2020
DOI: 10.1253/circj.cj-19-0800
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The Impact of Post-Graduate Year of Primary Surgeon on Technical Performance Score in Tetralogy of Fallot Repair

Abstract: mediate-term clinical outcomes and can also serve as a predictor of need for reintervention regardless of patient age and disease complexity. 4,5 Methods Patients and Surgical Procedure The National Cerebral and Cardiovascular Center Institutional Review Board approved this retrospective study, and opt-out consent was obtained instead of individual written informed consent (R19043-2). A total of 159 consecutive patients undergoing repair of TOF primarily or after systemic to pulmonary shunt between 2001 and 20… Show more

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Cited by 3 publications
(10 citation statements)
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“…Since 2007, researchers at the Boston Children's Hospital have been demonstrating that TPS is an important predictor of short and medium-term outcomes [ 6 , 9 - 13 , 22 , 28 ] . Researchers from England and Japan also evaluated their surgical performance and postoperative outcomes using TPS with similar findings [ 29 , 30 ] .…”
Section: Discussionmentioning
confidence: 92%
“…Since 2007, researchers at the Boston Children's Hospital have been demonstrating that TPS is an important predictor of short and medium-term outcomes [ 6 , 9 - 13 , 22 , 28 ] . Researchers from England and Japan also evaluated their surgical performance and postoperative outcomes using TPS with similar findings [ 29 , 30 ] .…”
Section: Discussionmentioning
confidence: 92%
“…Of these 434,535 underwent coronary artery bypass grafting (CABG), [10][11][12][13][14][15][16][17][18][19][20] 3090 aortic valve replacements, [21][22][23][24][25] 1740 mitral valve repair/replacement, [24][25][26] 26,433 mixed cardiac surgical cases, 22,24,[27][28][29] 3565 congenital cardiac surgery, 30,31 and 4797 thoracic surgery cases. [32][33][34][35][36][37][38] Total of 398,058 cases were performed by TS and 75,943 by FTS (Table 1).…”
Section: Resultsmentioning
confidence: 99%
“…28,29 Even complex congenital cardiac surgery cases can be safely taught in highly specialized teams where the combined experience of the primary surgeon and first assistant have been shown to be an independent predictor of favorable outcome. 30,31 Learning how to perform complex tasks is skill fully accomplished by mastering the smaller components and then combining the skills into an entire operation. Data from academic training programs such as Mass General Hospital 22,23 demonstrate the importance of a stepwise training approach leading to surgeons performing "skin-to-skin" operations where all the operative steps are fully integrated.…”
Section: Discussionmentioning
confidence: 99%
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