Subjective vs Computerized Assessment of Surgeon Skill Level During Mastoidectomy.
Subjective vs Computerized Assessment of Surgeon Skill Level During Mastoidectomy.
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DOI：
10.1177/0194599820933882
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Meyer TA
中科院分区：
文献类型：
--
作者：
Close MF;Mehta CH;Liu Y;Isaac MJ;Costello MS;Kulbarsh KD;Meyer TA
这项初步研究探讨了手术器械跟踪和运动分析在客观测量手术性能中的应用。将客观测量区分不同节段外科医生的准确性与主观评估的准确性进行比较。通过调查将24个由初级住院医师（n=12）、高级住院医师（n=8）和教员（n=4）进行的乳突切除术术中视频片段发送到耳鼻喉科项目，获得708个手术经验水平的主观评分。跟踪软件捕获了钻、吸引冲洗器和患者头部的总行进距离。测量用于预测外科医生的培训水平，并通过受试者工作特征曲线的曲线下面积（AUC）估计准确性。关键的客观指标被证明比主观评价更准确，在确定教师与居民水平和高级与初级居民水平。这项研究的结果表明，使用计算机软件进行客观分析有可能提高手术技能评估的准确性。
This pilot study examines the use of surgical instrument tracking and motion analysis in objectively measuring surgical performance. Accuracy of objective measures in distinguishing between surgeons of different levels was compared to that of subjective assessments. Twenty-four intraoperative video clips of mastoidectomies performed by junior residents (n=12), senior residents (n=8), and faculty (n=4) were sent to otolaryngology programs via survey, yielding 708 subjective ratings of surgical experience level. Tracking software captured the total distance traveled by the drill, suction-irrigator, and patient’s head. Measurements were used to predict surgeon level of training, and accuracy was estimated via area under the curve (AUC) of receiver operating characteristic curves. Key objective metrics proved more accurate than subjective evaluations in determining both faculty versus resident level and senior versus junior resident level. The findings of this study suggest that objective analysis using computer software has the potential to improve the accuracy of surgical skill assessment.
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DOI：
10.1007/s11548-016-1386-3
发表时间：
2016-06-01
影响因子：
3
作者：
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DOI：
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3.1
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通讯作者：
Dankelman, Jenny
DOI：
10.1007/s00464-018-6023-5
发表时间：
2018-06
期刊：
Surgical endoscopy
影响因子：
--
作者：
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Jakimowicz JJ
DOI：
10.1007/s11548-011-0650-9
发表时间：
2012-03-01
影响因子：
3
作者：
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通讯作者：
Moreno, J.