A systematic review of validated sinus surgery simulators.

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A systematic review of validated sinus surgery simulators.

Clin Otolaryngol. 2017 Dec 16;:

Authors: Stew B, Kao SS, Dharmawardana N, Ooi EH

Abstract
BACKGROUND: Simulation provides a safe and effective opportunity to develop surgical skills. A variety of endoscopic sinus surgery (ESS) simulators have been described in the literature. Validation of these simulators allows for effective utilisation in training.
OBJECTIVE OF REVIEW: To conduct a systematic review of the published literature to analyse the evidence for validated ESS simulation.
SEARCH STRATEGY: Pubmed, Embase, Cochrane and Cinahl were searched from inception of the databases to January 11th , 2017.
EVALUATION METHOD: 12,516 articles were retrieved of which 10,112 were screened following the removal of duplicates. 38 full text articles were reviewed after meeting the search criteria. Evidence of face, content, construct, discriminant and predictive validity was extracted.
RESULTS: 20 articles were included in the analysis describing 12 ESS simulators. 11 of these simulators had undergone validation; 3 virtual reality, 7 physical bench models and 1 cadaveric simulator. 7 of the simulators were shown to have face validity, 7 had construct validity and 1 had predictive validity. None of the simulators demonstrated discriminate validity.
CONCLUSION: This systematic review demonstrates that a number of ESS simulators have been comprehensively validated. Many of the validation processes, however, lack standardisation in outcome reporting, thus limiting a meta-analysis comparison between simulators. This article is protected by copyright. All rights reserved.

PMID: 29247602 [PubMed - as supplied by publisher]

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