Evidence map›Paper›PMID 34632156›Full record

ArticleInternational journal of surgery open2021

Training programme in gasless laparoscopy for rural surgeons of India (TARGET study) - Observational feasibility study.

N Aruparayil, J Gnanaraj, S Maiti, M Chauhan, A Quyn, A Mishra, L Bains, G Mathew, C Harris, B Cundill and 6 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of surgery open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. 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

16 authors at 4 institutions in 2 countries.

N AruparayilLeeds Institute of Medical Research at St. James's, University of Leeds, UK.
J GnanarajKarunya University, Coimbatore, India.
S MaitiKolkata Medical College, Kolkata, India.
M ChauhanDepartment of Electronic and Electrical Engineering, University of Leeds, UK.
A QuynLeeds Institute of Medical Research at St. James's, University of Leeds, UK.
A MishraMaulana Azad Medical College, New Delhi, India.
L BainsMaulana Azad Medical College, New Delhi, India.
G MathewShanti Bhavan Medical Center, Biru, Jharkhand, India.
C HarrisLeeds Institute of Medical Research at St. James's, University of Leeds, UK.
B CundillLeeds Institute of Clinical Trials Research, University of Leeds, UK.
A FellowsLeeds Institute of Clinical Trials Research, University of Leeds, UK.
K GordonLeeds Institute of Clinical Trials Research, University of Leeds, UK.
B DawkinsAcademic Unit of Economics, Leeds Institute of Health Science, University of Leeds, UK.
B ShinkinsAcademic Unit of Economics, Leeds Institute of Health Science, University of Leeds, UK.
J BrownLeeds Institute of Clinical Trials Research, University of Leeds, UK.
D JayneLeeds Institute of Medical Research at St. James's, University of Leeds, UK.
University of Leeds · GBSt James's University Hospital · GBMaulana Azad Medical College · INKarunya University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBenefits of laparoscopic surgery are well recognised but uptake in rural settings of low- and middle-income countries is limited due to implementation barriers. Gasless laparoscopy has been proposed as an alternative but requires a trained rural surgical workforce to upscale. This study evaluates a feasibility of implementing a structured laparoscopic training programme for rural surgeons of North-East India.

methodsA 3-day training programme was held at Kolkata Medical College in March 2019. Laparoscopic knowledge and Fundamentals of Laparoscopic Skills (FLS) were assessed pre and post simulation training using multiple choice questions and the McGill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS), respectively. Competency with an abdominal lift device was assessed using the Objective Structured Assessment of Technical Skills (OSATS) and live operating performance via the Global Operative Assessment of Laparoscopic Skills (GOALS) scores during live surgery. Costs of the training programme and qualitative feedback were evaluated.

resultsSeven rural surgeons participated. There was an improvement in knowledge acquisition (mean difference in MCQ score 5.57 (SD = 4.47)). The overall normalised mean MISTELS score for the FLS tasks improved from 386.02 (SD 110.52) pre-to 524.40 (SD 94.98) post-training (p = 0.09). Mean OSATS score was 22.4 out of 35 (SD 3.31) indicating competency with the abdominal lift device whilst a mean GOALS score of 16.42 out of 25 (SD 2.07) indicates proficiency in performing diagnostic laparoscopy using the gasless technique during live operating. Costs of the course were estimated at 354 USD for trainees and 461 USD for trainers.

conclusionStructured training programme in gasless laparoscopy improves overall knowledge and skills acquisition in laparoscopic surgery for rural surgeons of North-East India. It is feasible to deliver a training programme in gasless laparoscopy for rural surgeons. Larger studies are needed to assess the benefits for wider adoption in a similar context.

Indexed as

FLSGasless laparoscopyGOALSLaparoscopic trainingLMICOSATS

Identifiers

PMID34632156
PMCPMC8480410
OpenAlexW3195191894

What OpenQuestion holds

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LicenceCC BY
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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.