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The use of surgical assistants in vitreoretinal surgery decreased by 29% between 2000 and 2014. This trend in surgical assistant utilization may be linked to advancements in vitrectomy technology.

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Area of Science:

  • Ophthalmology
  • Surgical Sciences

Background:

  • Surgical assistants play a role in various surgical procedures.
  • The utilization of surgical assistants in vitreoretinal surgery has not been extensively studied over time.

Purpose of the Study:

  • To evaluate the trends in the use of surgical assistants during vitreoretinal surgery in the United States from 2000 to 2014.

Main Methods:

  • A retrospective database study was conducted using US Medicare Part B data.
  • Data from 2000-2014 were analyzed to determine the proportion of vitreoretinal procedures involving an assistant surgeon.
  • Linear regression analysis identified trends in assistant usage.

Main Results:

  • Surgical assistants were utilized in 12% of vitreoretinal surgeries between 2000 and 2014.
  • The percentage of procedures with an assistant declined from 14% in 2000 to 10% in 2014.
  • This represented a statistically significant decrease (P < 0.01) over the study period.

Conclusions:

  • The utilization of surgical assistants in vitreoretinal surgery has significantly declined over a 15-year period.
  • Technological advancements in vitrectomy, leading to increased surgeon independence, likely contribute to this trend.
  • A decrease in scleral buckling procedures may also influence the observed decline in assistant use.