Evidence map›Paper›PMID 38899103›Full record

ArticleJTCVS techniques2024

Multi-institutional beta testing of a novel cervical esophagogastric anastomosis simulator.

Jules Lin, Deborah M Rooney, Stephen C Yang, Mara Antonoff, Michael T Jaklitsch, Allan Pickens, Jinny S Ha, Monisha Sudarshan, Alejandro Bribriesco, David Zapata and 4 more

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Article in JTCVS techniques, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

14 authors.

Jules LinSection of Thoracic Surgery, University of Michigan Medical School, Ann Arbor, Mich.
Deborah M RooneyDepartment of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Mich.
Stephen C YangDivision of Thoracic Surgery, Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, Md.
Mara AntonoffDepartment of Thoracic and Cardiovascular Surgery, MD Anderson Cancer Center, Houston, Tex.
Michael T JaklitschDivision of Thoracic Surgery, Brigham and Women's Hospital, Boston, Mass.
Allan PickensDepartment of Thoracic Surgery, Vanderbilt University Hospital, Nashville, Tenn.
Jinny S HaDivision of Thoracic Surgery, Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, Md.
Monisha SudarshanSection of Thoracic Surgery, Cleveland Clinic, Cleveland, Ohio.
Alejandro BribriescoSection of Thoracic Surgery, Cleveland Clinic, Cleveland, Ohio.
David ZapataDivision of Cardiothoracic Surgery, University of Maryland, Baltimore, Md.
Kathleen WeissDivision of Thoracic Surgery, Brigham and Women's Hospital, Boston, Mass.
Christopher JohnsonDivision of Thoracic Surgery, Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, Md.
Doug HennigarNuStep LLC, Ann Arbor, Mich.
Mark B OrringerSection of Thoracic Surgery, University of Michigan Medical School, Ann Arbor, Mich.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: A novel simulator developed to offer hands-on practice for the stapled side-to-side cervical esophagogastric anastomosis was tested previously in a single-center study that supported its value in surgical education. This multi-institutional trial was undertaken to evaluate validity evidence from 6 independent thoracic surgery residency programs. Methods: After a virtual session for simulation leaders, learners viewed a narrated video of the procedure and then alternated as surgeon or first assistant. Using an online survey, perceived value was measured across fidelity domains: physical attributes, realism of materials, realism of experience, value, and relevance. Objective assessment included time, number of sutures tearing, bubble test, and direct inspection. Comparison across programs was performed using the Kruskal-Wallis test. Results: Surveys were completed by 63 participants as surgeons (17 junior and 20 senior residents, 18 fellows, and 8 faculty). For 3 of 5 tasks, mean ratings of 4.35 to 4.44 correlated with "somewhat easy" to "very easy" to perform. The interrupted outer layer of the anastomosis rated lowest, suggesting this task was the most difficult. The simulator was rated as a highly valuable training tool. For the objective measurements of performance, "direct inspection" rated highest followed by "time." A total of 90.5% of participants rated the simulator as ready for use with only minor improvements. Conclusions: Results from this multi-institutional study suggest the cervical esophagogastric anastomosis simulator is a useful adjunct for training and assessment. Further research is needed to determine its value in assessing competence for independent operating and associations between improved measured performance and clinical outcomes.

Indexed as

esophageal anastomosis simulatoresophageal surgeryesophagogastric anastomosis simulatorsurgery educationsurgical simulation trainingthoracic surgery educationthoracic surgery simulation training

Identifiers

PMID38899103
PMCPMC11184443

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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.