Evidence map›Paper›PMID 26416688›Full record

ReviewPediatric surgery international2015

Robotic surgery in children: adopt now, await, or dismiss?

Thomas P Cundy, Hani J Marcus, Archie Hughes-Hallett, Sanjeev Khurana, Ara Darzi

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric surgery international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Paediatric robotic surgery: a narrative review.Journal of robotic surgery · 2023
    Review
  6. Article
  7. Ten years of paediatric robotic surgery: Lessons learned.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Robotic surgery in pediatric urology.Asian journal of urology · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Thomas P CundyThe Hamlyn Centre, Institute of Global Health Innovation, Imperial College London, London, UK. thomas.cundy@adelaide.edu.au.
Hani J MarcusThe Hamlyn Centre, Institute of Global Health Innovation, Imperial College London, London, UK.
Archie Hughes-HallettThe Hamlyn Centre, Institute of Global Health Innovation, Imperial College London, London, UK.
Sanjeev KhuranaDepartment of Paediatric Surgery, Women's and Children's Hospital, Adelaide, South Australia.
Ara DarziThe Hamlyn Centre, Institute of Global Health Innovation, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of robot-assisted surgery in children remains controversial. This article aims to distil this debate into an evidence informed decision-making taxonomy; to adopt this technology (1) now, (2) later, or (3) not at all. Robot-assistance is safe, feasible and effective in selected cases as an adjunctive tool to enhance capabilities of minimally invasive surgery, as it is known today. At present, expectations of rigid multi-arm robotic systems to deliver higher quality care are over-estimated and poorly substantiated by evidence. Such systems are associated with high costs. Further comparative effectiveness evidence is needed to define the case-mix for which robot-assistance might be indicated. It seems unlikely that we should expect compelling patient benefits when it is only the mode of minimally invasive surgery that differs. Only large higher-volume institutions that share the robot amongst multiple specialty groups are likely to be able to sustain higher associated costs with today's technology. Nevertheless, there is great potential for next-generation surgical robotics to enable better ways to treat childhood surgical diseases through less invasive techniques that are not possible today. This will demand customized technology for selected patient populations or procedures. Several prototype robots exclusively designed for pediatric use are already under development. Financial affordability must be a high priority to ensure clinical accessibility.

Indexed as

Minimally Invasive Surgical ProceduresRoboticsChildHumansPediatricRoboticTechnology

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.