Evidence map›Paper›PMID 28885509›Full record

ArticleAnnals of surgery2019

Modeling Surgical Technical Skill Using Expert Assessment for Automated Computer Rating.

David P Azari, Lane L Frasier, Sudha R Pavuluri Quamme, Caprice C Greenberg, Carla M Pugh, Jacob A Greenberg, Robert G Radwin

Open access · greenAbstract read
In one paragraph

Article in Annals of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
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  13. Automatic surgical phase recognition-based skill assessment in laparoscopic distal gastrectomy using multicenter videos.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024
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  14. TAToo: vision-based joint tracking of anatomy and tool for skull-base surgery.International journal of computer assisted radiology and surgery · 2023
    Article
  15. Article
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  17. Review
  18. Robot-assisted ex vivo neobladder reconstruction: preliminary results of surgical skill evaluation.International journal of computer assisted radiology and surgery · 2022
    Article
  19. Detection of blood stains using computer vision-based algorithms and their association with postoperative outcomes in thoracoscopic lobectomies.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2022
    Article
  20. 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

7 authors at 1 institution in 1 country.

David P AzariDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI.
Lane L FrasierWisconsin Surgical Outcomes Research (WiSOR) Program, Department of Surgery, University of Wisconsin-Madison, Madison, WI.
Sudha R Pavuluri QuammeWisconsin Surgical Outcomes Research (WiSOR) Program, Department of Surgery, University of Wisconsin-Madison, Madison, WI.
Caprice C GreenbergDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI.
Carla M PughDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI.
Jacob A GreenbergWisconsin Surgical Outcomes Research (WiSOR) Program, Department of Surgery, University of Wisconsin-Madison, Madison, WI.
Robert G RadwinDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI.
University of Wisconsin–Madison · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
UW Surgical Oncology Research Training Program (UW-SORT)T32CA090217 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Muhammed Murtaza, Heather B Neuman · 2001 to 2026
$8.3M
Human Factors Analysis of Team Fluidity in the Operating RoomF32HS022403 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI FRASIER, LANE · 2014 to 2015
$122k
AHRQ HHS F32 HS022403NCATS NIH HHS UL1 TR000427NCI NIH HHS T32 CA090217
6 · The paper itself

Abstract

objectiveComputer vision was used to predict expert performance ratings from surgeon hand motions for tying and suturing tasks. SUMMARY BACKGROUND DATA: Existing methods, including the objective structured assessment of technical skills (OSATS), have proven reliable, but do not readily discriminate at the task level. Computer vision may be used for evaluating distinct task performance throughout an operation.

methodsOpen surgeries was videoed and surgeon hands were tracked without using sensors or markers. An expert panel of 3 attending surgeons rated tying and suturing video clips on continuous scales from 0 to 10 along 3 task measures adapted from the broader OSATS: motion economy, fluidity of motion, and tissue handling. Empirical models were developed to predict the expert consensus ratings based on the hand kinematic data records.

resultsThe predicted versus panel ratings for suturing had slopes from 0.73 to 1, and intercepts from 0.36 to 1.54 (Average R2 = 0.81). Predicted versus panel ratings for tying had slopes from 0.39 to 0.88, and intercepts from 0.79 to 4.36 (Average R2 = 0.57). The mean square error among predicted and expert ratings was consistently less than the mean squared difference among individual expert ratings and the eventual consensus ratings.

conclusionsThe computer algorithm consistently predicted the panel ratings of individual tasks, and were more objective and reliable than individual assessment by surgical experts.

Indexed as

Artificial IntelligenceClinical CompetenceSuture TechniquesTask Performance and AnalysisAlgorithmsBiomechanical PhenomenaFemaleHandHumansMaleModels, TheoreticalObserver VariationReproducibility of ResultsVideo Recording

Identifiers

PMID28885509
PMCPMC7412996
OpenAlexW2750898199

What OpenQuestion holds

Textmetadata
LicenceTDM
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.