Evidence map›Paper›PMID 29502229›Full record

ArticleInternational journal of computer assisted radiology and surgery2018

Surgical skills: Can learning curves be computed from recordings of surgical activities?

Germain Forestier, Laurent Riffaud, François Petitjean, Pierre-Louis Henaux, Pierre Jannin

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Article in International journal of computer assisted radiology and surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. An explainable machine learning method for assessing surgical skill in liposuction surgery.International journal of computer assisted radiology and surgery · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Movement-level process modeling of microsurgical bimanual and unimanual tasks.International journal of computer assisted radiology and surgery · 2022
    Article
  10. Article
  11. Automatic annotation of surgical activities using virtual reality environments.International journal of computer assisted radiology and surgery · 2019
    Article
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

5 authors.

Germain ForestierIRIMAS, University of Haute-Alsace, Mulhouse, France. germain.forestier@uha.Fr.ORCID http://orcid.org/0000-0002-4960-7554
Laurent RiffaudDepartment of Neurosurgery, Univ. Hospital, Univ Rennes, Inserm, LTSI (Laboratoire Traitement du Signal et de l'Image) - UMR_S 1099, 35000, Rennes, France.
François PetitjeanFaculty of Information Technology, Monash University, Melbourne, Australia.
Pierre-Louis HenauxDepartment of Neurosurgery, Univ. Hospital, Univ Rennes, Inserm, LTSI (Laboratoire Traitement du Signal et de l'Image) - UMR_S 1099, 35000, Rennes, France.
Pierre JanninUniv Rennes, Inserm, LTSI (Laboratoire Traitement du Signal et de l'Image) - UMR_S 1099, 35000, Rennes, France.

Funding

Department of Education, Australian Governement (AU) DE170100037
6 · The paper itself

Abstract

purposeSurgery is one of the riskiest and most important medical acts that are performed today. The need to improve patient outcomes and surgeon training, and to reduce the costs of surgery, has motivated the equipment of operating rooms with sensors that record surgical interventions. The richness and complexity of the data that are collected call for new methods to support computer-assisted surgery. The aim of this paper is to support the monitoring of junior surgeons learning their surgical skill sets.

methodsOur method is fully automatic and takes as input a series of surgical interventions each represented by a low-level recording of all activities performed by the surgeon during the intervention (e.g., cut the skin with a scalpel). Our method produces a curve describing the process of standardization of the behavior of junior surgeons. Given the fact that junior surgeons receive constant feedback from senior surgeons during surgery, these curves can be directly interpreted as learning curves.

resultsOur method is assessed using the behavior of a junior surgeon in anterior cervical discectomy and fusion surgery over his first three years after residency. They revealed the ability of the method to accurately represent the surgical skill evolution. We also showed that the learning curves can be computed by phases allowing a finer evaluation of the skill progression.

conclusionPreliminary results suggest that our approach constitutes a useful addition to surgical training monitoring.

Indexed as

Clinical CompetenceLearning CurveCervical VertebraeDiskectomyHemostasis, SurgicalHumansInternship and ResidencyNeurosurgeryOperating RoomsSpinal FusionVideo RecordingDTWLearning curvesSurgical data scienceSurgical process model

Identifiers

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.