Virtual reality training shows no significant improvement in total GOALS scores or GOALS domains compared with no additional training¶

Claim · All claims
Evidence · 1 study (2 entries) · quant-synthesis r3 · q3
Currency · newest study 2022 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? Meta-analysis of three studies found total GOALS scores favoured neither VRT nor NAT (MD 0.91, 95%CI −0.29 to 2.11, P = 0.14). → Humm Gemma; Mohan Helen Peter; Fleming Christina; Harries Rhiannon; Wood Christopher; Dawas Khaled; Stoyanov Danail; Lovat Laurence B 2022 q3 i? Meta-analysis of five studies found no GOALS domain (depth perception, bimanual dexterity, efficiency, tissue handling) favoured VRT or NAT. → Humm Gemma; Mohan Helen Peter; Fleming Christina; Harries Rhiannon; Wood Christopher; Dawas Khaled; Stoyanov Danail; Lovat Laurence B 2022 (2)

Evidence¶

Humm Gemma; Mohan Helen Peter; Fleming Christina; Harries Rhiannon; Wood Christopher; Dawas Khaled; Stoyanov Danail; Lovat Laurence B 2022¶

Humm Gemma; Mohan Helen Peter; Fleming Christina; Harries Rhiannon; Wood Christopher; Dawas Khaled; Stoyanov Danail; Lovat Laurence B. (2022). The impact of virtual reality simulation training on operative performance in laparoscopic cholecystectomy: meta-analysis of randomized clinical trials. BJS Open. https://doi.org/10.1093/bjsopen/zrac086

q3 · i? · quant-synthesis · r3

Meta-analysis of three RCTs on total GOALS, 75 participants randomized to VRT and 38 to NAT, low heterogeneity (I2 = 0 per cent), fixed-effects model favouring neither group, "MD 0.91, 95 per cent c.i. −0.29 to 2.11, P = 0.14". Equivalence was not tested.

"Total GOALS scores were analysed including in three studies8,46,50, where 75 participants were randomized to VRT and 38 participants to NAT. Statistical heterogeneity was low (I2 = 0 per cent) using a fixed-effects model, the combined weighted effected favoured neither VRT nor NAT (MD 0.91, 95 per cent c.i. −0.29 to 2.11, P = 0.14)"

Humm Gemma; Mohan Helen Peter; Fleming Christina; Harries Rhiannon; Wood Christopher; Dawas Khaled; Stoyanov Danail; Lovat Laurence B 2022 (2)¶

Humm Gemma; Mohan Helen Peter; Fleming Christina; Harries Rhiannon; Wood Christopher; Dawas Khaled; Stoyanov Danail; Lovat Laurence B. (2022). The impact of virtual reality simulation training on operative performance in laparoscopic cholecystectomy: meta-analysis of randomized clinical trials. BJS Open. https://doi.org/10.1093/bjsopen/zrac086

q3 · i? · quant-synthesis · r3

Meta-analysis of five RCTs on GOALS domain scores, 47 participants randomized to VRT and 46 to NAT; depth perception favoured neither group (MD = 0.24, P = 0.51), as did bimanual dexterity, efficiency and tissue handling. Heterogeneity was substantial for some domains.

"For the GOALS domain of depth perception, statistical heterogeneity was substantial (I2 = 82%). Using a random-effects model, the combined weighted effect favoured neither VRT nor NAT (MD = 0.24, 95%CI.−0.48 to 0.97, P = 0.51)"

Discussion¶

Related Claims¶

• Virtual reality training improves OSATS scores compared with no additional training for junior trainees in laparoscopic cholecystectomy — related
• No significant differences found between virtual reality training and simulation training in GOALS scores or time to completion — related
• Virtual reality training reduces time to completion of laparoscopic cholecystectomy tasks compared with no additional training — related
• Virtual reality training reduces intraoperative error counts compared with no additional training in laparoscopic cholecystectomy — related
• Virtual reality training improves economy-of-movement and error global rating scores compared with no additional training in one RCT — related
• Robotic novices trained with extended reality simulators complete tasks significantly faster than novices with no additional training — related
• Extended reality training shows no statistically significant difference in time to complete compared to dry lab training — related