Evidence map›Paper›PMID 37251986›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2023

Opportunity Cost to Attending Surgeons of Intraoperative Training for Residents in Cataract Surgery.

Brittany C Tsou, Kerry Smith, Rahul Shah, Fasika A Woreta, S Swaroop Vedula, Shameema Sikder

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Brittany C TsouWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kerry SmithWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Rahul ShahWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Fasika A WoretaWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0001-9401-4283
S Swaroop VedulaMalone Center for Engineering in Healthcare, Whiting School of Engineering, Johns Hopkins University, Baltimore, MD, USA.
Shameema SikderWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID 0000-0003-1578-2546

Funding

Artificial Intelligence Driven Tools for Objective Surgical Performance ImprovementR01EY033065 · NEI · JOHNS HOPKINS UNIVERSITY · PI SIKDER, SHAMEEMA, VEDULA, SATYANARAYANA SWAROOP · 2021 to 2024
$1.8M
NEI NIH HHS R01 EY033065
6 · The paper itself

Abstract

Purpose: To estimate the opportunity cost to attending surgeons of teaching residents cataract surgery in the operating room. Patients and methods: Operating room records at an academic teaching hospital from July 2016 to July 2020 were analyzed in this retrospective review of cases. Cases were identified using Current Procedural Terminology (CPT) codes 66982 and 66984 for cataract surgery. Outcomes measured include operative time and work relative value units (wRVUs). Cost analysis was performed using the generic 2021 Medicare Conversion Factor. Results: Of 8813 cases, 2906 (33.0%) included resident involvement. For CPT 66982 cases, median (interquartile range (IQR)) operative time was 47 (22) minutes with resident involvement and 28 (18) minutes without (p<0.001). For CPT 66984 cases, median (IQR) operative time was 34 (15) minutes with resident involvement and 20 (11) minutes without (p<0.001). Median wRVUs was 78.5 (20.9) with resident involvement and 61.0 (14.4) without (p<0.001) which converted to an opportunity cost (IQR) per case of $1393.72 ($1055.63). Among cases involving residents, median operative time was significantly higher during the first and second quarters (p<0.001) and for every quarter when compared to cases performed by attendings only (p<0.001). Conclusion: Teaching cataract surgery in the operating room is associated with a considerable opportunity cost for attending surgeons.

Indexed as

cataract surgeryopportunity costrelative value unitsresident involvement

Identifiers

PMID37251986
PMCPMC10216864

What OpenQuestion holds

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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.