Evidence map›Paper›PMID 41810654›Full record

Trial reportRevista do Colegio Brasileiro de Cirurgioes2026

Validation of a synthetic lumbar spinal endoscopy simulator: skills transfer to real surgery.

Álynson Larocca Kulcheski, Paul André Alain Milcent, Xavier Soler I Graells, João Gabriel Belegante Scalabrin, Carolline Popovicz Nunes, Edmar Stieven Filho

Abstract readRandomized Controlled TrialValidation Study
In one paragraph

Trial report in Revista do Colegio Brasileiro de Cirurgioes, 2026. 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.

Álynson Larocca Kulcheski- Universidade Federal do Paraná (UFPR) - Departamento de Cirurgia, Ortopedia e Traumatologia - Curitiba - PR - Brasil.ORCID http://orcid.org/0000-0002-0132-6083
Paul André Alain Milcent- Universidade Federal do Paraná (UFPR) - Departamento de Cirurgia, Ortopedia e Traumatologia - Curitiba - PR - Brasil.ORCID http://orcid.org/0000-0001-5853-2702
Xavier Soler I Graells- Universidade Federal do Paraná (UFPR) - Departamento de Cirurgia, Ortopedia e Traumatologia - Curitiba - PR - Brasil.ORCID http://orcid.org/0000-0002-9636-9165
João Gabriel Belegante Scalabrin- Universidade Federal do Paraná (UFPR) - Departamento de Cirurgia, Ortopedia e Traumatologia - Curitiba - PR - Brasil.ORCID http://orcid.org/0000-0002-9140-5657
Carolline Popovicz Nunes- Universidade Federal do Paraná (UFPR) - Departamento de Cirurgia, Ortopedia e Traumatologia - Curitiba - PR - Brasil.ORCID http://orcid.org/0000-0002-9835-0185
Edmar Stieven Filho- Universidade Federal do Paraná (UFPR) - Departamento de Cirurgia, Ortopedia e Traumatologia - Curitiba - PR - Brasil.ORCID http://orcid.org/0000-0003-2869-4019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical simulators offer substantial benefits for technical skills training by providing a risk-free environment for practice. However, access to effective simulators in surgical education remains limited. This study aimed to validate a synthetic lumbar spinal endoscopy simulator through skills transfer and assess its educational applicability.

methodsForty medical students were randomized to simulator training (n=20) or control (n=20). After training, all performed supervised diagnostic endoscopy. Procedures were recorded and evaluated by a blinded examiner for total time, look-downs, instrument loss, supervisor interventions, and Global Operative Assessment of Laparoscopic Skills (GOALS). A Likert-scale questionnaire assessed perceptions of simulation training.

resultsThe intervention group showed superior performance, with reductions of 43.7% in procedure time, 85.3% in look-downs, 75.9% in interventions, 93.3% in instrument loss duration, and 91.2% in total loss percentage (p<0.001). GOALS scores were significantly higher in all domains (p<0.001). All participants endorsed incorporating simulation into medical education.

conclusionThe simulator demonstrated strong transfer validity, significantly improving surgical performance. GOALS scores tripled among simulator-trained participants, and acceptance of the simulator for educational use was unanimous..

Indexed as

Clinical CompetenceEndoscopyLaparoscopyLumbar VertebraeSimulation TrainingFemaleHumansMaleYoung Adult

Identifiers

PMID41810654
PMCPMC13142967

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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.