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首页> 外文期刊>The American Journal of Surgery >Development of an objective evaluation tool to assess technical skill in laparoscopic colorectal surgery: a Delphi methodology.
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Development of an objective evaluation tool to assess technical skill in laparoscopic colorectal surgery: a Delphi methodology.

机译:开发评估腹腔镜结直肠手术技术技能的客观评估工具:Delphi方法。

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摘要

BACKGROUND: Laparoscopic colorectal surgery (LCS) is an advanced procedure for which no objective tools exist to assess technical skill. The aim of this study was to determine expert consensus regarding items required on a rating scale for LCS, using a Delphi technique. METHODS: Experts rated the substeps of LCS from 1 to 5. Responses were returned to the panel until consensus (Cronbach's alpha >/= .80) was reached. Substeps that 80% of experts rated as >/=4 were included in the final instrument. RESULTS: Initially, alpha values were .81 for sigmoid colectomy, .77 for right (medial-to-lateral) colectomy, and .74 for the lateral-to-medial approach. In the second round, alpha values were .83 for medial-to-lateral right colectomy and .82 for lateral-to-medial colectomy. CONCLUSIONS: The Delphi method allowed the determination of consensus regarding the essential steps to be included in a tool designed to measure technical competence in LCS.
机译:背景:腹腔镜结直肠癌手术(LCS)是一种先进的方法,没有客观的工具可以评估技术水平。这项研究的目的是使用Delphi技术确定有关LCS等级量表所需项目的专家共识。方法:专家将LCS的子步骤从1到5进行了评分。直到小组成员达成共识(Cronbach's alpha> / = .80)为止,然后将答复返回小组。最终工具中包含80%的专家被评定为> / = 4的子步骤。结果:最初,乙状结肠切除术的alpha值为.81,右(内侧至外侧)结肠切除术的alpha值为0.77,外侧至内侧方法为0.74。在第二轮中,内侧-外侧右结肠切除术的α值为.83,外侧-内侧结肠切除术的α值为.82。结论:德尔菲方法允许确定有关基本步骤的共识,这些基本步骤将包含在旨在测量LCS技术能力的工具中。

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