Coronary anastomosis simulation training is associated with faster task completion than no formal simulation training¶

Claim · All claims
Evidence · 1 study · quant-synthesis r2 · q2
Currency · newest study 2022 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? In meta-analysis of trials assessing time to completion, trainees who used simulation completed anastomoses a mean of 205.9 seconds faster than before simulation. → O'Dwyer M 2022

Evidence¶

O'Dwyer M 2022¶

O'Dwyer M, Fleming CA, Ahern S, Barrett S, Raftery NB, Ní Dhonnchú T, Doddakula K. (2022). Objective improvement with coronary anastomosis simulation training: meta-analysis. BJS Open. https://doi.org/10.1093/bjsopen/zrab147

q2 · i? · quant-synthesis · r2

Random-effects meta-analysis of six studies (eleven groups) comparing time to completion before versus after simulation, performed in RevMan 5.4. The pooled mean difference was "205.9 s" with P < 0.001; individual effect sizes ranged from 64 to 443 s and heterogeneity was I2 = 77 per cent.

"A mean difference of 205.9 s was observed (95 per cent c.i. 133.52 to 278.18; P < 0.001) in trainees who used simulation (Fig. 3)."

Discussion¶

Related Claims¶

• Junior and non-cardiothoracic residents show larger time improvements from coronary anastomosis simulation than senior residents — a narrower finding that bears on this claim
• The coronary anastomosis learning curve on a simulator stabilizes after about 30 anastomoses — related
• Simulation improves trainee scores on individual technical subtasks of coronary anastomosis — related
• Coronary anastomosis simulation training is associated with higher objective skill scores than no formal simulation training — related
• Surgeons trained on the dVSS tubes task were significantly faster at creating vesicourethral anastomosis than untrained controls, with no other differences — a narrower finding that bears on this claim