Cargando…

Mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels

INTRODUCTION: Surgeons’ mental workload during endoscopic sinus surgery (ESS) has not been fully evaluated. The assessment was challenging due to the great diversity of each patient’s anatomy and the consequence variety of surgical difficulties. In this study, we examined the mental workload of surg...

Descripción completa

Detalles Bibliográficos
Autores principales: Suzuki, Masanobu, Miyaji, Kou, Matoba, Kotaro, Abe, Takashige, Nakamaru, Yuji, Watanabe, Ryosuke, Suzuki, Takayoshi, Nakazono, Akira, Konno, Atsushi, Hinder, Dominik, Psaltis, A. J., Wormald, P. J., Homma, Akihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10165102/
https://www.ncbi.nlm.nih.gov/pubmed/37168266
http://dx.doi.org/10.3389/fmed.2023.1090743
_version_ 1785038198077915136
author Suzuki, Masanobu
Miyaji, Kou
Matoba, Kotaro
Abe, Takashige
Nakamaru, Yuji
Watanabe, Ryosuke
Suzuki, Takayoshi
Nakazono, Akira
Konno, Atsushi
Hinder, Dominik
Psaltis, A. J.
Wormald, P. J.
Homma, Akihiro
author_facet Suzuki, Masanobu
Miyaji, Kou
Matoba, Kotaro
Abe, Takashige
Nakamaru, Yuji
Watanabe, Ryosuke
Suzuki, Takayoshi
Nakazono, Akira
Konno, Atsushi
Hinder, Dominik
Psaltis, A. J.
Wormald, P. J.
Homma, Akihiro
author_sort Suzuki, Masanobu
collection PubMed
description INTRODUCTION: Surgeons’ mental workload during endoscopic sinus surgery (ESS) has not been fully evaluated. The assessment was challenging due to the great diversity of each patient’s anatomy and the consequence variety of surgical difficulties. In this study, we examined the mental workload of surgeons with various surgical skill levels during ESS under the standardized condition provided by novel-designed 3D sinus models. MATERIALS AND METHODS: Forty-seven participants performed a high-fidelity ESS simulation with 3D-printed sinus models. Surgeons’ mental workload was assessed with the national aeronautics and space administration-task load index (NASA-TLX). Associations between the total and subscales score of NASA-TLX and surgical skill index, including the board certification status, the number of experienced ESS cases, and the objective structured assessment of technical skills (OSATS), were analyzed. In addition, 10 registrars repeated the simulation surgery, and their NASA-TLX score was compared before and after the repetitive training. RESULTS: The total NASA-TLX score was significantly associated with OSATS score (p = 0.0001). Primary component analysis classified the surgeons’ mental burden into three different categories: (1) the skill-level-dependent factors (temporal demand, effort, and performance), (2) the skill-level-independent factors (mental and physical demand), and (3) frustration. After the repetitive training, the skill-level-dependent factors were alleviated (temporal demand; z = −2.3664, p = 0.0091, effort; z = −2.1704, p = 0.0346, and performance; z = −2.5992, p = 0.0017), the independent factors were increased (mental demand; z = −2.5992, p = 0.0023 and physical demand; z = −2.2509, p = 0.0213), and frustration did not change (p = 0.3625). CONCLUSION: Some of the mental workload during ESS is associated with surgical skill level and alleviated with repetitive training. However, other aspects remain a burden or could worsen even when surgeons have gained surgical experience. Routine assessment of registrars’ mental burdens would be necessary during surgical training to sustain their mental health.
format Online
Article
Text
id pubmed-10165102
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-101651022023-05-09 Mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels Suzuki, Masanobu Miyaji, Kou Matoba, Kotaro Abe, Takashige Nakamaru, Yuji Watanabe, Ryosuke Suzuki, Takayoshi Nakazono, Akira Konno, Atsushi Hinder, Dominik Psaltis, A. J. Wormald, P. J. Homma, Akihiro Front Med (Lausanne) Medicine INTRODUCTION: Surgeons’ mental workload during endoscopic sinus surgery (ESS) has not been fully evaluated. The assessment was challenging due to the great diversity of each patient’s anatomy and the consequence variety of surgical difficulties. In this study, we examined the mental workload of surgeons with various surgical skill levels during ESS under the standardized condition provided by novel-designed 3D sinus models. MATERIALS AND METHODS: Forty-seven participants performed a high-fidelity ESS simulation with 3D-printed sinus models. Surgeons’ mental workload was assessed with the national aeronautics and space administration-task load index (NASA-TLX). Associations between the total and subscales score of NASA-TLX and surgical skill index, including the board certification status, the number of experienced ESS cases, and the objective structured assessment of technical skills (OSATS), were analyzed. In addition, 10 registrars repeated the simulation surgery, and their NASA-TLX score was compared before and after the repetitive training. RESULTS: The total NASA-TLX score was significantly associated with OSATS score (p = 0.0001). Primary component analysis classified the surgeons’ mental burden into three different categories: (1) the skill-level-dependent factors (temporal demand, effort, and performance), (2) the skill-level-independent factors (mental and physical demand), and (3) frustration. After the repetitive training, the skill-level-dependent factors were alleviated (temporal demand; z = −2.3664, p = 0.0091, effort; z = −2.1704, p = 0.0346, and performance; z = −2.5992, p = 0.0017), the independent factors were increased (mental demand; z = −2.5992, p = 0.0023 and physical demand; z = −2.2509, p = 0.0213), and frustration did not change (p = 0.3625). CONCLUSION: Some of the mental workload during ESS is associated with surgical skill level and alleviated with repetitive training. However, other aspects remain a burden or could worsen even when surgeons have gained surgical experience. Routine assessment of registrars’ mental burdens would be necessary during surgical training to sustain their mental health. Frontiers Media S.A. 2023-04-24 /pmc/articles/PMC10165102/ /pubmed/37168266 http://dx.doi.org/10.3389/fmed.2023.1090743 Text en Copyright © 2023 Suzuki, Miyaji, Matoba, Abe, Nakamaru, Watanabe, Suzuki, Nakazono, Konno, Hinder, Psaltis, Wormald and Homma. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Suzuki, Masanobu
Miyaji, Kou
Matoba, Kotaro
Abe, Takashige
Nakamaru, Yuji
Watanabe, Ryosuke
Suzuki, Takayoshi
Nakazono, Akira
Konno, Atsushi
Hinder, Dominik
Psaltis, A. J.
Wormald, P. J.
Homma, Akihiro
Mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels
title Mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels
title_full Mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels
title_fullStr Mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels
title_full_unstemmed Mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels
title_short Mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels
title_sort mental workload during endoscopic sinus surgery is associated with surgeons’ skill levels
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10165102/
https://www.ncbi.nlm.nih.gov/pubmed/37168266
http://dx.doi.org/10.3389/fmed.2023.1090743
work_keys_str_mv AT suzukimasanobu mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT miyajikou mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT matobakotaro mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT abetakashige mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT nakamaruyuji mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT watanaberyosuke mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT suzukitakayoshi mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT nakazonoakira mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT konnoatsushi mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT hinderdominik mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT psaltisaj mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT wormaldpj mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels
AT hommaakihiro mentalworkloadduringendoscopicsinussurgeryisassociatedwithsurgeonsskilllevels