How can surgical skills in laparoscopic colon surgery be objectively assessed?-a scoping review

Tora Rydtun Haug; Mai-Britt Worm Ørntoft; Danilo Miskovic; Lene Hjerrild Iversen; Søren Paaske Johnsen; Anders Husted Madsen

doi:10.1007/s00464-021-08914-z

How can surgical skills in laparoscopic colon surgery be objectively assessed?-a scoping review

Tora Rydtun Haug, Mai-Britt Worm Ørntoft, Danilo Miskovic, Lene Hjerrild Iversen, Søren Paaske Johnsen, Anders Husted Madsen^*

^*Corresponding author for this work

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Abstract

BACKGROUND: In laparoscopic colorectal surgery, higher technical skills have been associated with improved patient outcome. With the growing interest in laparoscopic techniques, pressure on surgeons and certifying bodies is mounting to ensure that operative procedures are performed safely and efficiently. The aim of the present review was to comprehensively identify tools for skill assessment in laparoscopic colon surgery and to assess their validity as reported in the literature.

METHODS: A systematic search was conducted in EMBASE and PubMed/MEDLINE in May 2021 to identify studies examining technical skills assessment tools in laparoscopic colon surgery. Available information on validity evidence (content, response process, internal structure, relation to other variables, and consequences) was evaluated for all included tools.

RESULTS: Fourteen assessment tools were identified, of which most were procedure-specific and video-based. Most tools reported moderate validity evidence. Commonly not reported were rater training, assessment correlation with variables other than training level, and validity reproducibility and reliability in external educational settings.

CONCLUSION: The results of this review show that several tools are available for evaluation of laparoscopic colon cancer surgery, but few authors present substantial validity for tool development and use. As we move towards the implementation of new techniques in laparoscopic colon surgery, it is imperative to establish validity before surgical skill assessment tools can be applied to new procedures and settings. Therefore, future studies ought to examine different aspects of tool validity, especially correlation with other variables, such as patient morbidity and pathological reports, which impact patient survival.

Original language	English
Journal	Surgical Endoscopy
Volume	36
Issue	3
Pages (from-to)	1761-1774
Number of pages	14
ISSN	0930-2794
DOIs	https://doi.org/10.1007/s00464-021-08914-z
Publication status	Published - Mar 2022

Keywords

Assessment tool
Colon surgery
Competency
Laparoscopy
Surgical education
Technical skills

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How can surgical skills in laparoscopic colon surgery be objectively assessed—a scoping reviewFinal published version, 820 KBLicence: CC BY

Cite this

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title = "How can surgical skills in laparoscopic colon surgery be objectively assessed?-a scoping review",

abstract = "BACKGROUND: In laparoscopic colorectal surgery, higher technical skills have been associated with improved patient outcome. With the growing interest in laparoscopic techniques, pressure on surgeons and certifying bodies is mounting to ensure that operative procedures are performed safely and efficiently. The aim of the present review was to comprehensively identify tools for skill assessment in laparoscopic colon surgery and to assess their validity as reported in the literature.METHODS: A systematic search was conducted in EMBASE and PubMed/MEDLINE in May 2021 to identify studies examining technical skills assessment tools in laparoscopic colon surgery. Available information on validity evidence (content, response process, internal structure, relation to other variables, and consequences) was evaluated for all included tools.RESULTS: Fourteen assessment tools were identified, of which most were procedure-specific and video-based. Most tools reported moderate validity evidence. Commonly not reported were rater training, assessment correlation with variables other than training level, and validity reproducibility and reliability in external educational settings.CONCLUSION: The results of this review show that several tools are available for evaluation of laparoscopic colon cancer surgery, but few authors present substantial validity for tool development and use. As we move towards the implementation of new techniques in laparoscopic colon surgery, it is imperative to establish validity before surgical skill assessment tools can be applied to new procedures and settings. Therefore, future studies ought to examine different aspects of tool validity, especially correlation with other variables, such as patient morbidity and pathological reports, which impact patient survival.",

keywords = "Assessment tool, Colon surgery, Competency, Laparoscopy, Surgical education, Technical skills",

author = "Haug, {Tora Rydtun} and {\O}rntoft, {Mai-Britt Worm} and Danilo Miskovic and Iversen, {Lene Hjerrild} and Johnsen, {S{\o}ren Paaske} and Madsen, {Anders Husted}",

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year = "2022",

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doi = "10.1007/s00464-021-08914-z",

language = "English",

volume = "36",

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How can surgical skills in laparoscopic colon surgery be objectively assessed?-a scoping review. / Haug, Tora Rydtun ; Ørntoft, Mai-Britt Worm; Miskovic, Danilo et al.
In: Surgical Endoscopy, Vol. 36, No. 3, 03.2022, p. 1761-1774.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Review › Research › peer-review

TY - JOUR

T1 - How can surgical skills in laparoscopic colon surgery be objectively assessed?-a scoping review

AU - Haug, Tora Rydtun

AU - Ørntoft, Mai-Britt Worm

AU - Miskovic, Danilo

AU - Iversen, Lene Hjerrild

AU - Johnsen, Søren Paaske

AU - Madsen, Anders Husted

PY - 2022/3

Y1 - 2022/3

N2 - BACKGROUND: In laparoscopic colorectal surgery, higher technical skills have been associated with improved patient outcome. With the growing interest in laparoscopic techniques, pressure on surgeons and certifying bodies is mounting to ensure that operative procedures are performed safely and efficiently. The aim of the present review was to comprehensively identify tools for skill assessment in laparoscopic colon surgery and to assess their validity as reported in the literature.METHODS: A systematic search was conducted in EMBASE and PubMed/MEDLINE in May 2021 to identify studies examining technical skills assessment tools in laparoscopic colon surgery. Available information on validity evidence (content, response process, internal structure, relation to other variables, and consequences) was evaluated for all included tools.RESULTS: Fourteen assessment tools were identified, of which most were procedure-specific and video-based. Most tools reported moderate validity evidence. Commonly not reported were rater training, assessment correlation with variables other than training level, and validity reproducibility and reliability in external educational settings.CONCLUSION: The results of this review show that several tools are available for evaluation of laparoscopic colon cancer surgery, but few authors present substantial validity for tool development and use. As we move towards the implementation of new techniques in laparoscopic colon surgery, it is imperative to establish validity before surgical skill assessment tools can be applied to new procedures and settings. Therefore, future studies ought to examine different aspects of tool validity, especially correlation with other variables, such as patient morbidity and pathological reports, which impact patient survival.

AB - BACKGROUND: In laparoscopic colorectal surgery, higher technical skills have been associated with improved patient outcome. With the growing interest in laparoscopic techniques, pressure on surgeons and certifying bodies is mounting to ensure that operative procedures are performed safely and efficiently. The aim of the present review was to comprehensively identify tools for skill assessment in laparoscopic colon surgery and to assess their validity as reported in the literature.METHODS: A systematic search was conducted in EMBASE and PubMed/MEDLINE in May 2021 to identify studies examining technical skills assessment tools in laparoscopic colon surgery. Available information on validity evidence (content, response process, internal structure, relation to other variables, and consequences) was evaluated for all included tools.RESULTS: Fourteen assessment tools were identified, of which most were procedure-specific and video-based. Most tools reported moderate validity evidence. Commonly not reported were rater training, assessment correlation with variables other than training level, and validity reproducibility and reliability in external educational settings.CONCLUSION: The results of this review show that several tools are available for evaluation of laparoscopic colon cancer surgery, but few authors present substantial validity for tool development and use. As we move towards the implementation of new techniques in laparoscopic colon surgery, it is imperative to establish validity before surgical skill assessment tools can be applied to new procedures and settings. Therefore, future studies ought to examine different aspects of tool validity, especially correlation with other variables, such as patient morbidity and pathological reports, which impact patient survival.

KW - Assessment tool

KW - Colon surgery

KW - Competency

KW - Laparoscopy

KW - Surgical education

KW - Technical skills

U2 - 10.1007/s00464-021-08914-z

DO - 10.1007/s00464-021-08914-z

M3 - Review

C2 - 34873653

SN - 0930-2794

VL - 36

SP - 1761

EP - 1774

JO - Surgical Endoscopy

JF - Surgical Endoscopy

IS - 3

ER -

How can surgical skills in laparoscopic colon surgery be objectively assessed?-a scoping review

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