Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
E-pub ahead of print

Learning Curves for Electromagnetic Navigation Bronchoscopy Using CUSUM Analysis

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Career Development Training for Interventional Pulmonary Fellows

    Research output: Contribution to journalLetterResearchpeer-review

  2. Diagnostic Yield of EBUS-TBNA During the Learning Curve

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Efficacy of Endobronchial Ultrasound-Transbronchial Needle Aspiration Virtual-Reality Simulator Training

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. EUS-B-guided Biopsies of Lung Tumors

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Impact of EBUS-TBNA on PET-CT Imaging of Mediastinal Nodes

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Education in the placement of ultrasound-guided peripheral venous catheters: a systematic review

    Research output: Contribution to journalReviewResearchpeer-review

  2. The learning curve of robot-assisted vitreoretinal surgery - A randomized trial in a simulated setting

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Defining the surgical footprint in cataract surgery: patient-related outcomes dependent on the experience of the surgeon

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND: Electromagnetic navigation bronchoscopy (ENB) is a relatively new and technically demanding procedure for the guidance of bronchoscopic biopsy to help locate small lung lesions. The results in experienced hands are well described. However, we do not know the results in unexperienced hands-in other words, we have no knowledge about how fast you can learn the procedure.

AIM: The aim of this study was to draw learning curves for beginners in ENB using Cumulated Sum (CUSUM) analysis, a method for quantitative evaluation of the learning curves for clinical procedures.

METHODS: Four operators from 3 centers without prior ENB experience were enrolled. The outcome of consecutive ENB procedures was assessed and classified as either diagnostic or nondiagnostic based on sample adequacy. Learning curves were drawn based on diagnostic yield.

RESULTS: A total of 215 procedures were assessed. For 2 of the operators (operators 1 and 4), at least 25 to 30 procedures were necessary to obtain competency whereas operators 2 and 3 showed more horizontal learning curves indicating an overweight of diagnostic procedures from the beginning.

CONCLUSION: Operators achieve competences in ENB at different paces. This must be taken in account when beginners start to learn the procedure. There is a huge need for a structured educational program and a validated test to determine competences.

Original languageEnglish
Article numbere815
JournalJournal of Bronchology & Interventional Pulmonology
ISSN1944-6586
DOIs
Publication statusE-pub ahead of print - 27 Sep 2021

Bibliographical note

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

    Research areas

  • invasive pulmonology, lung cancer, pulmonary nodules, pulmonologists

ID: 67851364