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外科医生的专业水平是否与患者的结果相关?
Joseph S Geller1, Lara L Cohen2, Dustin H Massel1
1Department of Orthopaedic Surgery, University of Miami, Miami, Florida.
Journal of wrist surgery
|August 11, 2023
概括
根据Tang级别分类的外科医生专业知识与手术结果没有相关性. 唐分类系统需要改进和一致的报告,以准确评估外科医生在研究中的专业偏见.
科学领域:
- 手术结果研究研究.
- 医学教育与培训 医学教育与培训
- 流行病学研究 流行病学研究
背景情况:
- 手术技术的评估受到外科医生的经验和技能的变化所挑战.
- 唐的2009年分类系统旨在标准化外科医生的专业水平 (I-V).
- 这项研究评估了自我报告的外科医生专业知识是否与结果相关,以及唐的系统是否会导致偏见.
研究的目的:
- 分析外科医生专业水平与报告的外科结果之间的相关性.
- 评估当前唐分类系统在解决专业知识偏见方面的充分性.
- 确定外科医生在手术文献中的专业知识报告的趋势.
主要方法:
- 对222篇文章的流行病学分析,其中引用了唐的专业知识分类.
- 纳入标准:提供新技术描述和作者专业知识水平 (n=205).
- 在p < 0.05.05时设置显著性的统计分析.
主要成果:
- 整形外科 (82.9%) 和整形外科 (15.5%) 是主要的专业;手术是最常见的子专业.
- 大多数研究 (80.5%) 报告了积极的结果,其中63.3%具有统计学意义.
- 唐水平与学术学位,培训,奖学金,作者性别,研究类型或结果意义没有显著的关联.
结论:
- 唐分类系统目前报告不足和不完整.
- 建议所有作者一致报告Tang水平,以减轻专家偏见.
- 未来的研究应该详细介绍单个作者级别和多作者作品的加权贡献.
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