Performance Assessment for Total Laparoscopic Hysterectomy in the Operating Room: Validity Evidence of a Procedure-specific Rating Scale
| Autor: | Benoit Rabischong, Aubert Agostini, Antoine Netter, Andy Schmitt, Patrice Crochet, Anderson Loundou, Sophie Knight, Anna Garofalo |
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| Přispěvatelé: | Aix Marseille Université (AMU), Hôpital de la Conception [CHU - APHM] (LA CONCEPTION), Hôpital Arnaud de Villeneuve [CHRU Montpellier], Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Université de Montpellier (UM), Institut méditerranéen de biodiversité et d'écologie marine et continentale (IMBE), Avignon Université (AU)-Aix Marseille Université (AMU)-Institut de recherche pour le développement [IRD] : UMR237-Centre National de la Recherche Scientifique (CNRS), Assistance Publique - Hôpitaux de Marseille (APHM), CHU Estaing [Clermont-Ferrand], CHU Clermont-Ferrand, Department of Obstetrics and Gynecology, Assistance Publique H^opitaux de Marseille, La Conception Hospital, 13005 Marseille, Aix Marseille University, France, Centre d'études et de recherche sur les services de santé et la qualité de vie (CEReSS), Service de Gynécologie [CHU Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, Centre National de la Recherche Scientifique (CNRS)-Institut de recherche pour le développement [IRD] : UMR237-Aix Marseille Université (AMU)-Avignon Université (AU) |
| Rok vydání: | 2021 |
| Předmět: |
Operating Rooms
medicine.medical_specialty Procedural skills [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging medicine.medical_treatment [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery [SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics Hysterectomy [SHS]Humanities and Social Sciences Validity Formative assessment Rating scale medicine Humans Closure (psychology) ComputingMilieux_MISCELLANEOUS Reliability (statistics) business.industry Reproducibility of Results Obstetrics and Gynecology Assessment tool Task (computing) Scale (social sciences) Physical therapy Female Laparoscopy Clinical Competence business Cohort study |
| Zdroj: | Journal of Minimally Invasive Gynecology Journal of Minimally Invasive Gynecology, 2021, 28 (10), pp.1743-1750.e3. ⟨10.1016/j.jmig.2021.02.013⟩ Journal of Minimally Invasive Gynecology, Elsevier, 2021, 28 (10), pp.1743-1750.e3. ⟨10.1016/j.jmig.2021.02.013⟩ |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2021.02.013 |
| Popis: | Study Objective The technical conduct of total laparoscopic hysterectomy (LH) is critical to surgical outcomes. This study explored the validity evidence of an objective scale specific to the assessment of technical skills (H-OSATS) for 7 tasks of an LH with salpingo-oophorectomy procedure performed in the operating room. Design Observational cohort study. Setting Two academic hospitals in Marseille and Montpellier, France. Patients Three groups of operators (novice, intermediate, and experienced surgeons) were video recorded during their live performances of LH on a simple case. For each group, a dozen unedited videos were obtained for the following tasks: division of the round ligament, division of the infundibulopelvic ligament, creation of the bladder flap, opening of the posterior peritoneum, division of the uterine vessels, colpotomy, and closure of the vault. Interventions Two qualified raters blindly assessed each video using the H-OSATS rating scale. Inter-rater reliability and test–retest reliability were calculated as measures of internal structure. In a separate round of evaluations, the raters provided a global competent/noncompetent decision for each performance. As a measure of consequential validity, a pass/fail score was set for each task using the contrasting group method. Measurements and Main Results Three tasks (creation of the bladder flap, colpotomy, and closure of the vault) displayed sound validity evidence: a meaningful total score difference among the 3 groups of experience as well as between the intermediate and experienced surgeons, reliability outcomes of >0.7, and a pass/fail score with a theoretical false-positive rate of Conclusion The validity evidence of the H-OSATS rating scale differed for separate evaluations of the 7 tasks. Three tasks (i.e., creation of the bladder flap, colpotomy, and closure of the vault) revealed sound validity evidence, including at the level of the attending surgeon, whereas other tasks were more consistent with low-stakes formative evaluation standards. |
| Databáze: | OpenAIRE |
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