Evidence map›Paper›PMID 30514436›Full record

ArticleAmerican journal of surgery2019

Looks can be deceiving: Gaze pattern differences between novices and experts during placement of central lines.

Hong-En Chen, Cheyenne C Sonntag, David F Pepley, Rohan S Prabhu, David C Han, Jason Z Moore, Scarlett R Miller

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Shifting Perspectives: A proposed framework for analyzing head-mounted eye-tracking data with dynamic areas of interest and dynamic scenes.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2023
    Article
  6. Preparing for the lasting effects of COVID-19 on medical training: The design and pilot study of a low-fidelity virtual reality prototype for Central Venous Catheterization training.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2022
    Article
  7. Article
  8. Article
  9. Article
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  11. Article
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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

7 authors.

Hong-En ChenDepartment of Industrial and Manufacturing Engineering, Penn State, University Park, PA, 16802, USA.
Cheyenne C SonntagDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA.
David F PepleyDepartment of Mechanical and Nuclear Engineering, Penn State, University Park, PA, 16802, USA.
Rohan S PrabhuDepartment of Mechanical and Nuclear Engineering, Penn State, University Park, PA, 16802, USA.
David C HanDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA; Penn State Heart and Vascular Institute, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA.
Jason Z MooreDepartment of Mechanical and Nuclear Engineering, Penn State, University Park, PA, 16802, USA.
Scarlett R MillerDepartment of Industrial and Manufacturing Engineering, Penn State, University Park, PA, 16802, USA; School of Engineering Design, Technology, and Professional Programs, Penn State, University Park, PA, 16802, USA. Electronic address: scarlettmiller@psu.edu.

Funding

Dynamic Haptic Robotic Training for Central Venous Catheter InsertionR01HL127316 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI Scarlett Miller, Jason Zachary Moore · 2015 to 2026
$3.7M
NHLBI NIH HHS R01 HL127316
6 · The paper itself

Abstract

backgroundThe objective of this study was to determine whether gaze patterns could differentiate expertise during simulated ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) and if expert gazes were different between simulators of varying functional and structural fidelity.

methodsA 2017 study compared eye gaze patterns of expert surgeons (n = 11), senior residents (n = 4), and novices (n = 7) during CVC needle insertions using the dynamic haptic robotic trainer (DHRT), a system which simulates US-IJCVC. Expert gaze patterns were also compared between a manikin and the DHRT.

resultsExpert gaze patterns were consistent between the manikin and DHRT environments (p = 0.401). On the DHRT system, CVC experience significantly impacted the percent of time participants spent gazing at the ultrasound screen (p < 0.0005) and the needle and ultrasound probe (p < 0.0005).

conclusionGaze patterns differentiate expertise during ultrasound-guided IJCVC placement and the fidelity of the simulator does not impact gaze patterns.

Indexed as

Catheterization, Central VenousClinical CompetenceManikinsUltrasonography, InterventionalEducation, Medical, GraduateHumansInternship and ResidencyRoboticsCentral venous catheterizationEye trackingMedical training simulationResidency training

Identifiers

PMID30514436
PMCPMC6322943

What OpenQuestion holds

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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.