Outcome of Percutaneous Endoscopic Lumbar Discectomy in Relation to the Surgeon's Experience: Propensity Score Matching
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Son, Seong | - |
dc.contributor.author | Oh, Michael Y. | - |
dc.contributor.author | Park, Han Byeol | - |
dc.contributor.author | Lopez, Alexander M. | - |
dc.date.accessioned | 2024-06-13T14:30:16Z | - |
dc.date.available | 2024-06-13T14:30:16Z | - |
dc.date.issued | 2024-04 | - |
dc.identifier.issn | 2306-5354 | - |
dc.identifier.issn | 2306-5354 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/91498 | - |
dc.description.abstract | Percutaneous endoscopic lumbar discectomy (PELD) presents a challenging learning curve, and the correlation between surgeon experience and clinical outcomes remains contentious. This retrospective study aimed to compare the outcomes of PELD performed by a single surgeon at beginner and experienced stages. Propensity score matching selected 150 patients (75 per group) with a minimum 3-year follow-up. Clinical and radiological outcomes, perioperative complications, and adverse events were assessed. Baseline characteristics, pain improvement, patient satisfaction, and radiological outcomes did not differ between the groups. However, operation time was longer in the beginner group than in the experienced group (57.5 min [IQR, 50.0-70.0] versus 50.0 min [IQR, 45.0-55.0], p < 0.001). The beginner group had higher perioperative complication rates (eight patients [10.7%] versus one patient [1.3%], with a hazard ratio of 8.836 [95% CI, 1.077-72.514], p = 0.034) and lower 3-year survival without adverse events (19 patients [25.3%] in the beginner group and 10 patients [13.3%] in the experienced group, p = 0.045). Our findings indicate that the clinical outcomes were more favorable in patients operated on at the experienced stage compared to those treated at the beginner stage. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | MDPI | - |
dc.title | Outcome of Percutaneous Endoscopic Lumbar Discectomy in Relation to the Surgeon's Experience: Propensity Score Matching | - |
dc.type | Article | - |
dc.identifier.wosid | 001219435200001 | - |
dc.identifier.doi | 10.3390/bioengineering11040312 | - |
dc.identifier.bibliographicCitation | BIOENGINEERING-BASEL, v.11, no.4 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.scopusid | 2-s2.0-85191703835 | - |
dc.citation.title | BIOENGINEERING-BASEL | - |
dc.citation.volume | 11 | - |
dc.citation.number | 4 | - |
dc.type.docType | Article | - |
dc.publisher.location | 스위스 | - |
dc.subject.keywordAuthor | complications | - |
dc.subject.keywordAuthor | endoscope | - |
dc.subject.keywordAuthor | learning curve | - |
dc.subject.keywordAuthor | lumbosacral region | - |
dc.subject.keywordAuthor | percutaneous discectomy | - |
dc.subject.keywordAuthor | treatment outcome | - |
dc.relation.journalResearchArea | Biotechnology & Applied Microbiology | - |
dc.relation.journalResearchArea | Engineering | - |
dc.relation.journalWebOfScienceCategory | Biotechnology & Applied Microbiology | - |
dc.relation.journalWebOfScienceCategory | Engineering, Biomedical | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea(13120)031-750-5114
COPYRIGHT 2020 Gachon University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.