Evidence map›Paper›PMID 31285653›Full record

Trial reportJSLS : Journal of the Society of Laparoendoscopic Surgeons

The Role of Deconstructive Teaching in the Training of Laparoscopy.

Dimitrios Balafoutas, Ralf Joukhadar, Matthias Kiesel, Sebastian Häusler, Sanja Loeb, Achim Woeckel, Daniel Herr

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07530822 (The Effect Of Prenatal Care Training Using The Peyton Model On Midwifery Students' Knowledge, Skills, Self-Efficacy, Anxiety, And Satisfaction Levels), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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.

NCT07530822 nacompletednot on this map

The Effect Of Prenatal Care Training Using The Peyton Model On Midwifery Students' Knowledge, Skills, Self-Efficacy, Anxiety, And Satisfaction Levels

TypeinterventionalSponsorSaglik Bilimleri UniversitesiRan2025 to 2026Enrolled64ConditionsPrenatal Care, Midwifery Education, Clinical Self-Efficacy, AnxietyArmsPeyton Model Training, Standard Training
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Dimitrios BalafoutasUniversity Hospital of Würzburg, Department of Obstetrics and Gynecology, Würzburg, Germany.
Ralf JoukhadarUniversity Hospital of Würzburg, Department of Obstetrics and Gynecology, Würzburg, Germany.
Matthias KieselUniversity Hospital of Würzburg, Department of Obstetrics and Gynecology, Würzburg, Germany.
Sebastian HäuslerUniversity Hospital of Würzburg, Department of Obstetrics and Gynecology, Würzburg, Germany.
Sanja LoebUniversity Hospital of Würzburg, Department of Obstetrics and Gynecology, Würzburg, Germany.
Achim WoeckelUniversity Hospital of Würzburg, Department of Obstetrics and Gynecology, Würzburg, Germany.
Daniel HerrUniversity Hospital of Würzburg, Department of Obstetrics and Gynecology, Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSkills-lab training is crucial for the development of advanced laparoscopic skills. In this study, we examined whether a systematic deconstructive and comprehensive tutoring approach improves training results in laparoscopic suturing and intracorporeal knot tying.

methodsSixteen residents in obstetrics and gynecology participating in structured skills-lab laparoscopy training were randomized in 2 equal-sized groups receiving 1-on-1 tutoring either in the traditional method or according to the Peyton's 4-step approach, involving an additional training step, with the trainees instructing the tutor to perform the exercises. A validated assessment tool (revised Objective Structured Assessment of Technical Skills) and the number of completed square knots per training session and the mean time per knot were used to assess the efficacy of training in both groups.

resultsTrainees in Peyton's group achieved significantly higher revised Objective Structured Assessment of Technical Skills scores (28.6 vs 23.9 points;

conclusionPeyton's 4-step approach seemed to be superior for teaching laparoscopic skills to obstetrics and gynecology residents in the skills-lab setting and can be therefore proposed for training curricula.

Indexed as

CurriculumInternship and ResidencyAdultClinical CompetenceFemaleGynecologyHumansLaparoscopyMaleObstetricsSuture TechniquesLaparoscopic trainingPelvitrainerPeyton's 4-step approach

Identifiers

PMID31285653
PMCPMC6600054

What OpenQuestion holds

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Registered trials

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.