Jacob John, Stunden Chelsea, Zakani Sima
Faculty of Medicine, Department of Paediatrics, University of British Columbia, Vancouver, BC, Canada.
Digital Lab, BC Children's Hospital, Vancouver, BC, Canada.
Digit Health. 2023 Feb 27;9:20552076231159988. doi: 10.1177/20552076231159988. eCollection 2023 Jan-Dec.
Three-dimensional printing is being utilized in clinical medicine to support activities including surgical planning, education, and medical device fabrication. To better understand the impacts of this technology, a survey was implemented with radiologists, specialist physicians, and surgeons at a tertiary care hospital in Canada, examining multidimensional value and considerations for uptake.
To examine how three-dimensional printing can be integrated into the paediatric context and highlight areas of impact and value to the healthcare system using Kirkpatrick's Model. Secondarily, to explore the perspective of clinicians utilizing three-dimensional models and how they make decisions about whether or not to use the technology in patient care.
A post-case survey. Descriptive statistics are provided for Likert-style questions, and a thematic analysis was conducted to identify common patterns in open-ended responses.
In total, 37 respondents were surveyed across 19 clinical cases, providing their perspectives on model reaction, learning, behaviour, and results. We found surgeons and specialists to consider the models more beneficial than radiologists. Results further showed that the models were more helpful when used to assess the likelihood of success or failure of clinical management strategies, and for intraoperative orientation. We demonstrate that three-dimensional printed models could improve perioperative metrics, including a reduction in operating room time, but with a reciprocal effect on pre-procedural planning time. Clinicians who shared the models with patients and families thought it increased understanding of the disease and surgical procedure, and had no effect on their consultation time.
Three-dimensional printing and virtualization were used in preoperative planning and for communication among the clinical care team, trainees, patients, and families. Three-dimensional models provide multidimensional value to clinical teams, patients, and the health system. Further investigation is warranted to assess value in other clinical areas, across disciplines, and from a health economics and outcomes perspective.
三维打印技术正在临床医学中得到应用，以支持手术规划、教育和医疗设备制造等活动。为了更好地理解这项技术的影响，在加拿大一家三级护理医院对放射科医生、专科医生和外科医生进行了一项调查，考察其多维度价值以及采用该技术的考虑因素。
使用柯克帕特里克模型，研究三维打印技术如何融入儿科环境，并突出其对医疗系统的影响领域和价值。其次，探讨临床医生使用三维模型的观点，以及他们在患者护理中决定是否使用该技术的方式。
进行病例后调查。针对李克特式问题提供描述性统计数据，并进行主题分析以确定开放式回答中的常见模式。
总共对19个临床病例中的37名受访者进行了调查，他们就模型反应、学习、行为和结果发表了看法。我们发现外科医生和专科医生认为这些模型比放射科医生认为的更有益。结果还表明，当用于评估临床管理策略成功或失败的可能性以及术中定位时，这些模型更有帮助。我们证明三维打印模型可以改善围手术期指标，包括减少手术室时间，但对术前规划时间有相反的影响。与患者及家属分享模型的临床医生认为这增加了对疾病和手术过程的理解，并且对他们的会诊时间没有影响。
三维打印和虚拟化技术用于术前规划以及临床护理团队、实习生、患者和家属之间的沟通。三维模型为临床团队、患者和卫生系统提供了多维度价值。有必要进一步开展研究，从卫生经济学和结果的角度评估其在其他临床领域、跨学科中的价值。
