Evidence map›Paper›PMID 27189375›Full record

Trial reportSurgical endoscopy2017

"Alarm-corrected" ergonomic armrest use could improve learning curves of novices on robotic simulator.

Kun Yang, Manuela Perez, Gabriela Hossu, Nicolas Hubert, Cyril Perrenot, Jacques Hubert

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Kun YangIADI/Inserm U947, Lorraine University, 54000, Nancy, France.
Manuela PerezIADI/Inserm U947, Lorraine University, 54000, Nancy, France.
Gabriela HossuIADI/Inserm U947, Lorraine University, 54000, Nancy, France.
Nicolas HubertIADI/Inserm U947, Lorraine University, 54000, Nancy, France.
Cyril PerrenotIADI/Inserm U947, Lorraine University, 54000, Nancy, France.
Jacques HubertIADI/Inserm U947, Lorraine University, 54000, Nancy, France. j.hubert@chu-nancy.fr.
Centre Hospitalier Régional et Universitaire de Nancy · FRImagerie Adaptative Diagnostique et Interventionnelle · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn robotic surgery, the professional ergonomic habit of using an armrest reduces operator fatigue and increases the precision of motion. We designed and validated a pressure surveillance system (PSS) based on force sensors to investigate armrest use. The objective was to evaluate whether adding an alarm to the PSS system could shorten ergonomic training and improve performance. STUDY

designTwenty robot and simulator-naïve participants were recruited and randomized in two groups (A and B). The PSS was installed on a robotic simulator, the dV-Trainer, to detect contact with the armrest. The Group A members completed three tasks on the dV-Trainer without the alarm, making 15 attempts at each task. The Group B members practiced the first two tasks with the alarm and then completed the final tasks without the alarm. The simulator provided an overall score reflecting the trainees' performance. We used the new concept of an "armrest load" score to describe the ergonomic habit of using the armrest.

resultsGroup B had a significantly higher performance score (p < 0.001) and armrest load score (p < 0.001) than Group A from the fifth attempt of the first task to the end of the experiment.

conclusionsBased on the conditioned reflex effect, the alarm associated with the PSS rectified ergonomic errors and accelerated professional ergonomic habit acquisition. The combination of the PSS and alarm is effective in significantly shortening the learning curve in the robotic training process.

Indexed as

ErgonomicsLearning CurveAdultArmClinical CompetenceFemaleFranceHumansMaleRobotic Surgical ProceduresSimulation TrainingConditioned reflexdV-TrainerErgonomicLearning curveRobotic surgerySimulation

Identifiers

PMID27189375
OpenAlexW2402355246

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.