Evidence map›Paper›PMID 33402815›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2020

Comparing Resident Outcomes in Cataract Surgery at Different Levels of Experience.

Mathias V Melega, Rodrigo Pessoa Cavalcanti Lira, Iuri Cardoso da Silva, Bruna Gil Ferreira, Hermano L G Assis Filho, Alexandre A F Martini, Roberto Dos Reis, Carlos Eduardo Leite Arieta, Monica Alves

Open access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2020. 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
1.3field-weighted citation impact, top 19% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

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  12. The impact of case complexity in resident-performed cataract surgery.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
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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

9 authors at 2 institutions in 1 country.

Mathias V MelegaSchool of Medical Sciences, Ophthalmology Department of University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.ORCID 0000-0001-9675-4226
Rodrigo Pessoa Cavalcanti LiraSchool of Medical Sciences, Ophthalmology Department of Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil.
Iuri Cardoso da SilvaSchool of Medical Sciences, Ophthalmology Department of University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Bruna Gil FerreiraSchool of Medical Sciences, Ophthalmology Department of University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Hermano L G Assis FilhoSchool of Medical Sciences, Ophthalmology Department of University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Alexandre A F MartiniSchool of Medical Sciences, Ophthalmology Department of University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Roberto Dos ReisSchool of Medical Sciences, Ophthalmology Department of University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Carlos Eduardo Leite ArietaSchool of Medical Sciences, Ophthalmology Department of University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.ORCID 0000-0003-3175-3147
Monica AlvesSchool of Medical Sciences, Ophthalmology Department of University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Universidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de Pernambuco · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate outcomes of resident-performed cataract surgeries in different training levels in a retrospective case series. PATIENTS AND

methodsA total of 730 surgeries performed by residents were evaluated into three groups: surgeries performed during residents' first semester of training in phacoemulsification (Level 1 - L1), surgeries performed during the second semester (Level 2 - L2), and surgeries performed during the third semester (Level 3 - L3). The primary outcome was the incidence of intraoperative complications in each group. Secondary outcomes were the comparisons between initial and final corrected distance visual acuity (CDVA), intraocular pressure (IOP), endothelial cell density (ECD), and central corneal thickness (CCT) in each group. Descriptive statistical analyses were employed in the presentation of the results using central tendency and variance measurements.

resultsThe rate of complications within six weeks of follow-up was 24 out of 102 eyes (23.53%) in the L1 group, 63 out of 301 eyes (20.93%) in the L2 group, and 37 out of 327 (11.31%) in the L3 group (

conclusionWhen measured by rates of complications and by the aforementioned parameters, surgical competency was found to improve as surgical experience and frequency increased. Therefore, this study identified some patterns of skill development that can be applied to teaching strategies and better assist surgeons in training.

Indexed as

cataractcomplicationsophthalmology residencyphacoemulsificationpracticing surgeonssurgical education

Identifiers

PMID33402815
PMCPMC7778434
OpenAlexW3117354839

What OpenQuestion holds

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LicenceCC BY-NC
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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.