开发和初步验证一个新的基于任务的客观程序 - - inguinal hernia修复程序安全性的特定评估
Vahagn C Nikolian1, Diego Camacho2, David Earle3,4
1Department of Surgery, Oregon Health & Science University, 3181 S.W. Sam Jackson Park Rd., Portland, OR, 97239, USA. nikolian@ohsu.edu.
Surgical endoscopy
|February 8, 2024
概括
对于微创 inguinal hernia 修复 (IHR-OPSA) 的一个新的 8 项评估工具显示在评估手术视频时具有良好的可靠性. 这个目标工具增强了外科培训计划中的能力评估.
科学领域:
- 外科教育的外科教育
- 最少侵入性的手术
- 手术评估工具 手术评估工具
背景情况:
- 对于微创 inguinal hernia repair (IHR) 的现有评估工具缺乏可靠性,有效性和可用性.
- 手术视频和结构化评估对于手术培训中的能力评估至关重要.
- 美国外科学会的倡议强调可信任的专业活动.
研究的目的:
- 开发和评估一个新的,客观的,程序特定的8项能力评估对最小侵入性 inguinal hernia 修复 (IHR-OPSA) 的评审者之间的可靠性.
- 提供一个可靠的工具,用于评估手术视频在最少的侵入性 inguinal hernia 修复培训.
主要方法:
- 该IHR-OPSA是由专家外科医生开发和实地测试的.
- 六位专家外科医生使用8项IHR-OPSA评估了20个IHR手术视频,并将其分为"安全"和"不安全".
- 使用Gwet的AC2统计数据评估了评价者之间的可靠性.
主要成果:
- IHR-OPSA表现出良好的至优秀的评级者之间的可靠性,在八个项目中得分范围从0.65到0.97.
- 与腹腔镜手术相比,机器人手术的可靠性更高 (对7/8项几乎完全一致).
- 较容易的案件通常比较困难的案件有更高的协议水平.
结论:
- 开发了一种新的8项评估工具 (IHR-OPSA),用于微创 inguinal hernia 修复,并显示出有前途的 inter-rater 可靠性.
- IHR-OPSA的设计是为了在其预期的用途中保持有效性,并结合了专家反和现实世界的视频评估.
- 该工具提供了一种可靠的方法,用于对最少侵入性 inguinal hernia 修复培训的能力评估.
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