Effect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: Implications for the current quantitative training evaluation system

Purpose: This study was conducted to evaluate the relevance of training and experience to gaining expertise in prostate biopsy based on an assessment of outcomes from the performance of urology residents. Materials and Methods: We retrospectively reviewed the medical records of 10,299 patients who...

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Autores principales:	Dongu Lee, Byung Ha Chung, Kwang Suk Lee
Formato:	article
Lenguaje:	EN
Publicado:	Korean Urological Association 2021
Materias:	learning curve prostate prostate cancer Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/6ee81ed2d900476f81dfa895dd20e7ef
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spelling	oai:doaj.org-article:6ee81ed2d900476f81dfa895dd20e7ef2021-11-10T04:30:08ZEffect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: Implications for the current quantitative training evaluation system10.4111/icu.202100602466-04932466-054Xhttps://doaj.org/article/6ee81ed2d900476f81dfa895dd20e7ef2021-11-01T00:00:00Zhttps://icurology.org/pdf/10.4111/icu.20210060https://doaj.org/toc/2466-0493https://doaj.org/toc/2466-054XPurpose: This study was conducted to evaluate the relevance of training and experience to gaining expertise in prostate biopsy based on an assessment of outcomes from the performance of urology residents. Materials and Methods: We retrospectively reviewed the medical records of 10,299 patients who underwent prostate biopsy by 50 operators under a unified urology residency program. The number of prostate biopsies performed by an operator for each patient was used as an indicator of operator experience. Residents were grouped into quartiles according to cancer detection rates in the first 50 and the last 50 procedures. Results: Among 10,299 patients (median age, 67.5 years; median prostate-specific antigen [PSA], 7.04 ng/mL), the overall prostate cancer detection rate and that for patients with PSA <10.0 ng/mL were 37.0% and 25.9%, respectively. Operator experience was a significant predictor for cancer detection in patients with PSA <10.0 ng/mL. Cancer detection rates and the proportion of more advanced prostate cancers were higher in the last 50 cases than in the first 50 cases. Detection rates varied significantly among operator; residents with higher detection rates at training initiation showed even higher detection rates after additional training. Conclusions: Training that adds to the cumulative experience of a trainee appears to play a meaningful role in improving cancer detection rates. The level of skill required to achieve mastery for independent practice may be assessed from the accuracy results of prostate biopsy procedures, and trainees with poor rates will require more technical training to improve precision.Dongu LeeByung Ha ChungKwang Suk LeeKorean Urological Associationarticlelearning curveprostateprostate cancerDiseases of the genitourinary system. UrologyRC870-923ENInvestigative and Clinical Urology, Vol 62, Iss 6, Pp 658-665 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	learning curve prostate prostate cancer Diseases of the genitourinary system. Urology RC870-923
spellingShingle	learning curve prostate prostate cancer Diseases of the genitourinary system. Urology RC870-923 Dongu Lee Byung Ha Chung Kwang Suk Lee Effect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: Implications for the current quantitative training evaluation system
description	Purpose: This study was conducted to evaluate the relevance of training and experience to gaining expertise in prostate biopsy based on an assessment of outcomes from the performance of urology residents. Materials and Methods: We retrospectively reviewed the medical records of 10,299 patients who underwent prostate biopsy by 50 operators under a unified urology residency program. The number of prostate biopsies performed by an operator for each patient was used as an indicator of operator experience. Residents were grouped into quartiles according to cancer detection rates in the first 50 and the last 50 procedures. Results: Among 10,299 patients (median age, 67.5 years; median prostate-specific antigen [PSA], 7.04 ng/mL), the overall prostate cancer detection rate and that for patients with PSA <10.0 ng/mL were 37.0% and 25.9%, respectively. Operator experience was a significant predictor for cancer detection in patients with PSA <10.0 ng/mL. Cancer detection rates and the proportion of more advanced prostate cancers were higher in the last 50 cases than in the first 50 cases. Detection rates varied significantly among operator; residents with higher detection rates at training initiation showed even higher detection rates after additional training. Conclusions: Training that adds to the cumulative experience of a trainee appears to play a meaningful role in improving cancer detection rates. The level of skill required to achieve mastery for independent practice may be assessed from the accuracy results of prostate biopsy procedures, and trainees with poor rates will require more technical training to improve precision.
format	article
author	Dongu Lee Byung Ha Chung Kwang Suk Lee
author_facet	Dongu Lee Byung Ha Chung Kwang Suk Lee
author_sort	Dongu Lee
title	Effect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: Implications for the current quantitative training evaluation system
title_short	Effect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: Implications for the current quantitative training evaluation system
title_full	Effect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: Implications for the current quantitative training evaluation system
title_fullStr	Effect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: Implications for the current quantitative training evaluation system
title_full_unstemmed	Effect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: Implications for the current quantitative training evaluation system
title_sort	effect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: implications for the current quantitative training evaluation system
publisher	Korean Urological Association
publishDate	2021
url	https://doaj.org/article/6ee81ed2d900476f81dfa895dd20e7ef
work_keys_str_mv	AT dongulee effectoftrainingandindividualoperatorsexpertiseonprostatecancerdetectionthroughprostatebiopsyimplicationsforthecurrentquantitativetrainingevaluationsystem AT byunghachung effectoftrainingandindividualoperatorsexpertiseonprostatecancerdetectionthroughprostatebiopsyimplicationsforthecurrentquantitativetrainingevaluationsystem AT kwangsuklee effectoftrainingandindividualoperatorsexpertiseonprostatecancerdetectionthroughprostatebiopsyimplicationsforthecurrentquantitativetrainingevaluationsystem
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Effect of training and individual operator's expertise on prostate cancer detection through prostate biopsy: Implications for the current quantitative training evaluation system

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