...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Neurosurgery. Spine. >Results of the AANS membership survey of adult spinal deformity knowledge: Impact of training, practice experience, and assessment of potential areas for improved education
【24h】

Results of the AANS membership survey of adult spinal deformity knowledge: Impact of training, practice experience, and assessment of potential areas for improved education

机译：成人脊柱畸形知识的AANS成员调查结果：培训，实践经验以及对潜在教育领域进行评估的影响

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Object. Adult spinal deformity (ASD) surgery is increasing in the spinal neurosurgeon's practice. Methods. A survey of neurosurgeon AANS membership assessed the deformity knowledge base and impact of current training, education, and practice experience to identify opportunities for improved education. Eleven questions developed and agreed upon by experienced spinal deformity surgeons tested ASD knowledge and were subgrouped into 5 categories: 1) radiology/spinopelvic alignment, 2) health-related quality of life, 3) surgical indications, 4) operative technique, and 5) clinical evaluation. Chi-square analysis was used to compare differences based on participant demographic characteristics (years of practice, spinal surgery fellowship training, percentage of practice comprising spinal surgery).Results. Responses were received from 1456 neurosurgeons. Of these respondents, 57% had practiced less than 10 years, 20% had completed a spine fellowship, and 32% devoted more than 75% of their practice to spine. The overall correct answer percentage was 42%. Radiology/spinal pelvic alignment questions had the lowest percentage of correct answers (38%), while clinical evaluation and surgical indications questions had the highest percentage (44%). More than 10 years in practice, completion of a spine fellowship, and more than 75% spine practice were associated with greater overall percentage correct (p < 0.001). More than 10 years in practice was significantly associated with increased percentage of correct answers in 4 of 5 categories. Spine fellowship and more than 75% spine practice were significantly associated with increased percentage correct in all categories. Interestingly, the highest error was seen in risk for postoperative coronal imbalance, with a very low rate of correct responses (15%) and not significantly improved with fellowship (18%, p = 0.08).Conclusions. The results of this survey suggest that ASD knowledge could be improved in neurosurgery. Knowledge may be augmented with neurosurgical experience, spinal surgery fellowships, and spinal specialization. Neurosurgical education should particularly focus on radiology/spinal pelvic alignment, especially pelvic obliquity and coronal imbalance and operative techniques for ASD. (http://thejns.org/doi/abs/10.3171/2014.5.SPINE121146).
机译：目的。在脊神经外科医师的实践中，成人脊柱畸形（ASD）手术正在增加。方法。对神经外科医师AANS成员资格的一项调查评估了畸形知识基础以及当前培训，教育和实践经验的影响，以确定改进教育的机会。由经验丰富的脊椎畸形外科医生开发并同意的11个问题测试了ASD知识，并将其分为5类：1）放射学/脊柱骨对齐，2）健康相关的生活质量，3）手术指征，4）手术技术和5）临床评估。卡方分析用于根据参加者的人口统计学特征（执业年限，脊柱外科进修培训，构成脊柱外科的执业百分比）比较差异。收到了1456位神经外科医师的回应。在这些受访者中，有57％的人练习了不到10年的时间，有20％的人完成了脊柱研究金，还有32％的人将超过75％的实践奉献给了脊柱。总体正确答案百分率是42％。放射学/脊柱骨盆对准问题的正确答案比例最低（38％），而临床评估和手术指征问题的比例最高（44％）。在实践中超过10年，完成脊柱研究金和超过75％的脊柱实践与更高的总体正确率相关（p <0.001）。在实践中超过10年与5个类别中的4个类别的正确答案所占百分比显着相关。在所有类别中，脊柱奖学金和超过75％的脊柱练习与正确率的增加显着相关。有趣的是，术后冠状动脉失衡的风险最高，正确反应率极低（15％），而与团契关系无明显改善（18％，p = 0.08）。这项调查的结果表明，神经外科可以提高ASD知识。可以通过神经外科经验，脊柱外科研究金和脊柱专长来增加知识。神经外科教育应特别着重于放射学/脊柱盆腔排列，尤其是盆腔倾斜和冠状不平衡以及ASD的手术技术。 （http://thejns.org/doi/abs/10.3171/2014.5.SPINE121146）。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号