SynthesisBMJ open2015
The impact of feedback of intraoperative technical performance in surgery: a systematic review.
Synthesis in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The association between video-based assessment of intraoperative technical performance and patient outcomes: a systematic review.Surgical endoscopy · 2022Pooled it
- Video-based coaching in surgical education: a systematic review and meta-analysis.Surgical endoscopy · 2020Pooled it
- Comparison of the effects of apprenticeship training by sandwich feedback and traditional methods on final-semester operating room technology students' perioperative competence and performance: a randomized, controlled trial.BMC medical education · 2024Trial
- Self-directed training with e-learning using the first-person perspective for laparoscopic suturing and knot tying: a randomised controlled trial : Learning from the surgeon's real perspective.Surgical endoscopy · 2020Trial
- Examining the impact of surgical coaching on trainee physiologic response and basic skill acquisition.Surgical endoscopy · 2018Trial
- Evaluation of structured training in osteotomy and splitting for BSSO using a 3D-printed mandibular model.BMC medical education · 2026Article
- Impact of proctoring on the learning curve of robotic-assisted low anterior resection: a multicenter retrospective study.Surgical endoscopy · 2026Observational
- Development of Nested Entrustable Professional Activities: A Delphi Consensus Study in General Surgery.Journal of graduate medical education · 2026Article
- Use of 3D printed head and neck models for simulating 10 common ENT emergency procedures: a prospective validation study.BMJ open · 2025Article
- How effective and sustainable is proctoring in robotic surgery? A retrospective analysis based on interviews with surgeons.Surgical endoscopy · 2025Article
- Randomized Control Trial Evaluating Different Modalities of Real-Time Surgical Feedback.Current problems in surgery · 2025Article
- The contribution of personalized video feedback to robotic partial nephrectomy training in realistic 3D tumor kidney models: design, production and implementation.Frontiers in surgery · 2025Article
- Effects of Systematically Guided vs. Self-Directed Laparoscopic Box Training on Learning Performances: An Observational Study.Geburtshilfe und Frauenheilkunde · 2024Article
- Reduce intraoperative albumin utilisation in cardiac surgical patients: a quality improvement initiative.BMJ open quality · 2024Article
- Understanding 'error' in the forensic sciences: A primer.Forensic science international. Synergy · 2024Review
- Evaluation of Educational Feedback in Urology Training: A Survey-Based Assessment of Trainees and Program Directors.Cureus · 2024Article
- Preferred Feedback Styles Among Different Groups in an Academic Medical Center.The Journal of surgical research · 2023Article
- Development of a Classification System for Live Surgical Feedback.JAMA network open · 2023Article
- A resident robotic curriculum utilizing self-selection and a web-based feedback tool.Journal of robotic surgery · 2023Article
- Validity of video-based general and procedure-specific self-assessment tools for surgical trainees in laparoscopic cholecystectomy.Surgical endoscopy · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIncreasing patient demands, costs and emphasis on safety, coupled with reductions in the length of time surgical trainees spend in the operating theatre, necessitate means to improve the efficiency of surgical training. In this respect, feedback based on intraoperative surgical performance may be beneficial. Our aim was to systematically review the impact of intraoperative feedback based on surgical performance.
settingMEDLINE, Embase, PsycINFO, AMED and the Cochrane Database of Systematic Reviews were searched. Two reviewers independently reviewed citations using predetermined inclusion and exclusion criteria. 32 data-points per study were extracted.
participantsThe search strategy yielded 1531 citations. Three studies were eligible, which comprised a total of 280 procedures by 62 surgeons.
resultsOverall, feedback based on intraoperative surgical performance was found to be a powerful method for improving performance. In cholecystectomy, feedback led to a reduction in procedure time (p=0.022) and an improvement in economy of movement (p<0.001). In simulated laparoscopic colectomy, feedback led to improvements in instrument path length (p=0.001) and instrument smoothness (p=0.045). Feedback also reduced error scores in cholecystectomy (p=0.003), simulated laparoscopic colectomy (p<0.001) and simulated renal artery angioplasty (p=0.004). In addition, feedback improved balloon placement accuracy (p=0.041), and resulted in a smoother learning curve and earlier plateau in performance in simulated renal artery angioplasty.
conclusionsIntraoperative feedback appears to be associated with an improvement in performance, however, there is a paucity of research in this area. Further work is needed in order to establish the long-term benefits of feedback and the optimum means and circumstances of feedback delivery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.