Evidence map›Paper›PMID 34711220›Full record

Trial reportBMC surgery2021

Transference of skills in robotic vs. laparoscopic simulation: a randomized controlled trial.

John J Kanitra, Nashwa Khogali-Jakary, Sahil B Gambhir, Alan T Davis, Michael Hollis, Caroline Moon, Rama Gupta, Pamela S Haan, Cheryl Anderson, Deborah Collier and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

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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

12 authors.

John J KanitraDepartment of Surgery, Ascension St. John Hospital, Detroit, MI, 48236, USA.
Nashwa Khogali-JakaryDepartment of Surgery, Michigan State University College of Human Medicine, 1200 E. Michigan Ave, Suite 655, Lansing, MI, 48912, USA.
Sahil B GambhirDepartment of General Surgery, University of California, Irvine Medical Center, Orange, CA, 92868, USA.
Alan T DavisDepartment of Surgery, Michigan State University College of Human Medicine, 1200 E. Michigan Ave, Suite 655, Lansing, MI, 48912, USA.
Michael HollisDepartment of Surgery, Michigan State University College of Human Medicine, 1200 E. Michigan Ave, Suite 655, Lansing, MI, 48912, USA.
Caroline MoonDepartment of Surgery, Michigan State University College of Human Medicine, 1200 E. Michigan Ave, Suite 655, Lansing, MI, 48912, USA.
Rama GuptaDepartment of Surgery, Michigan State University College of Human Medicine, 1200 E. Michigan Ave, Suite 655, Lansing, MI, 48912, USA.
Pamela S HaanDepartment of Surgery, Michigan State University College of Human Medicine, 1200 E. Michigan Ave, Suite 655, Lansing, MI, 48912, USA.
Cheryl AndersonDepartment of Surgery, Michigan State University College of Human Medicine, 1200 E. Michigan Ave, Suite 655, Lansing, MI, 48912, USA.
Deborah CollierDepartment of Surgery, Michigan State University College of Human Medicine, 1200 E. Michigan Ave, Suite 655, Lansing, MI, 48912, USA.
David HenryMontefiore Medical Center, Bronx, NY, 10467, USA.
Srinivas KavuturuDepartment of Surgery, Michigan State University College of Human Medicine, 1200 E. Michigan Ave, Suite 655, Lansing, MI, 48912, USA. Srinivas.Kavuturu@hc.msu.edu.

Funding

Research Education Program to Increase Diversity in Health-Related Research (REPID program)R25HL108864 · NHLBI · MICHIGAN STATE UNIVERSITY · PI CROCKETT, ELAHE T · 2011 to 2020
$1.8M
NHLBI NIH HHS R25 HL108864NIH HHS R25HL108864-01
6 · The paper itself

Abstract

backgroundElucidating how robotic skills are best obtained will enable surgeons to best develop future robotic training programs. We perform a randomized controlled trial to assess the performance of robotic compared to laparoscopic surgery, transference of pre-existing skills between the two modalities, and to assess the learning curve between the two using novice medical students.

methodsForty students were randomized into either Group A or B. Students practiced and were tested on a peg transfer task in either a laparoscopic simulator (LS) and robotic simulator (RS) in a pre-defined order. Performance, transference of skills and learning curve were assessed for each modality. Additionally, a fatigue questionnaire was issued.

resultsThere was no significant difference between overall laparoscopic scores (219 ± 19) and robotic scores (227 ± 23) (p = 0.065). Prior laparoscopic skills performed significantly better on robotic testing (236 ± 12) than without laparoscopic skills (216 ± 28) (p = 0.008). There was no significant difference in scores between students with prior robotic skills (223 ± 16) than without robotic skills (215 ± 22) (p = 0.162). Students reported no difference in fatigue between RS and LS. The learning curve plateaus at similar times between both modalities.

conclusionNovice medical students with laparoscopic skills performed better on a RS test than students without laparoscopic training, suggesting a transference of skills from laparoscopic to robotic surgery. These results suggest laparoscopic training may be sufficient in general surgery residencies as the skills transfer to robotic if used post-residency.

Indexed as

Internship and ResidencyLaparoscopyRoboticsRobotic Surgical ProceduresSimulation TrainingClinical CompetenceComputer SimulationHumansEducationLaparoscopic skillsLaparoscopic training practiceTraining

Identifiers

PMID34711220
PMCPMC8554974

What OpenQuestion holds

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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.