Evidence map›Paper›PMID 28281117›Full record

Trial reportSurgical endoscopy2017

Game-based training improves the surgeon's situational awareness in the operation room: a randomized controlled trial.

Maurits Graafland, Willem A Bemelman, Marlies P Schijven

Abstract readRandomized Controlled Trial
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 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Game-based learning in orthopaedics: A comprehensive review.Journal of clinical orthopaedics and trauma · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Implications of equipment failure occurring during surgery.Annals of the Royal College of Surgeons of England · 2022
    Article
  11. Article
  12. Article
  13. Article
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  16. Serious games, a game changer in teaching neonatal resuscitation? A review.Archives of disease in childhood. Fetal and neonatal edition · 2020
    Review
  17. Review
  18. Article
  19. Article
  20. Training in Endoscopy.Current treatment options in gastroenterology · 2018
    Review
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

3 authors.

Maurits GraaflandDepartment of Surgery, Academic Medical Centre, PO Box 22660, 1100 DD, Amsterdam, The Netherlands. maurits.graafland@gmail.com.ORCID 0000-0003-1059-698X
Willem A BemelmanDepartment of Surgery, Academic Medical Centre, PO Box 22660, 1100 DD, Amsterdam, The Netherlands.
Marlies P SchijvenDepartment of Surgery, Academic Medical Centre, PO Box 22660, 1100 DD, Amsterdam, The Netherlands. m.p.schijven@amc.uva.nl.

Funding

Agentschap NL PID 101060CBuzinez Innovation platform from CZ Healthcare Insurance Agency
6 · The paper itself

Abstract

backgroundEquipment-related malfunctions directly relate to one-fourth of the adverse events in the surgical theater. A serious game trains residents to recognize and respond to equipment problems in minimally invasive surgery (MIS). These include disturbed vision, gas transport, electrocautery, and pathophysiological disturbances. This randomized controlled trial explores whether game-based training improves surgical residents' response to equipment-related problems during surgery.

methodsThirty-one surgical residents with no previous experience in MIS took part in a standardized basic laparoscopy training course. Fifteen residents were randomly assigned to the game-enhanced curriculum (intervention) and sixteen were assigned to the regular curriculum (control). Participants performed a MIS task in a live anesthetized pig model, during which three standardized equipment malfunction scenarios occurred. Observers recorded the problems recognized and solved, time, and participants' technical performance.

resultsTwenty-four participants completed the post-test (n = 12 per group). The intervention group solved more problems than the control group (59 vs. 33%, p = 0.029). The intervention group also recognized a larger proportion of problems, although this parameter was non-significant (67 vs. 42%, p = 0.14). Random effects modeling showed a significant improved game performance per participant over time.

conclusionsSurgical residents, who play for only 1 h on a custom-made serious game, respond significantly better to equipment-related problems during surgery than residents trained by a standard training curriculum. These results imply that entertaining serious games can indeed be considered for use in official training for surgeons and other medical specialists.

Indexed as

Equipment FailureVideo GamesAdultAnimalsAwarenessClinical CompetenceCurriculumFemaleHumansInternship and ResidencyLearning CurveMaleMinimally Invasive Surgical ProceduresOperating RoomsProblem SolvingSimulation TrainingCholecystectomyeHealthMedical educationMinimally invasive surgerySmartphoneVideogame

Identifiers

PMID28281117
PMCPMC5636911

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.