Association of resident training with complication risk in total hip and knee arthroplasty: a systematic review and meta-analysis
Rattachement africain : nl. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND AND PURPOSE: An important aspect of orthopedic residency is to gain experience and perform total joint arthroplasties to learn operating skills. For patients, a substantial concern is that resident involvement may result in more adverse events. We performed a systematic review with meta-analysis to evaluate whether resident involvement is associated with a higher complication rate in total hip and knee arthroplasty compared with procedures performed by orthopedic surgeons. METHODS: PubMed, Embase, Central, Cinahl, and Web of Science were systematically searched until November 2, 2023. Studies were assessed by 2 reviewers independently. All manuscripts were included describing: (i) complications in total hip and/or knee arthroplasty and (ii) comparing procedures with and without resident involvement. RESULTS: 29 studies could be included with a MINORS score ranging from 10 to 17. Resident involvement could not be associated with an increased overall and surgical complication rate in 9 (n = 51,442 patients) and 12 studies (n = 37,789 patients), respectively. The meta-analysis for deep infection showed an association with resident involvement (RR 1.55, 95% confidence interval 1.09-2.20, P = 0.01, 18 studies). In single studies, associations were seen for any urologic complication and sepsis. All other complications could not be related to resident involvement. CONCLUSION: This systematic review could not find evidence that resident involvement was associated with more overall complications or surgical site complications except for deep infection. As previous studies showed an increased infection risk with prolonged duration of the procedure, consultants in teaching hospitals should be aware of this risk and be alert to teaching time to limit the risk for patients.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Association of resident training with complication risk in total hip and knee arthroplasty: a systematic review and meta-analysis
- Date Crossref
- 17/11/2025
- Éditeur
- MJS Publishing, Medical Journals Sweden AB
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
OLVG pays non établi dans la noticeÉtablissement de santé
-
GGD Amsterdam pays non établi dans la noticeÉtablissement de santé
-
Amsterdam University Medical Centers Department of Orthopedic Surgery pays non établi dans la noticeÉtablissement de santé
-
St. Antonius Ziekenhuis pays non établi dans la noticeOrganisme public
-
Leiden University Medical Center Department of Orthopedic Surgery pays non établi dans la noticeOrganisme public
-
Department of Orthopedic Surgery pays non établi dans la noticeInstitution
-
St. Antonius Hospital Department of Orthopedic Surgery pays non établi dans la noticeÉtablissement de santé
-
Department of Research and Epidemiology pays non établi dans la noticeInstitution
OLVG, GGD Amsterdam et Department of Orthopedic Surgery — Amsterdam University Medical Centers, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.