Evidence map›Paper›PMID 35488623›Full record

ArticleEndoscopic ultrasound

Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level.

Leonardo Sosa-Valencia, Jerôme Huppertz, Fanélie Wanert, Francois Haberzetser, Lee Swanström, Benedetto Mangiavillano, Pierre Eisendrath, Pierre Deprez, Carlos Robles-Medranda, Silvia Carrara and 5 more

Abstract read
In one paragraph

Article in Endoscopic ultrasound. 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
–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

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

  1. Pooled it
  2. Trial
  3. Review
  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

15 authors.

Leonardo Sosa-ValenciaIHU Strasbourg - The Institute of Image-Guided Surgery, Strasbourg, France.
Jerôme HuppertzIHU Strasbourg - The Institute of Image-Guided Surgery, Strasbourg, France.
Fanélie WanertIHU Strasbourg - The Institute of Image-Guided Surgery, Strasbourg, France.
Francois HaberzetserIHU Strasbourg - The Institute of Image-Guided Surgery, Strasbourg, France.
Lee SwanströmIHU Strasbourg - The Institute of Image-Guided Surgery, Strasbourg, France.
Benedetto MangiavillanoGastrointestinal Endoscopy Unit, Humanitas, Mater Domini - Castellanza (VA) and Humanitas University, Italy.
Pierre EisendrathDepartment of hepato-gastroenterology, CHU Saint-Pierre, ULB, Brussels, Belgium.
Pierre DeprezDepartment of Hepato-Gastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.
Carlos Robles-MedrandaInstituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador.
Silvia CarraraHumanitas Clinical and Research Center - IRCCS -, via Manzoni, Rozzano (Mi), Italy.
Mohammad A Al-HaddadIndiana University School of Medicine, Indiana, USA.
Peter VilmannCopenhagen University Hospital, Herlev and Gentofte Hospital, Denmark.
Stephane KochUniversity Hospital (CHU) of Besançon, France.
Alberto LarghiFondazione Policlinico Universitario A. Gemelli, Rome, Italy.
Mouen KhashabJohn Hopkins University, Baltimore, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: EUS has evolved into a therapeutic modality for gastrointestinal disorders. Simulators, ex vivo models, and phantoms are the current teaching methods for therapeutic EUS (TEUS). We create and evaluate a high-fidelity simulated live animal model (HiFi SAM) for teaching endoscopists TEUS. Materials and Methods: Designing a curriculum that uses HiFi SAM and enables trainees to perform realistic procedures with expert mentors. Results: Twenty-seven trainees participated in a 3-day program with 6 h of theoretical and 14 h of hands using life HiFi SAM. Eighteen experts participated. Twenty-two (20-25) TEUS were defined for each HiFi SAM, and 616 were performed in all. Of 616/264 (43%) were evaluated with a mean of 88 per course (ranging between 80 and 95). Ninety-one percent (240/264) of the procedures were completed successfully. In 24, success was not achieved due to technical and/or model problems. Student rating of HiFi SAM was: 71% excellent rating (scale 8-10) and 95% excellent/good. The HiFi SAM procedure evaluation was (scale 1-5): fine-needle biopsy: 4.79, radiofrequency: 4.76, common bile duct and gallbladder drainage: 4.75, cystic drainages: 4.72, neurolysis: 4.55, microbiopsy: 4.50, and hepatogastric drainage: 4.04, with an overall satisfaction rate of 4.56 (91%). A short survey showed: 83% would recommend absolutely (17% most likely), 33% think that ITEC training was sufficient for their practice, and 66% would like additional training, especially more practice in specific techniques rather than more clinical case discussion. Regarding impact on their practice, 66% of the trainees started a new procedure and/or noted improvement in previous ones. Conclusion: HiFi SAM is a complex model; however, experts and trainees are satisfied with the training this new curriculum provided.

Indexed as

educationEUSfine-needle biopsyFNAradiofrequencyteachingtraining

Identifiers

PMID35488623
PMCPMC9059805

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.