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American Association of Oral and Maxillofacial Surgeons' Anesthesia and Third Molar Extraction Benchmark Study:
Thomas B Dodson1, Martin L Gonzalez2
1Professor and Chair, Associate Dean of Hospital Affairs, Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, Seattle, WA.
Summary
This study aimed to create a practice-based research collaborative (P-BRC) for quality improvement benchmarks in oral surgery. While not achieving the target sample size, the P-BRC provides valuable data on anesthesia and third molar surgery.
Area of Science:
- Oral and Maxillofacial Surgery
- Health Services Research
- Quality Improvement
Background:
- Benchmark statistics are crucial for quality assurance and improvement in healthcare.
- Establishing specialty-specific benchmarks requires robust data collection methods.
- Practice-based research collaboratives (P-BRCs) offer a framework for gathering such data.
Purpose of the Study:
- To review the rationale for a new specialty-specific benchmark study in oral and maxillofacial surgery.
- To summarize methods for creating a P-BRC for collecting benchmark data.
- To describe the characteristics of surgeon participants within the P-BRC.
Main Methods:
- A prospective cohort study design was employed.
- A P-BRC was established with randomly selected American Association of Oral and Maxillofacial Surgeons (AAOMS) members.
- Data on patient anesthesia and third molar (M3) surgery were collected from enrolled surgeons.
Main Results:
- 642 surgeons were invited, with 124 active participants forming the P-BRC.
- The P-BRC collected data on 6,344 anesthesia cases and 9,207 M3 removals.
- Active P-BRC participants were younger and more likely to be board-certified than inactive ones.
Conclusions:
- The study did not achieve the goal of a random sample of 300 AAOMS members for the P-BRC.
- The current P-BRC sample is self-selected and well-characterized, suitable for estimating variables with high or low frequencies.
- Future reports will detail anesthesia and M3-specific variables collected by the P-BRC.