Evidence map›Paper›PMID 34161435›Full record

ArticleActa cirurgica brasileira2021

Development and validation of a simulator for teaching minimally invasive thoracic surgery in Brazil.

Francisco Martins Neto, Luiz Gonzaga de Moura Júnior, Hermano Alexandre Lima Rocha, Josué Viana de Castro Neto, Alexandre Marcelo Rodrigues Lima, Rafael Pontes de Siqueira, Daniela Lima Chow Castillo, Régis Luiz Sabiá de Moura, Acrísio Sales Valente

Open access · goldAbstract read
In one paragraph

Article in Acta cirurgica brasileira, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

9 authors at 5 institutions in 2 countries.

Francisco Martins NetoMD, MSc. Service of Thoracic Surgery - Hospital Dr. Carlos Alberto Studart Gomes - Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0003-2565-365X
Luiz Gonzaga de Moura JúniorAssistant Professor. Department of Surgery - Centro Universitário Unichristus - Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0003-0092-648X
Hermano Alexandre Lima RochaPhD. Fellow Postdoctorate. Department of Global Health and Population - Harvard T. H. Chan School of Public Health - Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0001-9096-0969
Josué Viana de Castro NetoAssistant Professor. Department of Surgery - Universidade de Fortaleza - Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0001-7920-6404
Alexandre Marcelo Rodrigues LimaMD, MSc. Service of Thoracic Surgery - Hospital Dr. Carlos Alberto Studart Gomes - Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0002-7763-965X
Rafael Pontes de SiqueiraMD. Hospital Instituto Dr. José Frota - Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0002-8780-4188
Daniela Lima Chow CastilloMD, MSc. Hospital Instituto Dr. José Frota - Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0002-6700-2380
Régis Luiz Sabiá de MouraMD, MSc. Senior Engineer at RS Soluções Médicas - Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0001-7838-0646
Acrísio Sales ValenteAssistant Professor. Department of Surgery - Centro Universitário Unichristus - Fortaleza (CE), Brazil.ORCID http://orcid.org/0000-0003-2094-8109
Hospital de Messejana · BRHospital Geral de Fortaleza · BRUnichristus · BRUniversidade de Fortaleza · BRHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop and validate a chest cavity simulator for teaching video-assited thoracic surgery (VATS).

methodsThe first phase of the study consisted of developing a chest cavity simulator. A quasi-experimental study was performed in the second phase, and 25 surgeons and residents participated in a three-stage pulmonary suture experiment. The videos were recorded and timed. Generalized linear regression models for repeated measures were used to analyze the outcome change over time.

resultsThe chest cavity simulator consists of a console simulating the left hemithorax. Among the participants, 96% rated the design, visual aspect, positioning ergonomics, and triangulation of the portals as very good or excellent (face validity). There was a decrease in suturing time in step 1 from 435.7 ± 105 to 355.6 ± 76.8 seconds compared to step 3 (p = 0.001). The evaluation of the simulation effectiveness and performance (content validity) was rated as very good or excellent by 96% ofparticipants. The most experienced surgeon showed significant reduction in procedure time (p = 0.021) (construct validity).

conclusionsThe thoracic cavity simulator is realistic, showing content and construct validity, and can be used in VATS training. The simulation model allowed skill gain in the endoscopic suture.

Indexed as

Simulation TrainingThoracic SurgeryBrazilClinical CompetenceComputer SimulationEndoscopyReproducibility of Results

Identifiers

PMID34161435
PMCPMC8221800
OpenAlexW3173719231

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.