). Likewise, complication rate is also significantly lower (9.3% vs 3.5%, Χ 2 (1, N=4635) = 68.481, p<0.001), with an odds ratio of 2.85 (p<0.001, 95% CI [2.2, 3.7]). Conclusion: There are significant improvements in both operative time and complication rates as more surgeries are performed. However, the minimum required 50 cases is not enough for resident competency based on operative time and complication rates.

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Section: Discussionmentioning

confidence: 99%

<p>Operative Time and Complication Rates of Resident Phacoemulsification Surgeries in a National University Hospital: A Five-Year Review</p>

Umali¹,

Castillo²

2020

OPTH

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show abstract

“…Furthermore, there was no significant difference in major intraoperative and postoperative complications between the two cohorts. It should be noted that this low incidence of major operative complications may have been associated with the surgeon's experience and the use of standardized modern surgical techniques [15][16].…”

Section: Discussionmentioning

confidence: 99%

Low-Grade Versus Medium-Grade Nuclear Sclerotic Cataract Density Produces Identical Surgical and Visual Outcomes: A Prospective Single-Surgeon Study

Lam

Zhang

Jain

et al. 2020

Cureus

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Improved utilization of operating room time for trainee cataract surgery in a public hospital setting

Kang

Padmanabhan

Schallhorn

et al. 2018

Journal of Cataract and Refractive Surgery

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Effect of cataract surgery training on operating room productivity: How long trainees take

Abstract: None of the authors has a financial or proprietary interest in any material or method mentioned.

Cited by 8 publications

References 3 publications

<p>Operative Time and Complication Rates of Resident Phacoemulsification Surgeries in a National University Hospital: A Five-Year Review</p>

<p>Operative Time and Complication Rates of Resident Phacoemulsification Surgeries in a National University Hospital: A Five-Year Review</p>

Low-Grade Versus Medium-Grade Nuclear Sclerotic Cataract Density Produces Identical Surgical and Visual Outcomes: A Prospective Single-Surgeon Study

Improved utilization of operating room time for trainee cataract surgery in a public hospital setting

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