A scoping review of participant reported outcome measures assessed during live and simulated surgical procedures

Aaron K Budden; Sophia Song; Amanda Henry; Claire E Wakefield; Jason A Abbott

doi:10.1016/j.amjsurg.2024.116131

A scoping review of participant reported outcome measures assessed during live and simulated surgical procedures

Am J Surg. 2024 Dec 3:240:116131. doi: 10.1016/j.amjsurg.2024.116131. Online ahead of print.

Authors

Aaron K Budden¹, Sophia Song², Amanda Henry³, Claire E Wakefield⁴, Jason A Abbott²

Affiliations

¹ Gynaecological Research and Clinical Evaluation (GRACE) Group, Royal Hospital for Women, Sydney, Australia; School of Clinical Medicine, UNSW, Sydney, Australia. Electronic address: [email protected].
² Gynaecological Research and Clinical Evaluation (GRACE) Group, Royal Hospital for Women, Sydney, Australia; School of Clinical Medicine, UNSW, Sydney, Australia.
³ School of Clinical Medicine, UNSW, Sydney, Australia; Department of Women's and Children's Health, St George Hospital, Sydney, Australia.
⁴ School of Clinical Medicine, UNSW, Sydney, Australia; Kids Cancer Centre, Sydney Children's Hospital, Sydney, Australia.

PMID: 39671970
DOI: 10.1016/j.amjsurg.2024.116131

Abstract

Background: The study aims to describe current use of participant-reported outcome measures (PROM) to assess stress in surgeons that may impact patient and surgeon wellbeing.

Methods: Medline, Embase, Cochrane library, and clinical trial registries were searched. Articles reporting PROM of stress in live or simulated surgery were included.

Results: Of 10,160 articles screened, 67 were included in the review. PROM tools identified include task load index (TLX), State-Trait Anxiety Inventory (STAI), Dundee Stress State Questionnaire (DSSQ), and single question scales. PROM scores increased from baseline to procedure in single question scales and DSSQ. STAI increased by ≥ 1 point in 37-75 %. TLX scores were greater at laparoscopy vs robot, single incision laparoscopy and open surgery vs conventional laparoscopy. Residents showed higher mental demand than attendings. Music lowered TLX scores.

Conclusions: Anxiety, stress, and workload have been measured in surgeons although the most appropriate to monitor surgeon wellbeing is not clear.

Keywords: Anxiety; Operation; Stress; Surgeon; Surgery; Workload.

Publication types

Review