Mercedes Spencer, Michael P Kaschak, John L Jones, Christopher J Lonigan
Statistical Learning is Related to Early Literacy-Related Skills
Reading and writing
endoscopic endonasal transsphenoidal approach eeta revolutionized skullbase surgery however associated steep learning curve lc necessitating additional attention surgeons ensure patient safety surgical efficacy current literature constrained small sample sizes studies observational nature systematic review aims evaluate literature identify strengths weaknesses related assessment eetalc systematic review conducted following prisma guidelines pubmed google scholar searched clinical studies eetalc using detailed search strategies including pertinent keywords medical subject headings selection criteria included studies comparing outcomes skullbase surgeries involving pure eeta early late stages surgeons experience studies assessed learning curve least one surgical parameter articles published english systematic review identified 34 studies encompassing 5648 patients published 2002 2022 focusing eeta learning curve studies retrospective cohort designs 88 various patient assortment methods noted including groupbased casebased analyses statistical analyses included descriptive comparative methods along regression analyses curve modeling techniques pituitary adenoma pa studied pathology 82 among evaluated variables improvements outcomes across variables like ec ot postoperative csf leak gtr overcoming initial eeta learning curve associated sustained outcome improvements median estimated case requirement 32 ranging 9 120 cases findings underscore complexity eetalc assessment importance sustained outcome improvement marker proficiency review highlights complexity assessing learning curve eeta underscores need standardized reporting prospective studies enhance reliability findings guide clinical practice effectively