Evidence map›Paper›PMID 34997525›Full record

Trial reportInternational journal of computer assisted radiology and surgery2022

Does quality assured eLearning provide adequate preparation for robotic surgical skills; a prospective, randomized and multi-center study.

Stefano Puliatti, Marco Amato, Rui Farinha, Artur Paludo, Giuseppe Rosiello, Ruben De Groote, Andrea Mari, Lorenzo Bianchi, Pietro Piazza, Ben Van Cleynenbreugel and 7 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of computer assisted radiology and surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04541615 (Prospective and Randomized Assessment of the Impact of Proficiency-based Progression E-learning Prior to Skills Training on a Robotic Surgical Task), which is not on this map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 15% 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.

NCT04541615 nacompletednot on this map

Prospective and Randomized Assessment of the Impact of Proficiency-based Progression E-learning Prior to Skills Training on a Robotic Surgical Task

TypeinterventionalSponsorOrsi AcademyRan2020 to 2020Enrolled48ConditionsSurgery, E-learningArmsOnline course with proficiency test, Online course, Standard training group, Apprenticeship group
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. 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

17 authors at 11 institutions in 5 countries.

Stefano PuliattiORSI Academy, Melle, Belgium. stefanopuliatti@gmail.com.
Marco AmatoORSI Academy, Melle, Belgium.
Rui FarinhaORSI Academy, Melle, Belgium.
Artur PaludoORSI Academy, Melle, Belgium.
Giuseppe RosielloORSI Academy, Melle, Belgium.
Ruben De GrooteORSI Academy, Melle, Belgium.
Andrea MariUnit of Oncologic Minimally Invasive Urology and Andrology, Department of Urology, University of Florence, Careggi Hospital, Florence, Italy.
Lorenzo BianchiOffice for the Vice President for Learning and Teaching, University College Cork, Cork, Ireland.
Pietro PiazzaORSI Academy, Melle, Belgium.
Ben Van CleynenbreugelFaculty of Medicine, KU Leuven, Leuven, Belgium.
Elio MazzoneDivision of Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Filippo MiglioriniUrology Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
Saverio ForteUrology and Andrology Unit II, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Bernardo RoccoUrology Department, ASST Santi Paolo e Carlo - Milano, Università Statale di Milano, Milan, Italy.
Patrick KielyORSI Academy, Melle, Belgium.
Alexandre MottrieORSI Academy, Melle, Belgium.
Anthony G GallagherORSI Academy, Melle, Belgium.
Onze Lieve Vrouwziekenhuis Hospital · BEUniversity College Cork · IEKU Leuven · BEORSI Academy · BEAzienda Ospedaliera Universitaria Integrata Verona · ITHospital de Clínicas de Porto Alegre · BRIRCCS Ospedale San Raffaele · ITUniversity of Bari Aldo Moro · ITUniversity of Florence · ITUniversity of Milan · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn particular after the onset of the COVID-19 pandemic, there was a precipitous rush to implement virtual and online learning strategies in surgery and medicine. It is essential to understand whether this approach is sufficient and adequate to allow the development of robotic basic surgical skills. The main aim of the authors was to verify if the quality assured eLearning is sufficient to prepare individuals to perform a basic surgical robotic task.

methodsA prospective, randomized and multi-center study was conducted in September 2020 in the ORSI Academy, International surgical robotic training center. Forty-seven participants, with no experience but a special interest in robotic surgery, were matched and randomized into four groups who underwent a didactic preparation with different formats before carrying out a robotic suturing and anastomosis task. Didactic preparation methods ranged from a complete eLearning path to peer-reviewed published manuscripts describing the suturing, knot tying and task assessment metrics.

resultsThe primary outcome was the percentage of trainees who demonstrated the quantitatively defined proficiency benchmark after learning to complete an assisted but unaided robotic vesico-urethral anastomosis task. The quantitatively defined benchmark was based on the objectively assessed performance (i.e., procedure steps completed, errors and critical errors) of experienced robotic surgeons for a proficiency-based progression (PBP) training course. None of the trainees in this study demonstrated the proficiency benchmarks in completing the robotic surgery task.

conclusionsPBP-based e-learning methodology is an effective training method avoiding critical errors in the suturing and knotting task. Quality assured online learning is insufficient preparation for robotic suturing and knot tying anastomosis skills.

trial registrationClinicalTrials.gov Identifier: NCT04541615.

Indexed as

Computer-Assisted InstructionCOVID-19Robotic Surgical ProceduresClinical CompetenceCurriculumHumansPandemicsProspective StudiesSARS-CoV-2eLearningMetricsProficiency-based progressionSurgical training

Identifiers

PMID34997525
PMCPMC8740863
OpenAlexW4220888202

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.