Abstract：
:INTRODUCTION The roles of non-medically trained practitioners within the NHS are expanding; they are now being employed by many specialties, including surgery, to relieve pressures on healthcare teams. AIMS To investigate the learning curve and competence of an orthopaedic surgical care practitioner (SCP) in performing hip aspirations. METHODS Data were retrospectively collected on 510 orthopaedic hip aspirations, of which 360 were completed by a single SCP and 150 were completed by surgeons before the SCP took over routine aspiration. The 360 aspirations completed by an SCP were separated into groups of 30 by date, so any trend in failure rate could be analysed. Ordinal χ2 analysis was used to analyse this trend and Pearson χ2 analysis was used to analyse differences in failure rates between professionals. RESULTS The hip aspiration failure rate for the SCP was significantly lower than for the surgeons; 8.6% vs 20.7% (P<0.001). With the experience gained in completing the first 210 procedures, the failure rate of the SCP dropped to 3.3% for the remaining 150 procedures. This downward trend in hip aspiration failure rate, with advancing experience of the SCP, was shown to be statistically significant (P=0.006). DISCUSSION SCPs who complete hip aspirations on a regular basis have significantly lower failure rates than surgeons, probably as a result of the learning curve, which this study demonstrated. Other trusts should consider delegating routine hip aspiration work to a designated SCP to lower failure rates.
journal_name
Ann R Coll Surg Engljournal_title
Annals of the Royal College of Surgeons of Englandauthors
Tingle SJ,Marriott A,Partington PF,Carluke I,Reed MRdoi
10.1308/rcsann.2016.0315subject
Has Abstractpub_date
2016-11-01 00:00:00pages
543-546issue
8eissn
0035-8843issn
1478-7083journal_volume
98pub_type
杂志文章abstract：INTRODUCTION:More aesthetically acceptable treatment options have been sought to minimise the morbidity associated with open surgery for gynaecomastia. This study investigated the use of a vacuum-assisted biopsy device (VABD) and liposuction to provide minimally invasive approach. PATIENTS AND METHODS:Patients diagnos...
journal_title：Annals of the Royal College of Surgeons of England
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journal_title：Annals of the Royal College of Surgeons of England
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journal_title：Annals of the Royal College of Surgeons of England
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journal_title：Annals of the Royal College of Surgeons of England
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
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更新日期：1999-03-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1990-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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doi：10.1308/003588410X12771863937124
更新日期：2011-01-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1980-03-01 00:00:00
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doi：10.1308/003588414X13946184902640
更新日期：2014-10-01 00:00:00
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更新日期：2007-03-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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更新日期：1995-11-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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更新日期：1983-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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更新日期：2008-07-01 00:00:00
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更新日期：2003-03-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 历史文章,杂志文章
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更新日期：1997-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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doi：
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journal_title：Annals of the Royal College of Surgeons of England
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doi：
更新日期：1990-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
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doi：
更新日期：1992-05-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 杂志文章
doi：
更新日期：1988-09-01 00:00:00
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journal_title：Annals of the Royal College of Surgeons of England
pub_type： 传,历史文章,杂志文章
doi：
更新日期：1979-09-01 00:00:00
