Evidence map›Paper›PMID 38822017›Full record

ArticleScientific reports2024

Evaluating the surgical trainee ergonomic experience during minimally invasive abdominal surgery (ESTEEMA study).

Cassandra Chan, Ying Ching Tan, Ee Wen Lim, Jin-Yao Teo, Jinlin Lin, Winson JianHong Tan, Gerald Ci An Tay, Emile Kwong-Wei Tan, Isaac Seow-En

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

9 authors.

Cassandra Chan *Duke-NUS Medical School, 8 College Rd, Singapore, 169857, Singapore.
Ying Ching Tan *Department of Colorectal Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Ee Wen LimDepartment of Colorectal Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Jin-Yao TeoDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Jinlin LinDepartment of General Surgery, Changi General Hospital, 2 Simei Street 3, Singapore, 529889, Singapore.
Winson JianHong TanDepartment of General Surgery, Sengkang General Hospital, 110 Sengkang East Way, Singapore, 544886, Singapore.
Gerald Ci An TayDepartment of Head and Neck Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Emile Kwong-Wei TanDepartment of Colorectal Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Isaac Seow-EnDepartment of Colorectal Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore. isaac.seow.en@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minimally invasive abdominal surgery (MAS) can exert a physical cost. Surgical trainees spend years assisting minimally-invasive surgeries, increasing the risk of workplace injury. This prospective questionnaire-based cohort study was conducted amongst general surgery residents in Singapore. Residents assisting major MAS surgery were invited to complete anonymous online survey forms after surgery. The Phase 1 survey assessed physical discomfort scores and risk factors. Intraoperative measures to improve ergonomics were administered and evaluated in Phase 2. During Phase 1 (October 2021 to April 2022), physical discomfort was reported in at least one body part in 82.6% (n = 38) of respondents. Over a third of respondents reported severe discomfort in at least one body part (n = 17, 37.0%). Extremes of height, training seniority, longer surgical duration and operative complexity were significant risk factors for greater physical discomfort. In Phase 2 (October 2022 to February 2023), the overall rate of physical symptoms and severe discomfort improved to 81.3% (n = 52) and 34.4% (n = 22) respectively. The ergonomic measure most found useful was having separate television monitors for the primary surgeon and assistants, followed by intraoperative feedback on television monitor angle or position. Close to 20% of survey respondents felt that surgeon education was likely to improve physical discomfort.

Indexed as

AbdomenErgonomicsMinimally Invasive Surgical ProceduresAdultFemaleHumansInternship and ResidencyMaleProspective StudiesRisk FactorsSingaporeSurgeonsSurveys and Questionnaires

Identifiers

PMID38822017
PMCPMC11143188

What OpenQuestion holds

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LicenceCC BY
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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.