Evidence map›Paper›PMID 39643896›Full record

ArticleBMC musculoskeletal disorders2024

Analysis of the learning curve for unilateral biportal endoscopic technique using CUSUM method on fresh frozen cadavers.

Han Wang, Xinzhi Li, Bo Li, Junsheng Du, Zenan Meng, Wenyao Chen, Xiangyong Que, Chongyu Huang, Yi Li, Jie Wang and 1 more

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Han Wang *Three Gorges University Renhe Hospital, Yichang Hubei, 443001, China.
Xinzhi LiCollege of Medical and Health Sciences, China Three Gorges University, Yichang Hubei, 443002, China. lixpj@163.com.ORCID https://orcid.org/0000-0002-3327-6017
Bo LiThree Gorges University Renhe Hospital, Yichang Hubei, 443001, China. libo1019@126.com.ORCID https://orcid.org/0009-0002-4796-5056
Junsheng Du *Yiling People's Hospital of Yichang, Yichang Hubei, Hubei Province, 443100, China.
Zenan MengCollege of Medical and Health Sciences, China Three Gorges University, Yichang Hubei, 443002, China.
Wenyao ChenThree Gorges University Renhe Hospital, Yichang Hubei, 443001, China.
Xiangyong QueThree Gorges University Renhe Hospital, Yichang Hubei, 443001, China.
Chongyu HuangThree Gorges University Renhe Hospital, Yichang Hubei, 443001, China.
Yi LiCollege of Medical and Health Sciences, China Three Gorges University, Yichang Hubei, 443002, China.
Jie WangCollege of Medical and Health Sciences, China Three Gorges University, Yichang Hubei, 443002, China.
Abulimiti MireadeliThree Gorges University Renhe Hospital, Yichang Hubei, 443001, China.

Funding

Hubei Provincial Office of Science and Technology 2022BCE039Hubei Provincial Office of Science and Technology 2023AFC023Open Fund for Basic and Clinical Pathology Research Center of Three Gorges University RHKFBL2022-17
6 · The paper itself

Abstract

purposeThis study aims to determine the learning curve for lumbar discectomy and nerve root decompression using the unilateral biportal endoscopic (UBE) technique on fresh frozen cadavers through linear regression and cumulative sum (CUSUM) analyses.

methodsThe analysis was conducted on three spine surgeons without UBE experience. They performed lumbar discectomy using the unilateral endoscopic technique on fresh frozen cadavers. Each physician performed operations on 40 lumbar spine segments, recording the time it took each physician to complete a segment of lumbar discectomy by UBE. The learning curve was assessed by linear regression and CUSUM analysis using SPSS 27.0 software and GraphPad Prism 8.0 software.

resultsAccording to the CUSUM analysis of the learning curve, the number of segments required to complete the learning phase for the three surgeons was 20, 16, and 20, respectively. With the increased number of operated segments, the operation time for each lumbar vertebral segment gradually decreased and stabilized.

conclusionsIn our study, spine surgeons without experience in UBE require 20 segments of surgery to overcome the UBE learning curve. Additionally, fresh frozen cadavers can effectively simulate real surgeries. Whenever possible, we should reasonably use fresh frozen cadavers for early UBE training of doctors, thereby better protecting the health and safety of patients.

Indexed as

CadaverEndoscopyLearning CurveLumbar VertebraeClinical CompetenceDecompression, SurgicalDiskectomyFemaleHumansMaleOperative TimeFresh frozen cadaversLearning curveSpine surgeryUnilateral biportal endoscopy discectomy

Identifiers

PMID39643896
PMCPMC11624593

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.