Evidence map›Paper›PMID 31560573›Full record

ArticleHuman factors2020

Eye-Tracking Metrics Predict Perceived Workload in Robotic Surgical Skills Training.

Chuhao Wu, Jackie Cha, Jay Sulek, Tian Zhou, Chandru P Sundaram, Juan Wachs, Denny Yu

Abstract read
In one paragraph

Article in Human factors, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 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

29 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Physicians' eye-tracking in neonatal intensive care: evaluating a mechanical ventilator panel.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026
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  13. Cognitive effort detection for tele-robotic surgery via personalized pupil response modeling.International journal of computer assisted radiology and surgery · 2024
    Article
  14. A Review of Recent Advancements in Sensor-Integrated Medical Tools.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  15. Article
  16. Cognitive ergonomics and robotic surgery.Journal of robotic surgery · 2024
    Review
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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.

Jackie Cha311308 Purdue University, West Lafayette, Indiana, USA.ORCID 0000-0001-8136-2094
Jay SulekIndiana University, Indianapolis, USA.
Tian ZhouPurdue University, West Lafayette, Indiana, USA.
Chandru P Sundaram1771 Indiana University, Indianapolis, USA.
Juan Wachs
Denny YuPurdue University, West Lafayette, Indiana, USA.

Funding

Real-time non-intrusive workload monitoring-Integration of human factors in surgery training and assessmentR21EB026177 · NIBIB · PURDUE UNIVERSITY · PI YU, DENNY · 2019 to 2020
$405k
AHRQ HHS R01 HS028026NIBIB NIH HHS R21 EB026177
6 · The paper itself

Abstract

objectiveThe aim of this study is to assess the relationship between eye-tracking measures and perceived workload in robotic surgical tasks.

backgroundRobotic techniques provide improved dexterity, stereoscopic vision, and ergonomic control system over laparoscopic surgery, but the complexity of the interfaces and operations may pose new challenges to surgeons and compromise patient safety. Limited studies have objectively quantified workload and its impact on performance in robotic surgery. Although not yet implemented in robotic surgery, minimally intrusive and continuous eye-tracking metrics have been shown to be sensitive to changes in workload in other domains.

methodsEight surgical trainees participated in 15 robotic skills simulation sessions. In each session, participants performed up to 12 simulated exercises. Correlation and mixed-effects analyses were conducted to explore the relationships between eye-tracking metrics and perceived workload. Machine learning classifiers were used to determine the sensitivity of differentiating between low and high workload with eye-tracking features.

resultsGaze entropy increased as perceived workload increased, with a correlation of .51. Pupil diameter and gaze entropy distinguished differences in workload between task difficulty levels, and both metrics increased as task level difficulty increased. The classification model using eye-tracking features achieved an accuracy of 84.7% in predicting workload levels.

conclusionEye-tracking measures can detect perceived workload during robotic tasks. They can potentially be used to identify task contributors to high workload and provide measures for robotic surgery training. APPLICATION: Workload assessment can be used for real-time monitoring of workload in robotic surgical training and provide assessments for performance and learning.

Indexed as

Robotic Surgical ProceduresClinical CompetenceEye-Tracking TechnologyHumansWorkloadeye movementsperceived workloadrobotics and telesurgerysimulation trainingstatistics and data analysis

Identifiers

PMID31560573
PMCPMC7672675

What OpenQuestion holds

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Registered trials

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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.