Evidence map›Paper›PMID 31070982›Full record

ArticleJournal of global oncology2019

Using Low-Cost Virtual Reality Simulation to Build Surgical Capacity for Cervical Cancer Treatment.

Eric G Bing, Groesbeck P Parham, Anthony Cuevas, Boris Fisher, Jonathan Skinner, Mulindi Mwanahamuntu, Richard Sullivan

Open access · goldAbstract read
In one paragraph

Article in Journal of global oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Virtual reality and surgical oncology.Ecancermedicalscience · 2023
    Review
  10. Use of simulation-based training of surgical technical skills among ENTs: an international YO-IFOS survey.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
  11. Review
  12. 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

7 authors at 4 institutions in 3 countries.

Eric G BingSouthern Methodist University, Dallas, TX.
Groesbeck P ParhamUniversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Anthony CuevasSouthern Methodist University, Dallas, TX.
Boris FisherSouthern Methodist University, Dallas, TX.
Jonathan SkinnerSouthern Methodist University, Dallas, TX.
Mulindi MwanahamuntuUniversity of Zambia, University Teaching Hospital-Women and Newborn Hospital, Lusaka, Zambia.
Richard SullivanKing's College London, King's Health Partners Comprehensive Cancer Centre, London, United Kingdom.
Southern Methodist University · USKing's College London · GBUniversity of Zambia · ZMUniversity Teaching Hospital · ZM

Funding

Medical Research Council MR/P025420/1
6 · The paper itself

Abstract

purposeWorldwide, more than 80% of people diagnosed with cancer will require surgery during their disease course, but only 5% to 20% of low- and middle-income countries have access to safe, affordable, and timely surgery. Developing surgical oncology skills requires significant time and mentoring. Virtual reality (VR) simulators can reduce the time required to master surgical procedures but are prohibitively expensive. We sought to determine whether a VR simulator using low-cost computer gaming equipment could train novice surgeons in Africa to perform a virtual radical abdominal (open) hysterectomy (RAH).

methodsOur RAH VR simulator used the Oculus Rift (Oculus VR, Menlo Park, CA), a VR headset with hand controllers that costs less than $1,500. Surgical novices learned to perform five key steps of a virtual RAH. We measured and identified predictors of movement and time efficiency for the simulation.

resultsTen novice surgeons in Lusaka, Zambia, enrolled in the study. Movement and time efficiency greatly improved over time. Independent predictors of movement efficiency were number of simulations, surgical experience, and time since college graduation. Independent predictors of time efficiency were number of simulations, surgical experience, days between simulation sessions, age, sex, and an interaction between number of simulations and surgical experience.

conclusionLow-cost VR may be an effective tool to help surgical novices learn complex surgical oncology procedures. If learning to perform VR surgical procedures with low-cost hardware leads to faster mastery of surgical procedures in the operating room, low-cost VR may represent one of the solutions to increasing access to surgical cancer care globally.

Indexed as

Computer SimulationSimulation TrainingVirtual RealityAfricaCost-Benefit AnalysisFemaleGynecologic Surgical ProceduresHumansMaleReproducibility of ResultsUterine Cervical Neoplasms

Identifiers

PMID31070982
PMCPMC6550092
OpenAlexW2944329297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.