Systematic Review of Factors Influencing Surgical Performance: Practical Recommendations for Microsurgical Procedures in Neurosurgery.
Identifieur interne : 000717 ( Main/Exploration ); précédent : 000716; suivant : 000718Systematic Review of Factors Influencing Surgical Performance: Practical Recommendations for Microsurgical Procedures in Neurosurgery.
Auteurs : Evgenii Belykh [Russie] ; Naomi R. Onaka [États-Unis] ; Irakliy T. Abramov [Russie] ; Kaan Ya Murlu [États-Unis] ; Vadim A. Byvaltsev [Russie] ; Robert F. Spetzler [États-Unis] ; Peter Nakaj [États-Unis] ; Mark C. Preul [États-Unis]Source :
- World neurosurgery [ 1878-8769 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
BACKGROUND
Microneurosurgical techniques involve complex manual skills and hand-eye coordination that require substantial training. Many factors affect microneurosurgical skills. The goal of this study was to use a systematic evidence-based approach to analyze the quality of evidence for intrinsic and extrinsic factors that influence microneurosurgical performance and to make weighted practical recommendations.
METHODS
A literature search of factors that may affect microsurgical performance was conducted using PubMed and Embase. The criteria for inclusion were established in accordance with the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) statement.
RESULTS
Forty-eight studies were included in the analysis. Most of the studies used surgeons as participants. Most used endoscopic surgery simulators to assess skills, and only 12 studies focused on microsurgery. This review provides 18 practical recommendations based on a systematic literature analysis of the following 8 domains: 1) listening to music before and during microsurgery, 2) caffeine consumption, 3) β-blocker use, 4) physical exercise, 5) sleep deprivation, 6) alcohol consumption before performing surgery, 7) duration of the operation, and 8) the ergonomic position of the surgeon.
CONCLUSIONS
Despite the clear value of determining the effects of various factors on surgical performance, the available body of literature is limited, and it is not possible to determine standards for each surgical field. These recommendations may be used by neurosurgical trainees and practicing neurosurgeons to improve microsurgical performance and acquisition of microsurgical skills. Randomized studies assessing the factors that influence microsurgical performance are required.
DOI: 10.1016/j.wneu.2018.01.005
PubMed: 29325962
Affiliations:
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Preul</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA. Electronic address: Neuropub@barrowneuro.org.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:29325962</idno><idno type="pmid">29325962</idno><idno type="doi">10.1016/j.wneu.2018.01.005</idno><idno type="wicri:Area/Main/Corpus">000848</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000848</idno><idno type="wicri:Area/Main/Curation">000848</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000848</idno><idno type="wicri:Area/Main/Exploration">000848</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Systematic Review of Factors Influencing Surgical Performance: Practical Recommendations for Microsurgical Procedures in Neurosurgery.</title><author><name sortKey="Belykh, Evgenii" sort="Belykh, Evgenii" uniqKey="Belykh E" first="Evgenii" last="Belykh">Evgenii Belykh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA; Irkutsk State Medical University, Irkutsk, Russia.</nlm:affiliation><country xml:lang="fr">Russie</country><wicri:regionArea>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA; Irkutsk State Medical University, Irkutsk</wicri:regionArea><wicri:noRegion>Irkutsk</wicri:noRegion></affiliation></author><author><name sortKey="Onaka, Naomi R" sort="Onaka, Naomi R" uniqKey="Onaka N" first="Naomi R" last="Onaka">Naomi R. Onaka</name><affiliation wicri:level="2"><nlm:affiliation>University of Arizona College of Medicine, Phoenix, Arizona, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Arizona College of Medicine, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Abramov, Irakliy T" sort="Abramov, Irakliy T" uniqKey="Abramov I" first="Irakliy T" last="Abramov">Irakliy T. Abramov</name><affiliation wicri:level="3"><nlm:affiliation>N. N. Burdenko Research Institute of Neurosurgery, Moscow, Russia.</nlm:affiliation><country xml:lang="fr">Russie</country><wicri:regionArea>N. N. Burdenko Research Institute of Neurosurgery, Moscow</wicri:regionArea><placeName><settlement type="city">Moscou</settlement><region>District fédéral central</region></placeName></affiliation></author><author><name sortKey="Ya Murlu, Kaan" sort="Ya Murlu, Kaan" uniqKey="Ya Murlu K" first="Kaan" last="Ya Murlu">Kaan Ya Murlu</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Byvaltsev, Vadim A" sort="Byvaltsev, Vadim A" uniqKey="Byvaltsev V" first="Vadim A" last="Byvaltsev">Vadim A. Byvaltsev</name><affiliation wicri:level="1"><nlm:affiliation>Irkutsk State Medical University, Irkutsk, Russia.</nlm:affiliation><country xml:lang="fr">Russie</country><wicri:regionArea>Irkutsk State Medical University, Irkutsk</wicri:regionArea><wicri:noRegion>Irkutsk</wicri:noRegion></affiliation></author><author><name sortKey="Spetzler, Robert F" sort="Spetzler, Robert F" uniqKey="Spetzler R" first="Robert F" last="Spetzler">Robert F. Spetzler</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Nakaj, Peter" sort="Nakaj, Peter" uniqKey="Nakaj P" first="Peter" last="Nakaj">Peter Nakaj</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Preul, Mark C" sort="Preul, Mark C" uniqKey="Preul M" first="Mark C" last="Preul">Mark C. Preul</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA. Electronic address: Neuropub@barrowneuro.org.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author></analytic><series><title level="j">World neurosurgery</title><idno type="eISSN">1878-8769</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Clinical Competence (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Microsurgery (MeSH)</term><term>Neurosurgery (MeSH)</term><term>Task Performance and Analysis (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Analyse et exécution des tâches (MeSH)</term><term>Compétence clinique (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Microchirurgie (MeSH)</term><term>Mâle (MeSH)</term><term>Neurochirurgie (MeSH)</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Clinical Competence</term><term>Female</term><term>Humans</term><term>Male</term><term>Microsurgery</term><term>Neurosurgery</term><term>Task Performance and Analysis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Analyse et exécution des tâches</term><term>Compétence clinique</term><term>Femelle</term><term>Humains</term><term>Microchirurgie</term><term>Mâle</term><term>Neurochirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Microneurosurgical techniques involve complex manual skills and hand-eye coordination that require substantial training. Many factors affect microneurosurgical skills. The goal of this study was to use a systematic evidence-based approach to analyze the quality of evidence for intrinsic and extrinsic factors that influence microneurosurgical performance and to make weighted practical recommendations.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A literature search of factors that may affect microsurgical performance was conducted using PubMed and Embase. The criteria for inclusion were established in accordance with the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) statement.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Forty-eight studies were included in the analysis. Most of the studies used surgeons as participants. Most used endoscopic surgery simulators to assess skills, and only 12 studies focused on microsurgery. This review provides 18 practical recommendations based on a systematic literature analysis of the following 8 domains: 1) listening to music before and during microsurgery, 2) caffeine consumption, 3) β-blocker use, 4) physical exercise, 5) sleep deprivation, 6) alcohol consumption before performing surgery, 7) duration of the operation, and 8) the ergonomic position of the surgeon.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Despite the clear value of determining the effects of various factors on surgical performance, the available body of literature is limited, and it is not possible to determine standards for each surgical field. These recommendations may be used by neurosurgical trainees and practicing neurosurgeons to improve microsurgical performance and acquisition of microsurgical skills. Randomized studies assessing the factors that influence microsurgical performance are required.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29325962</PMID><DateCompleted><Year>2018</Year><Month>05</Month><Day>14</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-8769</ISSN><JournalIssue CitedMedium="Internet"><Volume>112</Volume><PubDate><Year>2018</Year><Month>Apr</Month></PubDate></JournalIssue><Title>World neurosurgery</Title><ISOAbbreviation>World Neurosurg</ISOAbbreviation></Journal><ArticleTitle>Systematic Review of Factors Influencing Surgical Performance: Practical Recommendations for Microsurgical Procedures in Neurosurgery.</ArticleTitle><Pagination><MedlinePgn>e182-e207</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1878-8750(18)30044-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.wneu.2018.01.005</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Microneurosurgical techniques involve complex manual skills and hand-eye coordination that require substantial training. Many factors affect microneurosurgical skills. The goal of this study was to use a systematic evidence-based approach to analyze the quality of evidence for intrinsic and extrinsic factors that influence microneurosurgical performance and to make weighted practical recommendations.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A literature search of factors that may affect microsurgical performance was conducted using PubMed and Embase. The criteria for inclusion were established in accordance with the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) statement.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Forty-eight studies were included in the analysis. Most of the studies used surgeons as participants. Most used endoscopic surgery simulators to assess skills, and only 12 studies focused on microsurgery. This review provides 18 practical recommendations based on a systematic literature analysis of the following 8 domains: 1) listening to music before and during microsurgery, 2) caffeine consumption, 3) β-blocker use, 4) physical exercise, 5) sleep deprivation, 6) alcohol consumption before performing surgery, 7) duration of the operation, and 8) the ergonomic position of the surgeon.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Despite the clear value of determining the effects of various factors on surgical performance, the available body of literature is limited, and it is not possible to determine standards for each surgical field. These recommendations may be used by neurosurgical trainees and practicing neurosurgeons to improve microsurgical performance and acquisition of microsurgical skills. Randomized studies assessing the factors that influence microsurgical performance are required.</AbstractText><CopyrightInformation>Copyright © 2018 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Belykh</LastName><ForeName>Evgenii</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA; Irkutsk State Medical University, Irkutsk, Russia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Onaka</LastName><ForeName>Naomi R</ForeName><Initials>NR</Initials><AffiliationInfo><Affiliation>University of Arizona College of Medicine, Phoenix, Arizona, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abramov</LastName><ForeName>Irakliy T</ForeName><Initials>IT</Initials><AffiliationInfo><Affiliation>N. N. Burdenko Research Institute of Neurosurgery, Moscow, Russia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yağmurlu</LastName><ForeName>Kaan</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Byvaltsev</LastName><ForeName>Vadim A</ForeName><Initials>VA</Initials><AffiliationInfo><Affiliation>Irkutsk State Medical University, Irkutsk, Russia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spetzler</LastName><ForeName>Robert F</ForeName><Initials>RF</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nakaj</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Preul</LastName><ForeName>Mark C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA. Electronic address: Neuropub@barrowneuro.org.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>01</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>World Neurosurg</MedlineTA><NlmUniqueID>101528275</NlmUniqueID><ISSNLinking>1878-8750</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="Y">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008866" MajorTopicYN="Y">Microsurgery</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009493" MajorTopicYN="Y">Neurosurgery</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013647" MajorTopicYN="Y">Task Performance and Analysis</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Caffeine consumption</Keyword><Keyword MajorTopicYN="N">Exercise</Keyword><Keyword MajorTopicYN="N">Microsurgery</Keyword><Keyword MajorTopicYN="N">Performance</Keyword><Keyword MajorTopicYN="N">Skills</Keyword><Keyword MajorTopicYN="N">Sleep deprivation</Keyword><Keyword MajorTopicYN="N">Surgical procedure</Keyword><Keyword MajorTopicYN="N">Training</Keyword><Keyword MajorTopicYN="N">Tremor</Keyword><Keyword MajorTopicYN="N">β-Blocker</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>08</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>12</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>01</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>1</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>5</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>1</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29325962</ArticleId><ArticleId IdType="pii">S1878-8750(18)30044-5</ArticleId><ArticleId IdType="doi">10.1016/j.wneu.2018.01.005</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Russie</li><li>États-Unis</li></country><region><li>Arizona</li><li>District fédéral central</li></region><settlement><li>Moscou</li></settlement></list><tree><country name="Russie"><noRegion><name sortKey="Belykh, Evgenii" sort="Belykh, Evgenii" uniqKey="Belykh E" first="Evgenii" last="Belykh">Evgenii Belykh</name></noRegion><name sortKey="Abramov, Irakliy T" sort="Abramov, Irakliy T" uniqKey="Abramov I" first="Irakliy T" last="Abramov">Irakliy T. Abramov</name><name sortKey="Byvaltsev, Vadim A" sort="Byvaltsev, Vadim A" uniqKey="Byvaltsev V" first="Vadim A" last="Byvaltsev">Vadim A. Byvaltsev</name></country><country name="États-Unis"><region name="Arizona"><name sortKey="Onaka, Naomi R" sort="Onaka, Naomi R" uniqKey="Onaka N" first="Naomi R" last="Onaka">Naomi R. Onaka</name></region><name sortKey="Nakaj, Peter" sort="Nakaj, Peter" uniqKey="Nakaj P" first="Peter" last="Nakaj">Peter Nakaj</name><name sortKey="Preul, Mark C" sort="Preul, Mark C" uniqKey="Preul M" first="Mark C" last="Preul">Mark C. Preul</name><name sortKey="Spetzler, Robert F" sort="Spetzler, Robert F" uniqKey="Spetzler R" first="Robert F" last="Spetzler">Robert F. Spetzler</name><name sortKey="Ya Murlu, Kaan" sort="Ya Murlu, Kaan" uniqKey="Ya Murlu K" first="Kaan" last="Ya Murlu">Kaan Ya Murlu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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