SynthesisChest2023
Effectiveness of Flexible Bronchoscopy Simulation-Based Training: A Systematic Review.
Synthesis in Chest, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Artificial intelligence in bronchoscopy: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025Pooled it
- Efficacy and Safety of Remimazolam versus Dexmedetomidine and Midazolam in Awake Endotracheal Intubation for Difficult Airway Patients: A Randomized Controlled Study.Drug design, development and therapy · 2025Trial
- Comparison of the Safety and Efficacy of Remimazolam Besylate versus Dexmedetomidine for Patients Undergoing Fiberoptic Bronchoscopy: A Prospective, Randomized Controlled Trial.Drug design, development and therapy · 2024Trial
- From prototype to national standard: a governance framework for scaling simulation-based bronchoscopy training.Advances in simulation (London, England) · 2026Article
- Virtual Reality versus Augmented Reality Bronchoscopy Simulation-Based Training: A Randomised Controlled Trial to Compare Navigation Performance and Cognitive Load in Novice Bronchoscopists.Respiration; international review of thoracic diseases · 2026Article
- An autonomous bronchoscopy robot controlled by artificial intelligence (BronchoBot) outperforms experienced bronchoscopists in a simulated setting.ERJ open research · 2026Article
- Equal and safe use of flexible bronchoscopy in intensive care units.ERJ open research · 2026Article
- Flexible bronchoscopy in the intensive care unit: the FLEXICARE survey.ERJ open research · 2026Article
- Basic Bronchoscopy Competence Achieved During a One-Day Workshop for a Multidisciplinary Critical Care Team:Sultan Qaboos University medical journal · 2026Article
- Article
- BRAIN-SIM: Leveraging Simulation for Neurocritical Care Education with an Innovative Multidisciplinary Approach.Journal of intensive care medicine · 2025Article
- Tumor detection on bronchoscopic images by unsupervised learning.Scientific reports · 2025Article
- Artificial intelligence improves bronchoscopy performance: a randomised crossover trial.ERJ open research · 2025Article
- Development and Validation of two Bronchoscopy Knowledge Assessments.Respiration; international review of thoracic diseases · 2025Article
- The Impact of Remote Visualized Teaching on Clinical Competence Following Short-Term Bronchoscopy Training.Advances in medical education and practice · 2025Article
- Artificial intelligence for automatic and objective assessment of competencies in flexible bronchoscopy.Journal of thoracic disease · 2024Article
- Importance of Diagnostic Imaging Training for Intensivists: Lessons Learned From a Case.Cureus · 2024Article
- Role of simulation-based training in thoracic anaesthesia.Indian journal of anaesthesia · 2024Article
- Does Regular Practice with a "Flexible Bronchoscopy Simulator" Improve Fibreoptic Intubation Skills in Experts and Novices? A Randomized Controlled Study.Journal of clinical medicine · 2023Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe implementation of simulation-based training (SBT) to teach flexible bronchoscopy (FB) skills to novice trainees has increased during the last decade. However, it is unknown whether SBT is effective to teach FB to novices and which instructional features contribute to training effectiveness. RESEARCH QUESTION: How effective is FB SBT and which instructional features contribute to training effectiveness? STUDY DESIGN AND
methodsWe searched Embase, PubMed, Scopus, and Web of Science for articles on FB SBT for novice trainees, considering all available literature until November 10, 2022. We assessed methodological quality of included studies using a modified version of the Medical Education Research Study Quality Instrument, evaluated risk of bias with relevant tools depending on study design, assessed instructional features, and intended to correlate instructional features to outcome measures.
resultsWe identified 14 studies from an initial pool of 544 studies. Eleven studies reported positive effects of FB SBT on most of their outcome measures. However, risk of bias was moderate or high in eight studies, and only six studies were of high quality (modified Medical Education Research Study Quality Instrument score ≥ 12.5). Moreover, instructional features and outcome measures varied highly across studies, and only four studies evaluated intervention effects on behavioral outcome measures in the patient setting. All of the simulation training programs in studies with the highest methodological quality and most relevant outcome measures included curriculum integration and a range in task difficulty.
interpretationAlthough most studies reported positive effects of simulation training programs on their outcome measures, definitive conclusions regarding training effectiveness on actual bronchoscopy performance in patients could not be made because of heterogeneity of training features and the sparse evidence of training effectiveness on validated behavioral outcome measures in a patient setting.
trial registrationPROSPERO; No.: CRD42021262853; URL: https://www.crd.york.ac.uk/prospero/.
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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.