Meta-analysis of operative experiences of general surgery trainees during training

BACKGROUND: General surgical training curricula around the world set defined operative numbers to be achieved before completion of training. However, there are few studies reporting total operative experience in training. This systematic review aimed to quantify the published global operative experi...

Full description

Bibliographic Details
Main Authors: Elsey, E.J., Griffiths, G., Humes, D.J., West, J.
Format: Article
Published: Wiley 2016
Online Access:https://eprints.nottingham.ac.uk/40802/
_version_ 1848796137108013056
author Elsey, E.J.
Griffiths, G.
Humes, D.J.
West, J.
author_facet Elsey, E.J.
Griffiths, G.
Humes, D.J.
West, J.
author_sort Elsey, E.J.
building Nottingham Research Data Repository
collection Online Access
description BACKGROUND: General surgical training curricula around the world set defined operative numbers to be achieved before completion of training. However, there are few studies reporting total operative experience in training. This systematic review aimed to quantify the published global operative experience at completion of training in general surgery. METHODS: Electronic databases were searched systematically for articles in any language relating to operative experience in trainees completing postgraduate general surgical training. Two reviewers independently assessed citations for inclusion using agreed criteria. Studies were assessed for quantitative data in addition to study design and purpose. A meta-analysis was performed using a random-effects model of studies with appropriate data. RESULTS: The search resulted in 1979 titles for review. Of these, 24 studies were eligible for inclusion in the review and data from five studies were used in the meta-analysis. Studies with published data of operative experience at completion of surgical training originated from the USA (19), UK (2), the Netherlands (1), Spain (1) and Thailand (1). Mean total operative experience in training varied from 783 procedures in Thailand to 1915 in the UK. Meta-analysis produced a mean pooled estimate of 1366 (95 per cent c.i. 1026 to 1707) procedures per trainee at completion of training. There was marked heterogeneity between studies (I2 = 99.6 per cent). CONCLUSION: There is a lack of robust data describing the operative experiences of general surgical trainees outside the USA. The number of surgical procedures performed by general surgeons in training varies considerably across the world.
first_indexed 2025-11-14T19:43:12Z
format Article
id nottingham-40802
institution University of Nottingham Malaysia Campus
institution_category Local University
last_indexed 2025-11-14T19:43:12Z
publishDate 2016
publisher Wiley
recordtype eprints
repository_type Digital Repository
spelling nottingham-408022020-05-04T18:24:52Z https://eprints.nottingham.ac.uk/40802/ Meta-analysis of operative experiences of general surgery trainees during training Elsey, E.J. Griffiths, G. Humes, D.J. West, J. BACKGROUND: General surgical training curricula around the world set defined operative numbers to be achieved before completion of training. However, there are few studies reporting total operative experience in training. This systematic review aimed to quantify the published global operative experience at completion of training in general surgery. METHODS: Electronic databases were searched systematically for articles in any language relating to operative experience in trainees completing postgraduate general surgical training. Two reviewers independently assessed citations for inclusion using agreed criteria. Studies were assessed for quantitative data in addition to study design and purpose. A meta-analysis was performed using a random-effects model of studies with appropriate data. RESULTS: The search resulted in 1979 titles for review. Of these, 24 studies were eligible for inclusion in the review and data from five studies were used in the meta-analysis. Studies with published data of operative experience at completion of surgical training originated from the USA (19), UK (2), the Netherlands (1), Spain (1) and Thailand (1). Mean total operative experience in training varied from 783 procedures in Thailand to 1915 in the UK. Meta-analysis produced a mean pooled estimate of 1366 (95 per cent c.i. 1026 to 1707) procedures per trainee at completion of training. There was marked heterogeneity between studies (I2 = 99.6 per cent). CONCLUSION: There is a lack of robust data describing the operative experiences of general surgical trainees outside the USA. The number of surgical procedures performed by general surgeons in training varies considerably across the world. Wiley 2016-12-21 Article PeerReviewed Elsey, E.J., Griffiths, G., Humes, D.J. and West, J. (2016) Meta-analysis of operative experiences of general surgery trainees during training. British Journal of Surgery, 104 (1). pp. 22-23. ISSN 1365-2168 http://onlinelibrary.wiley.com/doi/10.1002/bjs.10396/abstract doi:10.1002/bjs.10396 doi:10.1002/bjs.10396
spellingShingle Elsey, E.J.
Griffiths, G.
Humes, D.J.
West, J.
Meta-analysis of operative experiences of general surgery trainees during training
title Meta-analysis of operative experiences of general surgery trainees during training
title_full Meta-analysis of operative experiences of general surgery trainees during training
title_fullStr Meta-analysis of operative experiences of general surgery trainees during training
title_full_unstemmed Meta-analysis of operative experiences of general surgery trainees during training
title_short Meta-analysis of operative experiences of general surgery trainees during training
title_sort meta-analysis of operative experiences of general surgery trainees during training
url https://eprints.nottingham.ac.uk/40802/
https://eprints.nottingham.ac.uk/40802/
https://eprints.nottingham.ac.uk/40802/