Learning Curve for Temporary Hemodialysis Catheter Placement

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dc.authoridKaraaslan, Tahsin/0000-0002-1529-1790
dc.authorwosidKaraaslan, Tahsin/AAU-3037-2020
dc.contributor.authorKaraaslan, Tahsin
dc.contributor.authorAyaloglu, Jale
dc.contributor.authorKocaaslan, Cemal
dc.contributor.authorUysal, Omer
dc.contributor.authorKuzgun, Gulsah Sasak
dc.contributor.authorOdabas, Ali Riza
dc.contributor.authorEcder, S. Tevfik
dc.date.accessioned2024-05-19T14:50:33Z
dc.date.available2024-05-19T14:50:33Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBackground. Training is essential for the safe and uncomplicated placement of hemodialysis catheters. This study explores the learning curve of this procedure. Methods. In this prospective study, 60 patients who needed emergency hemodialysis without vascular access were included. All catheters were placed under ultrasound guidance. One nephrologist was included in each two groups, one to be consisted of a junior, and one to be consisted of a senior. Learning curves were created using the cumulative total methodology and receiver operating characteristic curve analyses. Results. The patients' mean age was 67.92 +/- 14.23 years. The mean catheter insertion time of the senior nephrologist was significantly shorter than that of the junior. According to cumulative total analysis, the junior group's maximum learning point overlaps with patient 22. When the confidence intervals of the study durations of both groups were examined, they overlapped in the 95% confidence interval starting from the 19th patient. When the mean catheter insertion time of the senior and the mean of the last 12 patients of the junior were compared, there was no significant difference between them (F = 15.827, P = .092). The receiver operating characteristic curve analysis showed a cutoff value of 320 seconds for the junior group compared with the senior group, indicating an overlap in case 22 for the junior nephrologist. Conclusion. This study suggests that 22 catheter insertions under the supervision of a senior nephrologist are needed to complete the learning curve for a junior nephrologist. If the number of nephrologists at the center is limited, safe catheter insertion may be allowed after 19 insertions.en_US
dc.identifier.doi10.1016/j.transproceed.2023.01.034
dc.identifier.endpage1110en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue5en_US
dc.identifier.pmid37088615en_US
dc.identifier.scopus2-s2.0-85152941086en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1105en_US
dc.identifier.urihttps://doi.org10.1016/j.transproceed.2023.01.034
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5742
dc.identifier.volume55en_US
dc.identifier.wosWOS:001035847300001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedingsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectNephrology Fellowsen_US
dc.subjectEpidemiologyen_US
dc.subjectInsertionen_US
dc.subjectBurdenen_US
dc.titleLearning Curve for Temporary Hemodialysis Catheter Placementen_US
dc.typeArticleen_US

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