Outcomes of strabismus surgery with or without trainee participation as surgeon.

Autor:	Mehta VJ; Department of Ophthalmology and Visual Sciences, Vanderbilt Eye Institute, Vanderbilt University, School of Medicine, Nashville, Tennessee; Department of Ophthalmology, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio., Utz VM; Department of Ophthalmology, Abrahamson Eye Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio., Traboulsi EI; Department of Ophthalmology, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio., Rychwalski PJ; Department of Ophthalmology, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio; Executive Administration, Cleveland Clinic Foundation, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates. Electronic address: rychwalski@me.com.
Jazyk:	angličtina
Zdroj:	Ophthalmology [Ophthalmology] 2014 Oct; Vol. 121 (10), pp. 2066-9. Date of Electronic Publication: 2014 Jun 07.
DOI:	10.1016/j.ophtha.2014.04.028
Abstrakt:	Purpose: To compare success rates of strabismus surgery that involves trainees versus those performed solely by staff surgeons. Design: Retrospective, comparative case series. Subjects: Patients undergoing eye muscle surgery for primarily horizontal deviations. Methods: Retrospective comparative case series of 543 patients (921 eyes) undergoing eye muscle surgery, with or without trainee participation, for horizontal deviations. Main Outcome Measures: Success in surgery defined as residual horizontal deviations of 10 prism diopters or less. Results: Trainees were involved in surgeries on 396 patients (672 eyes), whereas only staff surgeons operated on 147 patients (249 eyes). After minimum follow-up of 8 weeks, there was no overall significant difference between the success rates of procedures that involved trainees as surgeons and those that did not (P = 0.59). Conclusions: The involvement of trainees as operators in surgeries on horizontal eye muscles does not result in a worse outcome than surgeries exclusively performed by staff. With a shift toward competency-based education and more scrutiny of patient outcomes, these data further support the quality of surgical care provided by trainees. (Copyright © 2014 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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