Tools for quality assessment of technical skill in laparoscopic surgery; a systematic review
EAES Academy. van Lieshout A. 07/05/22; 363188; P252
Ms. Annabel van Lieshout
Contributions
Contributions
Abstract
Aims:
High technical performance of a laparoscopic surgeon seems to be associated with improved patient outcomes. There is a growing interest in objective assessment of surgical performance and many different video based assessment tools have been developed for laparoscopic surgery. However validation of these tools remain complex. We aim to provide an overview of the available video based tools for objective surgical quality assessment in laparoscopic surgery and their validation results.
Methods:
PubMed, EMBASE and MEDLINE were systematically searched by two reviewers to identify all studies focusing on video based quality assessment tools of technical skill in laparoscopic surgery performed by qualified surgeons in living patients. The validity evidence of these studies was assessed by using a validation scoring system.
Results:
47 studies with a total of more than 30 different video based quality assessment tools were identified used in 16 different laparoscopic surgical procedures. These tools can be separated in 4 categories: global rating scales, step-by-step procedure specific tools, error based rating scales and motion tracking software. 11 studies validated their tools with clinical patient outcomes, 20 studies used validation with experience of surgeons, 12 studies compared their tool with another tool and 11 studies used expert opinions. Both global rating scales and step-by-step procedure specific tools showed correlation of surgeon performance and improved short term patient outcomes.
Conclusion:
This shows the variety of different tools used in laparoscopic surgery and their different validation methods. Measurement of surgical quality by using a tool seems to be a feasible method to objectively assess technical skill of a surgeon and may be associated with improved patient outcomes. However the evidence of validity in most of these studies was moderate. Future studies on video based quality assessment need to focus on different aspects of validity and patient outcomes to examine the impact of using a tool in daily surgical practice.
High technical performance of a laparoscopic surgeon seems to be associated with improved patient outcomes. There is a growing interest in objective assessment of surgical performance and many different video based assessment tools have been developed for laparoscopic surgery. However validation of these tools remain complex. We aim to provide an overview of the available video based tools for objective surgical quality assessment in laparoscopic surgery and their validation results.
Methods:
PubMed, EMBASE and MEDLINE were systematically searched by two reviewers to identify all studies focusing on video based quality assessment tools of technical skill in laparoscopic surgery performed by qualified surgeons in living patients. The validity evidence of these studies was assessed by using a validation scoring system.
Results:
47 studies with a total of more than 30 different video based quality assessment tools were identified used in 16 different laparoscopic surgical procedures. These tools can be separated in 4 categories: global rating scales, step-by-step procedure specific tools, error based rating scales and motion tracking software. 11 studies validated their tools with clinical patient outcomes, 20 studies used validation with experience of surgeons, 12 studies compared their tool with another tool and 11 studies used expert opinions. Both global rating scales and step-by-step procedure specific tools showed correlation of surgeon performance and improved short term patient outcomes.
Conclusion:
This shows the variety of different tools used in laparoscopic surgery and their different validation methods. Measurement of surgical quality by using a tool seems to be a feasible method to objectively assess technical skill of a surgeon and may be associated with improved patient outcomes. However the evidence of validity in most of these studies was moderate. Future studies on video based quality assessment need to focus on different aspects of validity and patient outcomes to examine the impact of using a tool in daily surgical practice.
Aims:
High technical performance of a laparoscopic surgeon seems to be associated with improved patient outcomes. There is a growing interest in objective assessment of surgical performance and many different video based assessment tools have been developed for laparoscopic surgery. However validation of these tools remain complex. We aim to provide an overview of the available video based tools for objective surgical quality assessment in laparoscopic surgery and their validation results.
Methods:
PubMed, EMBASE and MEDLINE were systematically searched by two reviewers to identify all studies focusing on video based quality assessment tools of technical skill in laparoscopic surgery performed by qualified surgeons in living patients. The validity evidence of these studies was assessed by using a validation scoring system.
Results:
47 studies with a total of more than 30 different video based quality assessment tools were identified used in 16 different laparoscopic surgical procedures. These tools can be separated in 4 categories: global rating scales, step-by-step procedure specific tools, error based rating scales and motion tracking software. 11 studies validated their tools with clinical patient outcomes, 20 studies used validation with experience of surgeons, 12 studies compared their tool with another tool and 11 studies used expert opinions. Both global rating scales and step-by-step procedure specific tools showed correlation of surgeon performance and improved short term patient outcomes.
Conclusion:
This shows the variety of different tools used in laparoscopic surgery and their different validation methods. Measurement of surgical quality by using a tool seems to be a feasible method to objectively assess technical skill of a surgeon and may be associated with improved patient outcomes. However the evidence of validity in most of these studies was moderate. Future studies on video based quality assessment need to focus on different aspects of validity and patient outcomes to examine the impact of using a tool in daily surgical practice.
High technical performance of a laparoscopic surgeon seems to be associated with improved patient outcomes. There is a growing interest in objective assessment of surgical performance and many different video based assessment tools have been developed for laparoscopic surgery. However validation of these tools remain complex. We aim to provide an overview of the available video based tools for objective surgical quality assessment in laparoscopic surgery and their validation results.
Methods:
PubMed, EMBASE and MEDLINE were systematically searched by two reviewers to identify all studies focusing on video based quality assessment tools of technical skill in laparoscopic surgery performed by qualified surgeons in living patients. The validity evidence of these studies was assessed by using a validation scoring system.
Results:
47 studies with a total of more than 30 different video based quality assessment tools were identified used in 16 different laparoscopic surgical procedures. These tools can be separated in 4 categories: global rating scales, step-by-step procedure specific tools, error based rating scales and motion tracking software. 11 studies validated their tools with clinical patient outcomes, 20 studies used validation with experience of surgeons, 12 studies compared their tool with another tool and 11 studies used expert opinions. Both global rating scales and step-by-step procedure specific tools showed correlation of surgeon performance and improved short term patient outcomes.
Conclusion:
This shows the variety of different tools used in laparoscopic surgery and their different validation methods. Measurement of surgical quality by using a tool seems to be a feasible method to objectively assess technical skill of a surgeon and may be associated with improved patient outcomes. However the evidence of validity in most of these studies was moderate. Future studies on video based quality assessment need to focus on different aspects of validity and patient outcomes to examine the impact of using a tool in daily surgical practice.
{{ help_message }}
{{filter}}