ArticlePloS one2018
Development of an objective assessment tool for total laparoscopic hysterectomy: A Delphi method among experts and evaluation on a virtual reality simulator.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Objective assessment tools in laparoscopic or robotic-assisted gynecological surgery: A systematic review.Acta obstetricia et gynecologica Scandinavica · 2024Pooled it
- Video-based self-assessment enhances laparoscopic skills on a virtual reality simulator: a randomized controlled trial.Surgical endoscopy · 2021Trial
- Simulator training and residents' first laparoscopic hysterectomy: a randomized controlled trial.Surgical endoscopy · 2020Trial
- Analysis and objective assessment of transoral robotic surgery.International journal of computer assisted radiology and surgery · 2026Article
- Developing a Realistic and Cost-Effective Training Model (MaiSurge) for Laparoscopic Hysterectomies to Train and Assess Surgical Skill: Prospective Nonrandomized Controlled Trial.JMIR medical education · 2026Article
- International expert consensus-driven surgical process model for robot-assisted hysterectomy: Delphi study results.Surgical endoscopy · 2026Article
- ESGE/ESGO/SERGS consensus statement on surgical steps in minimally invasive surgery in gynecologic oncology: transperitoneal and extraperitioneal approach for paraaortic lymphadenectomy.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2024Article
- Outcomes of home design to support healthy cognitive ageing: modified e-Delphi exercise with older people and housing-related professionals.BMC geriatrics · 2024Article
- Indigenizing and co-producing the ACGME anesthesiology milestone in Taiwan: a Delphi study and subgroup analysis.BMC medical education · 2024Article
- Development of a procedure-specific tool for skill assessment in left- and right-sided laparoscopic complete mesocolic excision.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2023Article
- The Future in Standards of Care for Gynecologic Laparoscopic Surgery to Improve Training and Education.Journal of clinical medicine · 2022Review
- Development of a novel educational tool to assess skills in laparoscopic liver surgery using the Delphi methodology: the laparoscopic liver skills scale (LLSS).Surgical endoscopy · 2022Article
- Ureteric injuries during hysterectomy-A Norwegian retrospective study of occurrence and claims for compensation over an 11-year period.Acta obstetricia et gynecologica Scandinavica · 2022Article
- Pituitary society expert Delphi consensus: operative workflow in endoscopic transsphenoidal pituitary adenoma resection.Pituitary · 2021Article
- Tools for measuring technical skills during gynaecologic surgery: a scoping review.BMC medical education · 2021Article
- Mapping the robotic hysterectomy learning curve and re-establishing surgical training metrics.Journal of gynecologic oncology · 2021Observational
- Development and initial validation of an instrument for video-based assessment of technical skill in ERCP.Gastrointestinal endoscopy · 2021Article
- Applying the Delphi process for development of a hepatopancreaticobiliary robotic surgery training curriculum.Surgical endoscopy · 2020Article
- Article
- Simulation as tool for evaluating and improving technical skills in laparoscopic gynecological surgery.BMC surgery · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTotal Laparoscopic hysterectomy (LH) requires an advanced level of operative skills and training. The aim of this study was to develop an objective scale specific for the assessment of technical skills for LH (H-OSATS) and to demonstrate feasibility of use and validity in a virtual reality setting. MATERIAL AND
methodsThe scale was developed using a hierarchical task analysis and a panel of international experts. A Delphi method obtained consensus among experts on relevant steps that should be included into the H-OSATS scale for assessment of operative performances. Feasibility of use and validity of the scale were evaluated by reviewing video recordings of LH performed on a virtual reality laparoscopic simulator. Three groups of operators of different levels of experience were assessed in a Marseille teaching hospital (10 novices, 8 intermediates and 8 experienced surgeons). Correlations with scores obtained using a recognised generic global rating tool (OSATS) were calculated.
resultsA total of 76 discrete steps were identified by the hierarchical task analysis. 14 experts completed the two rounds of the Delphi questionnaire. 64 steps reached consensus and were integrated in the scale. During the validation process, median time to rate each video recording was 25 minutes. There was a significant difference between the novice, intermediate and experienced group for total H-OSATS scores (133, 155.9 and 178.25 respectively; p = 0.002). H-OSATS scale demonstrated high inter-rater reliability (intraclass correlation coefficient [ICC] = 0.930; p<0.001) and test retest reliability (ICC = 0.877; p<0.001). High correlations were found between total H-OSATS scores and OSATS scores (rho = 0.928; p<0.001).
conclusionThe H-OSATS scale displayed evidence of validity for assessment of technical performances for LH performed on a virtual reality simulator. The implementation of this scale is expected to facilitate deliberate practice. Next steps should focus on evaluating the validity of the scale in the operating room.
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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.