腹腔镜或机器人辅助妇科手术中的客观评估工具:系统性审查
Freweini Martha Tesfai1,2,3, Jasleen Nagi4, Iona Morrison5
1The Griffin Institute, Northwick Park & St Marks' Hospital, London, UK.
Acta obstetricia et gynecologica Scandinavica
|April 13, 2024
概括
需要客观的评估工具,以对最小侵入性妇科手术技能进行评估. 一项审查发现有37个工具,但只有两个具有强有力的有效性证据,没有一个将得分与患者的结果联系起来.
科学领域:
- 外科教育的外科教育
- 医疗技术评估 医疗技术评估
背景情况:
- 在外科培训中,基于能力的进展需要客观的指标.
- 客观评估工具对于评估新获得的外科技能至关重要.
研究的目的:
- 系统地审查和评估现有的客观评估工具的可靠性和有效性,用于微创性妇科手术 (模拟) 性能.
主要方法:
- 在多个数据库 (MEDLINE,Embase,PubMed,Web of Science) 中进行了系统的文献搜索 (1989-2022年).
- 包括关于开发,验证或使用微创妇科手术评估工具的研究报告.
- 使用从Messick的框架中改编的框架评估了证据的有效性,使用MERSQI检查清单评估了方法质量.
主要成果:
- 72篇文章符合纳入标准,确定了37种不同的评估工具 (13种是全球性的,13种是特定程序的,11种是自动化的).
- 只有两个工具显示了有效性的实质性证据.
- 没有任何评估工具显示得分与患者相关结果之间的直接相关性.
结论:
- 目前用于妇科手术的客观评估工具缺乏将性能与患者结果联系起来的证据,并且具有有限的可转移性.
- 未来的研究应侧重于整合先进技术 (例如动力学数据,人工智能),以提高外科技能评估的稳定性和客观性.
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