Evidence map›Paper›PMID 38102605›Full record

ArticleBMC medical education2023

Development of a low-cost congenital abdominal wall defect simulator (wall-go) for undergraduate medical education: a validation study.

Gabriel Araújo Medeiros, Igor José Nogueira Gualberto, Carlos Henrique Nascimento Domingues da Silva, Ana Maria Bicudo Diniz, Jan Beatriz Felinto de Santana, Fábio Perecin Volpe, Rahul Gadde, Alessandra Mazzo, Rodrigo Cardoso de Oliveira, Lourenço Sbragia

Abstract read
In one paragraph

Article in BMC medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Gabriel Araújo MedeirosBauru Medical School, Department of Pediatric Dentistry, Orthodontics, and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0002-9477-1353
Igor José Nogueira GualbertoBauru Medical School, Department of Pediatric Dentistry, Orthodontics, and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0001-7333-1722
Carlos Henrique Nascimento Domingues da SilvaRecife Medical School, Federal University of Pernambuco, Recife, Pernambuco, Brazil.ORCID http://orcid.org/0000-0001-9562-2176
Ana Maria Bicudo DinizDivision of Pediatric Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Av Bandeirantes 3900, 10th floor, Ribeirão Preto, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-5939-4230
Jan Beatriz Felinto de SantanaNursing Course, Unifacisa University Center, Campina Grande, Paraíba, Brazil.ORCID http://orcid.org/0000-0002-1070-914X
Fábio Perecin VolpeDivision of Pediatric Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Av Bandeirantes 3900, 10th floor, Ribeirão Preto, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-5810-5719
Rahul GaddeDivision of Pediatric Surgery, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-9867-9979
Alessandra MazzoBauru Medical School, Department of Pediatric Dentistry, Orthodontics, and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0001-5074-8939
Rodrigo Cardoso de OliveiraDepartment of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, Sao Paulo, Brazil.ORCID http://orcid.org/0000-0003-3070-5960
Lourenço SbragiaDivision of Pediatric Surgery, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Av Bandeirantes 3900, 10th floor, Ribeirão Preto, São Paulo, SP, Brazil. sbragia@fmrp.usp.br.ORCID http://orcid.org/0000-0002-1881-6345

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCongenital Anomalies were responsible for 303,000 deaths in the neonatal period, according to the WHO, they are among the world's top 20 causes of morbidity and mortality. Expensive simulators demonstrate several diseases, but few are related to congenital anomalies. This study aims to develop, validate, and evaluate low-cost simulator models (WALL-GO) of the most common abdominal wall defects, gastroschisis, and omphalocele, to enable diagnosis through an accessible tool with study value and amenable to replication.

methodsMarket research was conducted to find materials to build low-cost models. The researchers built the model and underwent validation assessment of the selected experts who scored five or more in the adapted Fehring criteria. The experts were assessed through a 5-point Likert scale to 7 statements (S1-7). Statements were assigned values according to relevance in face and transfer validities. Concomitantly, the model was also evaluated by students from 1st to 5th year with the same instruments. Content Validity Indexes (CVIs) were considered validated between groups with concordance greater than 90%. Text feedback was also collected. Each statement was subjected to Fisher's Exact Test.

resultsGastroschisis and omphalocele model costs were US $15 and US $27, respectively. In total, there were 105 simulator evaluators. 15 experts were selected. Of the 90 students, there were 16 (1st year), 22 (2nd), 16 (3rd), 22 (4th), and 14 (5th). Students and experts obtained CVI = 96.4% and 94.6%, respectively. The CVIs of each statement were not significantly different between groups (p < 0,05).

conclusionsThe WALL-GO models are suitable for use and replicable at a manufacturable low cost. Mannequins with abdominal wall defects are helpful in learning to diagnose and can be applied in teaching and training health professionals in developing and low-income countries.

Indexed as

Abdominal WallEducation, Medical, UndergraduateGastroschisisHernia, UmbilicalHumansInfant, NewbornLearningCostGastrointestinal systemLow-cost technologySimulation TrainingUndergraduateValidation study

Identifiers

PMID38102605
PMCPMC10724958

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.