The effect of institutional learning curve on paediatric ventricular shunt survival: a retrospective cohort study from a new paediatric neurosurgical centre.

Complications of the initial shunt procedure and subsequent revision are common and highly significant to the long-term outcome of these patients [ 2 , 3 ].

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While the role of individual surgeon case volume and learning curve is well recognized for many procedures [ 6 , 7 ], less emphasis is often placed on any influence the institutional learning curve may have on clinical outcomes although this effect may be significant [ 8 , 9 ].

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