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• W2947220003 abstract "There is increasing interest in using endovascular simulation to assess, acquire, and translate technical skill into improved operative outcomes. The aim of this study was to review the literature regarding the validity evidence, methodology, and reporting quality of endovascular simulation research. A search strategy for studies pertaining to endovascular simulation was performed within MEDLINE, Embase, PubMed, Web of Science, PsychINFO, and Google Scholar. Searches were limited to articles written in English and published between January 2000 and December 2018. Reviews, editorials, and commentaries on previous studies were excluded. Quality of the studies was assessed using the Medical Education Research Study Quality Instrument (MERSQI) and Newcastle-Ottawa Scale (NOS). A NOS score above 4 and a MERSQI score above the median were used as thresholds for high- and low-quality studies. Quality of methodology and reporting was evaluated by a composite of the Standards for Reporting Diagnostic Accuracy and Guidelines for Reporting Reliability and Agreement Studies instruments. Potential for bias was evaluated using the Quality Assessment of Diagnostic Accuracy Studies 2 tool. Each included study was reviewed by three independent raters. After abstract review of 4396 results, 47 papers studying 712 individuals were retrieved for full-text evaluation. Mean MERSQI score was 12.3 ± 1.8 with a possible point range of 4.5 to 18. By MERSQI score, 40% of studies were high quality; by NOS score, 62% were high quality; and 30% were high-quality studies by both metrics. The majority of studies used either single-group cross-sectional (43%) or single-group pre-test and post-test (26%) designs; 19% were randomized, controlled trials; 28% of studies recruited individuals who would not be considered representative of endovascular skills learners. Almost two-thirds raised at least one flag regarding concern for bias in the design and flow of the study. Only one-third had issues regarding applicability of the study's investigated construct. Mean sample size was 21 ± 15, and only a single study reported performing a power calculation. The reporting elements per Standards for Reporting Diagnostic Accuracy and Guidelines for Reporting Reliability and Agreement Studies are largely absent, especially in the methods and results reporting, as is shown in the Table. The overall methodologic quality of endovascular simulation research is widely variable. Whereas many high-quality studies exist, the field is plagued by lack of consistency in reporting practices and methodology, particularly in the reporting of study methods and results.TableReporting elements per Standards for Reporting Diagnostic Accuracy and Guidelines for Reporting Reliability and Agreement Studies by article sectionNo. of elements present, mean ± standard deviationIntroduction (4 elements)3.3 ± 1.0Methods (18 elements)9.8 ± 3.6Results (20 elements)7.8 ± 2.2 Open table in a new tab" @default.
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• W2947220003 date "2019-06-01" @default.
• W2947220003 modified "2023-09-25" @default.
• W2947220003 title "IP171. Quality of Endovascular Simulation Research: A Systematic Review" @default.
• W2947220003 doi "https://doi.org/10.1016/j.jvs.2019.04.210" @default.
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