Article
Surgery
Colston Edgerton, Keyvan Heshmati, Ashley Herman, Tanujit Dey, Robab Dehkharghani, Ramsis Ramsis, Malcolm Robinson, Ashley Vernon, Neil Ghushe, David Spector, Scott Shikora, Ali Tavakkoli, Eric G. Sheu
Summary: This study compared surgeons who had received fellowship training in LSG with those who had not, analyzing data on operating times and outcomes for the first 100 LSG cases of each surgeon. The results showed trained surgeons had faster and more consistent operating times, with no correlation between case number and weight loss outcomes or safety profiles for either group. This suggests that the learning curves for LSG are established during formal fellowship training.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Johannes Ackermann, Julia Pahls, Jorun Baumann, Carolin Spuentrup, Bernd Holthaus, Gunter Noe, Michael Anapolski, Ivo Meinhold-Heerlein, Antonio Simone Lagana, Goentje Peters, Julian Pape, Damaris Willer, Anna Maria Westermann, Veronika Guenther, Nicolai Maass, Liselotte Mettler, Ibrahim Alkatout
Summary: This study confirmed the high educational value of pelvitrainers and proposed a structured training concept to enhance their effectiveness. The benefits of training courses in healthcare justify their incorporation into standardized training programs. Completion of such courses should be regarded as a prerequisite for doctors to practice independently.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
Article
Surgery
Min Li Kang, Chiew Meng Johnny Wong, Hiangjin Tan, Azri Bohari, Tun Oo Han, Yuen Soon
Summary: The study found that using 3D imaging systems significantly shortened the time needed to acquire more complex laparoscopic surgical skills (such as pattern cutting). There was a secondary learning curve when transitioning between imaging systems, but only for more complex tasks in the 2D to 3D system.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Oncology
Yanlei Wang, Dongpeng Wen, Cheng Zhang, Zhikai Wang, Jiancheng Zhang
Summary: This study compared two different training programs for minimally invasive low anterior resection (LAR), focusing on the learning curve and perioperative outcomes of two trainee surgeons. The results showed that simultaneous training for laparoscopic and robotic-assisted LAR of rectal cancer is safe, effective, and associated with accelerated learning curves for surgeons with rich experience in open colorectal resections.
FRONTIERS IN ONCOLOGY
(2023)
Review
Gastroenterology & Hepatology
Julie Flynn, Jose Tomas Larach, Joseph C. H. Kong, Peadar S. Waters, Satish K. Warrier, Alexander Heriot
Summary: This study analyzed studies comparing robotic and laparoscopic colorectal learning curves, finding that in some cases the robotic learning curve may be faster. Simulation studies showed faster times and error rates favoring robotic surgery. Further research is needed to determine the impact of learning curves on surgical abilities on different platforms.
COLORECTAL DISEASE
(2021)
Review
Surgery
Chi Jin, Liuyan Dai, Tong Wang
Summary: Virtual reality is recommended for laparoscopic training among medical students or novice surgeons without experience, showing a steeper learning curve compared to no training and traditional methods. However, there was no significant difference in learning curve between virtual reality and traditional methods such as box or video training.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Article
Clinical Neurology
Fadi Al Saiegh, Ahmad Sweid, Nohra Chalouhi, Lucas Philipp, Nikolaos Mouchtouris, Omaditya Khanna, Michael B. Avery, Richard F. Schmidt, Ritam Ghosh, Karim Hafazalla, Joshua H. Weinberg, Robert M. Starke, M. Reid Gooch, Stavropoula Tjoumakaris, Robert H. Rosenwasser, Pascal Jabbour
Summary: The study demonstrates that the use of TRA can be safely incorporated into neuroendovascular training without increasing complications or significantly prolonging procedure time or contrast use.
OPERATIVE NEUROSURGERY
(2021)
Article
Pediatrics
Peter Evans, Justine Shults, Danielle D. Weinberg, Natalie Napolitano, Anne Ades, Lindsay Johnston, Orly Levit, Brianna Brei, Jeanne Krick, Taylor Sawyer, Kristen Glass, Michelle Wile, Janice Hollenberg, Jennifer Rumpel, Ahmed Moussa, Alexandra Verreault, Ayman Abou Mehrem, Alexandra Howlett, Julie McKanna, Akira Nishisaki, Elizabeth E. Foglia
Summary: This study aimed to characterize neonatal-perinatal medicine fellows' progression towards neonatal intubation procedural competence during fellowship training. The results showed that the number of intubations required to achieve competence varied among trainees, with an overall success rate of 77%. The advancement quarter of fellowship training was independently associated with an increased odds of successful intubation.
Article
Clinical Neurology
Nicoline Schiess, Violet Kulo, Pria Anand, David R. Bearden, Aaron L. Berkowitz, Gretchen L. Birbeck, Anna Cervantes-Arslanian, Phillip Chan, Lorraine Chishimba Chishimba, Felicia C. Chow, Isabel Elicer, Agnes Fleury, Aarti Kinikar, Michelle Kvalsund, Farrah J. Mateen, Amir A. Mbonde, Ana-Claire L. Meyer, Cumara B. O'Carroll, Adesola Ogunniyi, Archana A. Patel, Michael Rubenstein, Omar K. Siddiqi, Serena Spudich, Sean A. Tackett, Kiran T. Thakur, Nirali Vora, Joseph Zunt, Deanna R. Saylor
Summary: This study used a modified Delphi approach to develop a framework of 47 competencies for global neurology training. These competencies cover eight domains, including cultural context, medical knowledge, team-based practice, and healthcare systems. The findings of this study can be used to establish global neurology training programs and evaluate trainees in this field.
Article
Surgery
George B. Hanna, Hugh Mackenzie, Danilo Miskovic, Melody Ni, Susannah Wyles, Paul Aylin, Amjad Parvaiz, Tom Cecil, Andrew Gudgeon, John Griffith, Jonathan M. Robinson, Chelliah Selvasekar, Tim Rockall, Austin Acheson, Charles Maxwell-Armstrong, John T. Jenkins, Alan Horgan, Chris Cunningham, Ian Lindsey, Tan Arulampalam, Roger W. Motson, Nader K. Francis, Robin H. Kennedy, Mark G. Coleman
Summary: This study examines the impact of The National Training Program for Lapco on the rate of laparoscopic surgery and clinical outcomes. The results show that Lapco increased the rate of laparoscopic surgery and reduced mortality and morbidity.
Article
Oncology
Yuhui Huang, Jing Cai, Hongbo Wang, Weihong Dong, Yuan Zhang, Shaohai Wang, Xiaoqi He, Jianfeng Guo, Shouhua Yang, Zehua Wang
Summary: Favorable oncologic outcomes can be achieved in patients with stage IA-IB1 cervical cancer after laparoscopic radical hysterectomy in a center with a high surgery volume.
INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY
(2023)
Article
Surgery
Joshua J. Weis, Aurora Pryor, Adnan Alseidi, Juan Tellez, Matthew I. Goldblatt, Samer Mattar, Kenric Murayama, Michael Awad, Daniel J. Scott
Summary: This study aims to provide data-driven benchmarks for defining accreditation criteria for foregut fellowships. Analysis of case log data of fellows trained from 2009 to 2019 shows a significant increase in the number of foregut cases and endoscopies over the past decade, with hiatal/paraoesophageal hernia repair having the most notable growth. Additionally, the proportion of robotic cases has been increasing year by year, while open cases and laparoscopic/thoracoscopic cases have been decreasing annually.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Otorhinolaryngology
Hien T. Tierney, Leslie S. Eldeiry, Jeffrey R. Garber, Chia A. Haddad, Mark A. Varvares, Ralph A. Iannuzzi, Gregory W. Randolph
Summary: A new fellowship training model in endocrine surgery, where senior surgeon provides intensive surgical training to attending surgeons already in practice, was successful in performing a large number of endocrine surgeries. Temporary hypoparathyroidism was common in the surgeries, but there were no reports of permanent hypoparathyroidism.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2021)
Article
Health Care Sciences & Services
Michele Manigrasso, Sara Vertaldi, Pietro Anoldo, Anna D'Amore, Alessandra Marello, Carmen Sorrentino, Alessia Chini, Salvatore Aprea, Salvatore D'Angelo, Nicola D'Alesio, Mario Musella, Antonio Vitiello, Giovanni Domenico De Palma, Marco Milone
Summary: The study compared the outcomes of laparoscopic and robotic approach in colorectal cancer surgery, finding that transitioning from laparoscopic to robotic surgery resulted in shorter operative time and fewer harvested lymph nodes. While the conversion to robotic surgery may reduce operative time and increase the number of harvested lymph nodes, there was no significant difference among the three groups in postoperative complications.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Surgery
Hylke J. F. Brenkman, Linda Claassen, Gerjon Hannink, Leonie R. van der Werf, Jelle P. -H. Ruurda, Grard A. P. Nieuwenhuizen, Misha D. P. Luyer, Ewout A. Kouwenhoven, Marc J. van Det, Mark I. van Berge Henegouwen, Suzanne S. Gisbertz, Jan H. M. B. Stoot, Karel W. E. Hulsewe, Frans van Workum, Richard van Hillegersberg, Camiel Rosman
Summary: This study evaluated the learning curve of laparoscopic gastrectomy (LG) in the Netherlands and found that there was no significant learning curve effect for anastomotic leakage, but there was a learning curve effect for overall complications and conversion rate.
Article
Surgery
Alexander Harris, James Butterworth, Piers R. Boshier, Hugh MacKenzie, Masanori Tokunaga, Hideki Sunagawa, Stella Mavroveli, Melody Ni, Sameh Mikhail, Chi-Chuan Yeh, Natalie S. Blencowe, Kerry N. L. Avery, Richard Hardwick, Arnulf Hoelscher, Manuel Pera, Giovanni Zaninotto, Simon Law, Donald E. Low, Jan J. B. van Lanschot, Richard Berrisford, Christopher Paul Barham, Jane M. Blazeby, George B. Hanna
Summary: A reliable surgical quality assurance system for 2-stage esophagectomy has been developed, which includes an operation manual, video, and photographic assessment tools. It aims to ensure surgical quality in surgical oncology randomized controlled trials.
Article
Surgery
George B. Hanna, Hugh Mackenzie, Danilo Miskovic, Melody Ni, Susannah Wyles, Paul Aylin, Amjad Parvaiz, Tom Cecil, Andrew Gudgeon, John Griffith, Jonathan M. Robinson, Chelliah Selvasekar, Tim Rockall, Austin Acheson, Charles Maxwell-Armstrong, John T. Jenkins, Alan Horgan, Chris Cunningham, Ian Lindsey, Tan Arulampalam, Roger W. Motson, Nader K. Francis, Robin H. Kennedy, Mark G. Coleman
Summary: This study examines the impact of The National Training Program for Lapco on the rate of laparoscopic surgery and clinical outcomes. The results show that Lapco increased the rate of laparoscopic surgery and reduced mortality and morbidity.
Article
Medicine, General & Internal
Jeremy R. Huddy, Melody Zhifang Ni, James Barlow, George B. Hanna
Summary: This study identified 32 barriers and 28 facilitators to the adoption of POCTs. Most themes were common to both barriers and facilitators suggest that good device design, stakeholder engagement and appropriate evidence provision can increase the likelihood of a POCT device adoption.
Letter
Pediatrics
Jayanta Banerjee, Anna McLister, Batia Gourin, Zoe McClure, Kirupalini Mariampillai, Robert J. Boyle, George B. Hanna, Melody Z. Ni
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION
(2023)
Meeting Abstract
Infectious Diseases
Lisa Nwankwo, Jackie Donovan, Melody Ni, Michael Loebinger, Darius Armstrong-James, Anand Shah
Article
Ophthalmology
Tom Sherman, Ian A. S. Rodrigues, Saurabh Goyal, Pouya Alaghband, Philip Bloom, Keith Barton, Hari Jayaram, Mohammed Abu-Bakra, Melody Ni, Kin Sheng Lim
Summary: This study describes the methodology of the CONCEPT study, a randomized controlled trial comparing the effectiveness of phacoemulsification alone and phacoemulsification combined with endoscopic cyclophotocoagulation (ECP) in treating primary open angle glaucoma. 160 eyes with primary open-angle glaucoma and visually significant cataract will be included in the study. The results of this study can provide important information for clinical decision-making.
OPHTHALMOLOGY GLAUCOMA
(2023)
Article
Medicine, General & Internal
Katerina-Vanessa Savva, Michal Kawka, Bhamini Vadhwana, Rahul Penumaka, Imogen Patton, Komal Khan, Claire Perrott, Saranya Das, Maxime Giot, Stella Mavroveli, George B. Hanna, Melody Zhifang Ni, Christopher J. Peters
Summary: This study aims to create a Biomarker Toolkit to bridge the gap between biomarker discovery and clinical use by identifying clinically promising biomarkers. A validated checklist of attributes linked with successful biomarker implementation was generated through mixed-methodology, including systematic literature search, interviews, and a Delphi survey. The toolkit can be used to detect biomarkers with the highest clinical potential and shape the design and execution of biomarker studies.
Article
Multidisciplinary Sciences
Stefania Manetti, Emanuele Lettieri, Melody Zhifang Ni
Summary: This study aims to develop and validate an evidence-based framework that helps innovators assess their readiness for successful medical device development and deployment. Through a key-informant process and Delphi method, a checklist for small and large enterprises was constructed and validated. The study found that early Health Technology Assessment plays a pivotal role in the success of the medical device industry.
Review
Biotechnology & Applied Microbiology
Rossella Di Bidino, Davide Piaggio, Martina Andellini, Beatriz Merino-Barbancho, Laura Lopez-Perez, Tianhui Zhu, Zeeshan Raza, Melody Ni, Andra Morrison, Simone Borsci, Giuseppe Fico, Leandro Pecchia, Ernesto Iadanza
Summary: Artificial intelligence and machine learning are increasingly important in the field of medical devices, but the Health Technology Assessment process still lacks a common methodology for assessing AI/ML-based devices. A meta-review conducted by the International Federation of Medical and Biological Engineering collected existing evidence on methods used to assess AI-based devices, with a focus on heart failure management. The findings showed that deep learning is commonly used, and electronic health records and registries are prevalent data sources for AI/ML algorithms.
BIOENGINEERING-BASEL
(2023)
Meeting Abstract
Economics
M. Ni, H. Mackenzie, Zamora M. B. Talaya, D. Miskovic, S. Wyles, M. Coleman, G. Hanna
Meeting Abstract
Surgery
Prem Chana, Melody Zhifang Ni, Jonathan Moore, Cara Baker, Mark Kelly, Andrew Davies, James Gossage
BRITISH JOURNAL OF SURGERY
(2022)
Article
Health Care Sciences & Services
Arkeliana Tase, Melody Z. Ni, Peter W. Buckle, George B. Hanna
Summary: This study emphasized the under-reporting of medical device performance and patient risks, as well as the reliance on personal experience rather than evidence in medical device use. Multiple barriers to reporting and patient safety issues were identified.
Article
Infectious Diseases
M. Di Paolo, L. Hewitt, E. Nwankwo, M. Ni, A. Vidal-Diaz, M. C. Fisher, D. Armstrong-James, A. Shah
Summary: This study found a high prevalence of subtherapeutic azole levels in adults with cystic fibrosis (CF), with increased risk associated with using itraconazole capsules and voriconazole therapy. The rapid emergence of azole resistance was also observed, highlighting the need for effective antifungal stewardship and further longitudinal studies on the impact of antifungal resistance on CF outcome.
JAC-ANTIMICROBIAL RESISTANCE
(2021)
Article
Health Care Sciences & Services
Lisa Nwankwo, Kate McLaren, Jackie Donovan, Zhifang Ni, Alberto Vidal-Diaz, Michael Loebinger, Alice Morrisey, Adam Igra, Anand Shah
Summary: Remote capillary blood sampling can accurately monitor specific tests for chronic diseases and improve shared decision making and patient experience when incorporated into outpatient clinical pathways. Further research is needed to determine the health economic impact and applicability within telemedicine-based outpatient care.
Article
Health Care Sciences & Services
Arkeliana Tase, Peter Buckle, Melody Z. Ni, George B. Hanna
Summary: The healthcare industry has low levels of reporting performance failures in medical equipment, while derivation of incident data from different sources leads to uncertainties in understanding the full extent of patient harm. Learning from the reporting systems in the car industry, such as emphasizing the importance of reporting source in ensuring data quality, could help the healthcare sector improve its own reporting and performance.
JOURNAL OF PATIENT SAFETY AND RISK MANAGEMENT
(2021)
