Evidence map›Paper›PMID 37391411›Full record

ArticleScientific reports2023

A validated test has been developed for assessment of manual small incision cataract surgery skills using virtual reality simulation.

Daniel E Hutter, Line Wingsted, Sanja Cejvanovic, Mads Forslund Jacobsen, Luis Ochoa, Karla Pamela González Daher, Morten la Cour, Lars Konge, Ann Sofia Skou Thomsen

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

9 authors at 4 institutions in 2 countries.

Daniel E HutterCopenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark. deh20@miami.edu.
Line WingstedCopenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark.
Sanja CejvanovicCopenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark.
Mads Forslund JacobsenCopenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark.
Luis OchoaInstituto Mexicano De Oftalmología (IMO), Querétaro, Mexico.
Karla Pamela González DaherInstituto Mexicano De Oftalmología (IMO), Querétaro, Mexico.
Morten la CourDepartment of Ophthalmology, Rigshospitalet, Glostrup, Denmark.
Lars KongeCopenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark.
Ann Sofia Skou ThomsenCopenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark. skouthomsen@dadlnet.dk.
Copenhagen Academy for Medical Education and Simulation · DKInstituto Mexicano de Oftalmología IAP · MXRigshospitalet · DKGlostrup Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigates the validity evidence of metrics used for the assessment of surgical skills for Manual Small Incision Cataract Surgery (MSICS) in a virtual reality simulator. MSICS surgery is a low-cost, low-technology cataract surgery technique, which is widely used in low- and middle-income countries. However, there is a lack of cataract surgeons globally, and efficient and evidence-based training of new surgeons is needed. In order to investigate the validity of simulator metrics, we included three groups of participants: (1) MSICS novices who were ophthalmologists with no cataract surgery experience, (2) MSICS novices who were experienced phacoemulsification cataract surgeons, but with no MSICS experience, and (3) experienced phacoemulsification and MSICS surgeons. The evaluation included 11 steps of the MSICS procedure, and all simulator metrics for those steps were reviewed. Of the 55 initial metrics, 30 showed high positive discriminative ability. A test passing score of 20 out of 30 was established, and one of 15 novices with no MSICS experience (mean score 15.5) and 7 out of 10 experienced MSICS surgeons (mean score 22.7) passed the test. We have developed and established validity evidence for a test for MSICS skills in a virtual reality simulator for future use in proficiency-based training and evidence-based testing of training interventions.

Indexed as

CataractCataract ExtractionPhacoemulsificationSurgical WoundVirtual RealityComputer SimulationHumans

Identifiers

PMID37391411
PMCPMC10313684
OpenAlexW4382777535

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.