Evidence map›Paper›PMID 33981981›Full record

ArticleSurgery open science2020

Validity assessment of the laparoscopic radical nephrectomy module of the LapVision virtual reality simulator.

Haruka Miyata, Takashige Abe, Kiyohiko Hotta, Madoka Higuchi, Takahiro Osawa, Ryuji Matsumoto, Hiroshi Kikuchi, Yo Kurashima, Sachiyo Murai, Nobuo Shinohara

Abstract read
In one paragraph

Article in Surgery open science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Development and validation of a porcine organ model for training in essential laparoscopic surgical skills.International journal of urology : official journal of the Japanese Urological Association · 2020
    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

10 authors.

Haruka MiyataDepartment of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Takashige AbeDepartment of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Kiyohiko HottaDepartment of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Madoka HiguchiDepartment of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Takahiro OsawaDepartment of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Ryuji MatsumotoDepartment of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Hiroshi KikuchiDepartment of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Yo KurashimaHokkaido University Clinical Simulation Center, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Sachiyo MuraiDepartment of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Nobuo ShinoharaDepartment of Urology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVirtual reality simulators allow trainees to perform repeated practice and provide objective dexterity metrics regarding their performance, which means that virtual reality-based surgical training is becoming a vital part of initial learning of basic laparoscopic surgical skills. However, its educational role in learning advanced procedures remains undetermined. We evaluated the validity of the laparoscopic radical nephrectomy module of the LapVision virtual reality simulator.

methodsUrologists, medical students, and a junior resident voluntarily participated in the present study, and they performed training with a laparoscopic left radical nephrectomy module. For construct validation, dexterity metrics calculated in the simulator and the mean score of Global Operative Assessment of Laparoscopic Skills evaluated by 2 experts' video review were compared according to the certification of Japanese Endoscopic Surgical Skill Qualification or previous surgical experience.

resultsTen experts (≥ 50 laparoscopic surgeries), 9 intermediates (11-49), and 14 novices (0-10) voluntarily participated in the present study. Regarding the construct validity, there was a significant difference in the total number of errors, blood loss, and Global Operative Assessment of Laparoscopic Skills score among the groups for both the Endoscopic Surgical Skill Qualification status and previous surgical experience.

conclusionThe present study demonstrated good construct validity for the LapVision nephrectomy module. Furthermore, global skill assessment was possible by experts' reviews, which indicates the usefulness of the virtual reality procedural module as a skill assessment tool. Virtual reality-based procedural simulation has marked potential to become a vital part of integrated laparoscopic training programs.

Identifiers

PMID33981981
PMCPMC8083013

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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.