Qiu Mary, Avdagic Ema, Ramulu Pradeep Y, Golnik Karl, Boland Michael V
Department of Ophthalmology and Visual Science, University of Chicago, Chicago, Illinois.
Department of Ophthalmology and Visual Science, University of Chicago, Chicago, Illinois.
Ophthalmol Glaucoma. 2023 Jan-Feb;6(1):100-105. doi: 10.1016/j.ogla.2022.06.007. Epub 2022 Jun 26.
To develop an internationally standardized and validated tool to assess skill in performing tube shunt surgery.
A panel of 6 glaucoma surgeons developed a tool for assessing tube shunt surgery using a modified Dreyfus scale for skill acquisition. The tool was reviewed by a panel of 10 international content experts, and their comments were incorporated into the final rubric.
A different panel of 8 international glaucoma specialists independently graded videos of surgical procedures performed by 6 surgeons at various levels of ophthalmic training.
Inter-rater reliability for each step in the rubric was calculated.
The tube shunt rubric contained 13 steps specific to tube shunt surgery and 7 global indices. The Cronbach α statistic, a measure of internal reliability, ranged from 0.75 to 0.97, indicating strong internal reliability for all 13 steps.
The tube shunt assessment tool has face validity, content validity, and interobserver reliability, and can be used to assess tube shunt surgery skills. Further studies are required to determine predictive and construct validity.
开发一种国际标准化且经过验证的工具，用于评估进行引流管分流手术的技能。
由6位青光眼外科医生组成的小组使用改良的德雷福斯技能习得量表开发了一种用于评估引流管分流手术的工具。该工具由一个由10名国际内容专家组成的小组进行评审，他们的意见被纳入最终的评分标准。
另一个由8名国际青光眼专家组成的小组对6名处于不同眼科培训水平的外科医生所进行的手术视频进行独立评分。
计算评分标准中每个步骤的评分者间信度。
引流管分流评分标准包含13个引流管分流手术特有的步骤和7个总体指标。作为内部信度衡量指标的克朗巴哈α系数在0.75至0.97之间，表明所有13个步骤均具有较强的内部信度。
引流管分流评估工具具有表面效度、内容效度和观察者间信度，可用于评估引流管分流手术技能。需要进一步研究以确定预测效度和结构效度。
