The conclusion was that high-quality data were lacking and further research was required, particularly large-scale cohort studies to ascertain patient quality of life, late complications requiring reoperation, the effect of surgeon experience, duration of comorbidity remission and the full use of health and care resources to allow comprehensive cost-effectiveness analysis.
The surgeons' mean duration of experience was 15.1 years (range: 2 30 years), and they performed an average of 153 operations each year (range: 7 400).
Risk factors for shunt infection include surgeon's experience, duration of surgery, and intraoperative handling of the device.
The study does not assess the effects of surgeon variation or duration of surgery on pain and recovery outcomes for patients.
The World Health Organization's Surgical Safety Checklist was developed in 2008 as an initiative to address surgical safety. 1 A key element of this is the "time-out" process just before skin incision, which involves the surgeon predicting the duration of the operation.
There was no baseline bias between the treatment and the control group in the following parameters: breed, age, sex, body condition score, type of surgery, duration of surgery, surgeon, chosen post operative antibiotic treatment and post operative wound size.
In a study assessing differences in dedicated versus general surgeons the median duration from diagnosis to operation was found to be 5 weeks, which is similar to our data.
We hypothesize that strategies to employ PT surgeons and prolong the duration of practice might reduce the surgeon shortage considerably.
By analysing the unedited video recordings of the first 20 procedures of each surgeon the number and duration of the actions needed for a surgeon to achieve his goal and the efficiency of these actions is measured.
We did not find that there was difference in results in the treatment duration between surgeons and orthodontists at the two centers.
