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The learning curve in transcatheter aortic valve implantation clinical studies: A systematic review
- Source :
- International Journal of Technology Assessment in Health Care. 36:152-161
- Publication Year :
- 2020
- Publisher :
- Cambridge University Press (CUP), 2020.
-
Abstract
- BackgroundTranscatheter aortic-valve implantation (TAVI) has become an essential alternative to surgical aortic-valve replacement in the treatment of symptomatic severe aortic stenosis, and this procedure requires technical expertise. The aim of this study was to identify prospective studies on TAVI from the past 10 years, and then to analyze the quality of information reported about the learning curve.Materials and methodsA systematic review of articles published between 2007 and 2017 was performed using PubMed and the EMBASE database. Prospective studies regarding TAVI were included. The quality of information reported about the learning curve was evaluated using the following criteria: mention of the learning curve, the description of a roll-in phase, the involvement of a proctor, and the number of patients suggested to maintain skills.ResultsA total of sixty-eight studies met the selection criteria and were suitable for analysis. The learning curve was addressed in approximately half of the articles (n = 37, 54 percent). However, the roll-in period was mentioned by only eight studies (12 percent) and with very few details. Furthermore, a proctorship was disclosed in three articles (4 percent) whereas twenty-five studies (37 percent) included authors that were proctors for manufacturers of TAVI.ConclusionMany prospective studies on TAVI over the past 10 years mention learning curves as a core component of successful TAVI procedures. However, the quality of information reported about the learning curve is relatively poor, and uniform guidance on how to properly assess the learning curve is still missing.
- Subjects :
- medicine.medical_specialty
Transcatheter aortic
business.industry
Health Policy
Core component
General surgery
Information quality
030204 cardiovascular system & hematology
medicine.disease
Transcatheter Aortic Valve Replacement
03 medical and health sciences
Stenosis
0302 clinical medicine
Risk Factors
Learning curve
Humans
Medicine
Prospective Studies
030212 general & internal medicine
Prospective cohort study
business
Learning Curve
Subjects
Details
- ISSN :
- 14716348 and 02664623
- Volume :
- 36
- Database :
- OpenAIRE
- Journal :
- International Journal of Technology Assessment in Health Care
- Accession number :
- edsair.doi.dedup.....ab9d181a8e7f60c5d2b384c1981648a9