Multiple metrics assessment method for a reliable evaluation of corneal suturing skills

Abstract This study aimed to evaluate the efficiency of a multiple metrics assessment method to differentiate between surgeons of differing experience while performing a corneal suturing task. Volunteer ophthalmologists were assigned to three groups (senior [SG], junior [JG] and novice [NG]) accordi...

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Main Authors: Lea Dormegny, Nicole Neumann, Anne Lejay, Arnaud Sauer, David Gaucher, François Proust, Nabil Chakfe, Tristan Bourcier
Format: Article
Language:English
Published: Nature Portfolio 2023-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-29555-3
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author Lea Dormegny
Nicole Neumann
Anne Lejay
Arnaud Sauer
David Gaucher
François Proust
Nabil Chakfe
Tristan Bourcier
author_facet Lea Dormegny
Nicole Neumann
Anne Lejay
Arnaud Sauer
David Gaucher
François Proust
Nabil Chakfe
Tristan Bourcier
author_sort Lea Dormegny
collection DOAJ
description Abstract This study aimed to evaluate the efficiency of a multiple metrics assessment method to differentiate between surgeons of differing experience while performing a corneal suturing task. Volunteer ophthalmologists were assigned to three groups (senior [SG], junior [JG] and novice [NG]) according to their experience in corneal suturing. All participants performed three sessions of corneal wound closure by three stitches. Suturing and participant posture were recorded with cameras, and assessed by two blind assessors for stitch quality (using Zhang score) and ergonomics (using Rapid Upper Limb Assessment [RULA] score). Task duration was recorded. Objective analyses of stitches geometry and instrument position were carried out. We included 24 participants: 5 in the SG, 8 in the JG and 11 in the NG. Stitch quality was significantly better and time to perform the procedure significantly lower in more experienced groups (p < 0.001 and p = 0.002, respectively). SG participants better respected regular distance and parallelism between stitches compared to others (p = 0.01). Instrument position was similar between groups, although SG participants minimized their back-and-forth movements compared to NG participants. Ergonomics assessment was similar. Multiple metrics assessment efficiently determined how to differentiate between novices and experienced surgeons on corneal suturing skills, providing hints for future training studies.
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spelling doaj.art-50f7da4bfcbc4f369d5a8b9d605f4aae2023-03-22T11:05:43ZengNature PortfolioScientific Reports2045-23222023-02-011311910.1038/s41598-023-29555-3Multiple metrics assessment method for a reliable evaluation of corneal suturing skillsLea Dormegny0Nicole Neumann1Anne Lejay2Arnaud Sauer3David Gaucher4François Proust5Nabil Chakfe6Tristan Bourcier7GEPROMEDGEPROMEDGEPROMEDGEPROMEDGEPROMEDGEPROMEDGEPROMEDGEPROMEDAbstract This study aimed to evaluate the efficiency of a multiple metrics assessment method to differentiate between surgeons of differing experience while performing a corneal suturing task. Volunteer ophthalmologists were assigned to three groups (senior [SG], junior [JG] and novice [NG]) according to their experience in corneal suturing. All participants performed three sessions of corneal wound closure by three stitches. Suturing and participant posture were recorded with cameras, and assessed by two blind assessors for stitch quality (using Zhang score) and ergonomics (using Rapid Upper Limb Assessment [RULA] score). Task duration was recorded. Objective analyses of stitches geometry and instrument position were carried out. We included 24 participants: 5 in the SG, 8 in the JG and 11 in the NG. Stitch quality was significantly better and time to perform the procedure significantly lower in more experienced groups (p < 0.001 and p = 0.002, respectively). SG participants better respected regular distance and parallelism between stitches compared to others (p = 0.01). Instrument position was similar between groups, although SG participants minimized their back-and-forth movements compared to NG participants. Ergonomics assessment was similar. Multiple metrics assessment efficiently determined how to differentiate between novices and experienced surgeons on corneal suturing skills, providing hints for future training studies.https://doi.org/10.1038/s41598-023-29555-3
spellingShingle Lea Dormegny
Nicole Neumann
Anne Lejay
Arnaud Sauer
David Gaucher
François Proust
Nabil Chakfe
Tristan Bourcier
Multiple metrics assessment method for a reliable evaluation of corneal suturing skills
Scientific Reports
title Multiple metrics assessment method for a reliable evaluation of corneal suturing skills
title_full Multiple metrics assessment method for a reliable evaluation of corneal suturing skills
title_fullStr Multiple metrics assessment method for a reliable evaluation of corneal suturing skills
title_full_unstemmed Multiple metrics assessment method for a reliable evaluation of corneal suturing skills
title_short Multiple metrics assessment method for a reliable evaluation of corneal suturing skills
title_sort multiple metrics assessment method for a reliable evaluation of corneal suturing skills
url https://doi.org/10.1038/s41598-023-29555-3
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