Evidence map›Paper›PMID 34459976›Full record

Trial reportSurgical endoscopy2022

Coffee break has no impact on laparoscopic skills: a randomized double-blinded placebo-controlled parallel-group trial.

Christoph Gerdes, Anna Maria Berghäuser, Julian Hipp, Martin Bäumlein, Svenja Hinrichs, Jan-Christoph Thomassen, Sebastian Hoffmann, Berthold Gerdes

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

8 authors.

Christoph Gerdes *Organization Team of the Skills Lab of the German Society of Surgery (DGCH), Berlin, Germany.ORCID 0000-0001-5351-5348
Anna Maria Berghäuser *Organization Team of the Skills Lab of the German Society of Surgery (DGCH), Berlin, Germany.
Julian HippOrganization Team of the Skills Lab of the German Society of Surgery (DGCH), Berlin, Germany.
Martin BäumleinOrganization Team of the Skills Lab of the German Society of Surgery (DGCH), Berlin, Germany.
Svenja HinrichsOrganization Team of the Skills Lab of the German Society of Surgery (DGCH), Berlin, Germany.
Jan-Christoph ThomassenOrganization Team of the Skills Lab of the German Society of Surgery (DGCH), Berlin, Germany.
Sebastian HoffmannDepartment of General Surgery, Philipps University Marburg, Marburg, Germany.
Berthold GerdesOrganization Team of the Skills Lab of the German Society of Surgery (DGCH), Berlin, Germany. berthold.gerdes@muehlenkreiskliniken.de.ORCID 0000-0002-8661-6986

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoffee is a widely consumed beverage. Surgeons often drink coffee before performing surgery. Caffeine intake leads to tremor which might have a negative effect on surgeons' fine motor skills.

methodsA double-blinded parallel-group trial was conducted in order to investigate if caffeinated coffee intake has a negative effect on laparoscopic skills and increases tremor, regardless of previous coffee consumption. 118 participants were selected during a congress of the German Society of Surgery. Exclusion criteria were immaturity and no given consent. Participants and investigators were blinded. Participants were randomized with a 1:1 allocation into interventional group receiving caffeinated coffee or placebo group receiving decaffeinated coffee. The motor skills were tested with two validated laparoscopic exercises at a laparoscopy simulator (LapSim®) before and 30 min after coffee intake. Data on influencing factors were recorded in a standardized questionnaire and tested for equal distribution in both groups. In both exercises four parameters were recorded: left and right hand path length and angular path. Their differences and the resulting effect scores were calculated for both groups as primary outcome to test which group showed greater improvement on the second round of exercises. Registration number DRKS00023608, registered retrospectively.

resultsFifty nine subjects were assigned to each the interventional (54 analyzed) and placebo group (53 analyzed) with 11 drop outs. There was no significant difference between the placebo and interventional group in the two exercises in effect score 30 min after coffee intake [mean (SD); 38.58 (10.66) vs. 41.73 (7.40) and 113.09 (28.94) vs. 116.59 (25.63)]. A significant improvement from first to second measurement in the first exercise could be observed for both groups, demonstrating the training effect.

conclusionIn our study, we verified that additional caffeinated coffee intake, e.g., during a coffee break, does not lead to deterioration of laparoscopic fine motor skills.

Indexed as

CoffeeLaparoscopyCaffeineDouble-Blind MethodHumansRetrospective StudiesTremorCaffeineCoffeeCaffeineCoffeeFine motor skillsLaparoscopySurgeryTremor

Identifiers

PMID34459976
PMCPMC9001621

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.