Virtual reality simulator versus box-trainer to teach minimally invasive procedures: A meta-analysis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorGUEDES, Hugo Goncalo
dc.contributor.authorFERREIRA, Zemia Maria Camara Costa
dc.contributor.authorLEAO, Layra Ribeiro de Sousa
dc.contributor.authorMONTERO, Edna Frasson Souza
dc.contributor.authorOTOCH, Jose Pinhata
dc.contributor.authorARTIFON, Everson Luiz de Almeida
dc.date.accessioned2019-02-21T17:20:48Z
dc.date.available2019-02-21T17:20:48Z
dc.date.issued2019
dc.description.abstractBackground: To evaluate the effectiveness of virtual reality simulator (VRS) training compared to box-trainer training (BT) for learning outcomes in minimally invasive surgery (MIS) techniques. Materials and Methods: A systematic review of the literature was performed using CENTRAL, MEDLINE, EMBASE, Scopus, CINAHL, LILACS. The primary outcomes were time to perform MIS and performance score in MIS. After being selected, the articles were evaluated for methodological quality and risk of bias. The results were evaluated for quality of evidence and meta-analysis was performed. Results: 20 randomized clinical trials were included in the qualitative analysis and 14 were used in the meta-analysis. VRS training was more efficient than BT training (P < 0.00001, 95% CI: 35.08 to -25.01) when evaluating participant time needed to complete the peg task. In descriptive analysis, VRS training was better than BT training in participant performance score to perform MIS. There was no statistical difference in the meta-analysis in the time needed to perform surgery, time to complete basic or advanced tasks and performance score for basic or advanced tasks. Conclusions: VRS training was better than BT training in participant performance scores when performing MIS and in the time needed to complete the basic task of peg transfer. In all other outcomes, regardless of the student's level of experience or type of activity, the two forms of training were equivalent.eng
dc.description.indexMEDLINEeng
dc.identifier.citationINTERNATIONAL JOURNAL OF SURGERY, v.61, p.60-68, 2019
dc.identifier.doi10.1016/j.ijsu.2018.12.001
dc.identifier.eissn1743-9159
dc.identifier.issn1743-9191
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/30771
dc.language.isoeng
dc.publisherELSEVIER SCIENCE BVeng
dc.relation.ispartofInternational Journal of Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ELSEVIER SCIENCE BVeng
dc.subjectSimulation trainingeng
dc.subjectLaparoscopyeng
dc.subjectMinimally invasive surgical procedureseng
dc.subjectTrainingeng
dc.subjectBox trainereng
dc.subjectVirtual realityeng
dc.subject.othermedical-studentseng
dc.subject.otherrobotic skillseng
dc.subject.othersystemseng
dc.subject.otheracquisitioneng
dc.subject.otherperformanceeng
dc.subject.otherendoscopyeng
dc.subject.otherretentioneng
dc.subject.othervalidityeng
dc.subject.othertrialeng
dc.subject.wosSurgeryeng
dc.titleVirtual reality simulator versus box-trainer to teach minimally invasive procedures: A meta-analysiseng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalFERREIRA, Zemia Maria Camara Costa:Univ Potiguar, Senador Salgado Filho Ave 1610, BR-59056000 Natal, RN, Brazil
hcfmusp.author.externalLEAO, Layra Ribeiro de Sousa:Hosp Israelita Albert Einstein, Albert Einstein Ave 627-701, BR-05652900 Sao Paulo, SP, Brazil
hcfmusp.citation.scopus42
hcfmusp.contributor.author-fmusphcHUGO GONCALO GUEDES
hcfmusp.contributor.author-fmusphcEDNA FRASSON DE SOUZA MONTERO
hcfmusp.contributor.author-fmusphcJOSE PINHATA OTOCH
hcfmusp.contributor.author-fmusphcEVERSON LUIZ DE ALMEIDA ARTIFON
hcfmusp.description.beginpage60
hcfmusp.description.endpage68
hcfmusp.description.volume61
hcfmusp.origemWOS
hcfmusp.origem.pubmed30529216
hcfmusp.origem.scopus2-s2.0-85058232158
hcfmusp.origem.wosWOS:000455016300010
hcfmusp.publisher.cityAMSTERDAMeng
hcfmusp.publisher.countryNETHERLANDSeng
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