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European Archives of Oto-Rhino-Laryngology

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01-03-2019 | Mastoidectomy | Review Article

Performance metrics in mastoidectomy training: a systematic review

Authors: Fahd Al-Shahrestani, Mads Sølvsten Sørensen, Steven Arild Wuyts Andersen

Published in: European Archives of Oto-Rhino-Laryngology | Issue 3/2019

Abstract

Objective

To investigate validity evidence, and strengths and limitations of performance metrics in mastoidectomy training.

Methods

A systematic review following the PRISMA guidelines. Studies reporting performance metrics in mastoidectomy/temporal bone surgery were included. Data on design, outcomes, and results were extracted by two reviewers. Validity evidence according to Messick’s framework and level of evidence were assessed.

Results

The search yielded a total of 1085 studies from the years 1947–2018 and 35 studies were included for full data extraction after abstract and full-text screening. 33 different metrics on mastoidectomy performance were identified and ranked according to the number of reports. Most of the 33 metrics identified had some amount of validity evidence. The metrics with most validity evidence were related to drilling time, volume drilled per time, force applied near vital structures, and volume removed.

Conclusions

This review provides an overview of current metrics of mastoidectomy performance, their validity, strengths and limitations, and identifies the gap in validity evidence of some metrics. Evidence-based metrics can be used for performance assessment in temporal bone surgery and for providing integrated and automated feedback in virtual reality simulation training. The use of such metrics in simulation-based mastoidectomy training can potentially address some of the limitations in current temporal bone skill assessment and ease assessment in repeated practice. However, at present, an automated feedback based on metrics in VR simulation does not have sufficient empirical basis and has not been generally accepted for use in training and certification.

Level of evidence

2a.

Available only for authorised users

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Title: Performance metrics in mastoidectomy training: a systematic review
Authors: Fahd Al-Shahrestani
Mads Sølvsten Sørensen
Steven Arild Wuyts Andersen
Publication date: 01-03-2019
Publisher: Springer Berlin Heidelberg
Keyword: Mastoidectomy
Published in: European Archives of Oto-Rhino-Laryngology / Issue 3/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-018-05265-9

At a glance: The STEP trials

Springer Medicine

Performance metrics in mastoidectomy training: a systematic review

Abstract

Objective

Methods

Results

Conclusions

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

Level of evidence

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