Experience of a New Dedicated Meta-analysis Tool in Systematic Review and Meta-Analysis on Training Performances of Virtual Reality Bronchoscopy Simulation

Authors

  • Massoud Sokouti Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, 9176699199
  • Ramin Sadeghi Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, 9176699199
  • Saeid Pashazadeh Department of Computer and Electrical Engineering, University of Tabriz, Tabriz
  • Saeed Eslami Hasan Abadi Deaprtment of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad
  • Moshen Sokouti Department of Surgery, Tabriz University of Medical Sciences, Tabriz
  • Morteza Ghojazadeh Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz
  • Babak Sokouti Biotechnology Research Center, Tabriz University of Medical Sciences, Tabriz

DOI:

https://doi.org/10.26713/jims.v10i1-2.513

Keywords:

Virtual reality, Bronchoscopy, Training, Meta-analysis, Novices, Experts

Abstract

The increasing employment of virtual reality bronchoscopy simulation makes it essential to validate the effectiveness of training. This systematic review and meta-analysis performs comparisons among trained groups. Well-known sources (i.e., PubMed, Scopus, and Google Scholar) were systematically searched using a Boolean query based on PRISMA guidelines. The inclusion criteria were peer-reviewed English articles considering virtual reality training simulation based on flexible bronchoscopy for novices and experts, and the studies without enough data or not relevant in content were excluded. Then, the meta-analysis procedure based on random-effects model, heterogeneity and publication bias tests, and subgroup analyses were performed. Eight studies comprising two randomized clinical trials, two prospective, and four observational studies were analyzed. The results for forest plots were illustrated and the significant p values of the target groups were indicative of the fact that the virtual reality bronchoscopy simulation was effective between the groups. The outcomes of meta-regression analyses for sample size and published year showed that the latter one can explain most of the heterogeneity between the studies. And, the funnel plots were indicative of no publication bias. Finally, the high rates of explained variance between studies achieved by subgroup analyses were 89% and 52%. The virtual reality bronchoscopy simulation for training the target groups will be beneficial for both novice trainees and experts. The outcomes of current study showed the effectiveness of virtual reality training technique along with the consistent results in terms of meta-analysis, publication bias, meta-regression, heterogeneity, and subgroup analysis. The stand-alone meta-mums tool is available by requesting through the corresponding authors' email addresses.

Downloads

Download data is not yet available.

References

M.G. Blum, T.W. Powers and S. Sundaresan, Bronchoscopy simulator effectively prepares junior residents to competently perform basic clinical bronchoscopy, Ann. Thorac. Surg. 78 (1) (2004), 287 – 291.

S. Boet, V.N. Naik and P.A. Diemunsch, Virtual simulation training for fibreoptic intubation, Canadian Journal of Anesthesia 56 (1) (2009), 87 – 88.

D.B. Chandra, G.L. Savoldelli, H.S. Joo, I.D. Weiss and V.N. Naik, Fiberoptic oral intubation: The effect of model fidelity on training for transfer to patient care, Anesthesiology 109 (6) (2008), 1007 – 1013.

H.G. Colt, S.W. Crawford and O. Galbraith, Virtual reality bronchoscopy simulation: A revolution in procedural training, Chest 120 (4) (2001), 1333 – 1339.

Comprehensive meta-analysis (version 2) [computer software], Englewood, NJ: Biostat. Available from available from https://www.meta-analysis.com/, (2014).

N.A. Crabtree, D.B. Chandra, I.D. Weiss, H.S. Joo and V.N. Naik, Fibreoptic airway training: Correlation of simulator performance and clinical skill, Can. J. Anaesth. 55 (2) (2008), 100 – 104.

Critical appraisal skills programme casp checklists, Press Release, http://www.casp-uk.net/#!checklists/cb36, (2013).

M. Davoudi and H.G. Colt, Bronchoscopy simulation: A brief review, Adv. Health Sci. Educ. Theory Pract. 14 (2) (2009), 287 – 296.

M. Davoudi, K. Osann and H.G. Colt, Validation of two instruments to assess technical bronchoscopic skill using virtual reality simulation, Respiration 76 (1) (2008), 92 – 101.

K. Goldmann and T. Steinfeldt, Acquisition of basic fiberoptic intubation skills with a virtual reality airway simulator, J. Clin. Anesth. 18 (3) (2006), 173 – 178.

K. Graeser, L. Konge, M.S. Kristensen, A.G. Ulrich, K. Hornbech and C. Ringsted, Airway management in a bronchoscopic simulator based setting, Eur. J. Anaesthesiol. 31 (3) (2014), 125 – 130.

O.J. Hilmi, P.S. White, D.W. McGurty and M. Oluwole, Bronchoscopy training: Is simulated surgery effective?, Clin. Otolaryngol. Allied Sci. 27 (4) (2002), 267 – 269.

C.C. Kennedy, F. Maldonado and D.A. Cook, Simulation-based bronhoscopy training, systematic review and meta-analysis, Chest 144 (1) (2013), 183 – 192.

R. KLatif, A. Bautista, X. Duan, A. Neamtu, D. Wu, A. Wadhwa and O. Akça, Teaching basic fiberoptic intubation skills in a simulator: Initial learning and skills decay, J. Anesth. 30 (1) (2016), 12 – 19.

L. Konge, H. Arendrup, C.V. Buchwald and C. Ringsted, Using performance in multiple simulated scenarios to assess bronchoscopy skills, Respiration 81 (6) (2011), 483 – 490.

C.L. Krogh, L. Konge, J. Bjurström and C. Ringsted, Training on a new, portable, simple simulator transfers to performance of complex bronchoscopy procedures, Clin. Respir. J. 7 (3) (2013), 237 – 244.

E. Kupelim, D. Karnan and A.C. Mehta, Flexible bronchoscopy, in: Murray and Nadel's Textbook of Respiratory Medicine (Mason, Broaddus, Martin, Jr., Schraufnagel, Murray, Nadel, DLaw(Hon) (Eds)), Saunders (2010).

A. Liberati, D.G. Altman, J. Tetzlaff, C. Mulrow, P.C. Gí¸tzsche, J.P.A. Ioannidis, M. Clarke, P.J. Devereaux, J. Kleijnen and D. Moher, The prisma statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration, BMJ 339 (2009).

K. Moorthy, S. Smith, T. Brown, S. Bann and A. Darzi, Evaluation of virtual reality bronchoscopy as a learning and assessment tool, Respiration 70 (2) (2003), 195 – 199.

R. Rowe and R.A. Cohen, An evaluation of virtual reality airway simulator, Anesth. Analg. 95 (1) (2002), 62 – 66.

D.R. Stather, C.R. Lamb and A. Tremblay, Simulation in flexible bronchoscopy and endobronchiak ultrasound: A review, J. Bronchology Interv. Pulmonol. 18 (3) (2011), 247 – 256.

M.M. Wahidi, G.A. Silvestri, R.D. Coakley, J.S. Ferguson, R.W. RShepherd, L. Moses, J. Conforti, L.G. Que, K.J. Anstrom, F. McGuire, H. Colt and G.H. Downie, A prospective multicenter study of competency metrics and educational interventions in the learning of bronchoscopy among new pulmonary fellows, Chest 137 (5) (2010), 1040 – 1049.

Downloads

Published

2018-08-09
CITATION

How to Cite

Sokouti, M., Sadeghi, R., Pashazadeh, S., Abadi, S. E. H., Sokouti, M., Ghojazadeh, M., & Sokouti, B. (2018). Experience of a New Dedicated Meta-analysis Tool in Systematic Review and Meta-Analysis on Training Performances of Virtual Reality Bronchoscopy Simulation. Journal of Informatics and Mathematical Sciences, 10(1-2), 119–132. https://doi.org/10.26713/jims.v10i1-2.513

Issue

Vol. 10 No. 1-2 (2018)

Section

Research Articles

License

Authors who publish with this journal agree to the following terms:
  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a CCAL that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.