Evidence map›Paper›PMID 27493469›Full record

Trial reportJSLS : Journal of the Society of Laparoendoscopic Surgeons

Quality of Communication in Robotic Surgery and Surgical Outcomes.

Lauren Schiff, Ziv Tsafrir, Joelle Aoun, Andrew Taylor, Evan Theoharis, David Eisenstein

Abstract readClinical Trial
In one paragraph

Trial report in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  7. Observational
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  15. Article
  16. Workflow disruptions in robot-assisted surgery.Journal of robotic surgery · 2023
    Review
  17. Impact of sleep deficiency on surgical performance: a prospective assessment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  18. Review
  19. Article
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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

6 authors.

Lauren SchiffDivision of Advanced Laparoscopy and Pelvic Pain, Department of Obstetrics and Gynecology. University of North Carolina, Chapel Hill, North Carolina, USA.
Ziv TsafrirDivision of Minimally Invasive Gynecology, Women's Health Services, Henry Ford Hospital, West Bloomfield, Michigan, USA.
Joelle AounDivision of Minimally Invasive Gynecology, Women's Health Services, Henry Ford Hospital, West Bloomfield, Michigan, USA.
Andrew TaylorDivision of Biostatistics, Public Health Sciences, Henry Ford Health System, Detroit, Michigan, USA.
Evan TheoharisDivision of Minimally Invasive Gynecology, Women's Health Services, Henry Ford Hospital, West Bloomfield, Michigan, USA.
David EisensteinDivision of Minimally Invasive Gynecology, Women's Health Services, Henry Ford Hospital, West Bloomfield, Michigan, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesRobotic surgery has introduced unique challenges to surgical workflow. The association between quality of communication in robotic-assisted laparoscopic surgery and surgical outcomes was evaluated.

methodsAfter each gynecologic robotic surgery, the team members involved in the surgery completed a survey regarding the quality of communication. A composite quality-of-communication score was developed using principal component analysis. A higher composite quality-of-communication score signified poor communication. Objective parameters, such as operative time and estimated blood loss (EBL), were gathered from the patient's medical record and correlated with the composite quality-of-communication scores.

resultsForty robotic cases from March through May 2013 were included. Thirty-two participants including surgeons, circulating nurses, and surgical technicians participated in the study. A higher composite quality-of-communication score was associated with greater EBL (P = .010) and longer operative time (P = .045), after adjustment for body mass index, prior major abdominal surgery, and uterine weight. Specifically, for every 1-SD increase in the perceived lack of communication, there was an additional 51 mL EBL and a 31-min increase in operative time. The most common reasons reported for poor communication in the operating room were noise level (28/36, 78%) and console-to-bedside communication problems (23/36, 64%).

conclusionOur study demonstrates a significant association between poor intraoperative team communication and worse surgical outcomes in robotic gynecologic surgery. Employing strategies to decrease extraneous room noise, improve console-to-bedside communication and team training may have a positive impact on communication and related surgical outcomes.

Indexed as

CommunicationInterprofessional RelationsAdultBlood Loss, SurgicalGynecologic Surgical ProceduresHumansMiddle AgedOperative TimePatient Care TeamPilot ProjectsPostoperative ComplicationsPrincipal Component AnalysisProspective StudiesQuality Assurance, Health CareQuality Indicators, Health CareRobotic Surgical ProceduresCommunicationGynecologyRobotic surgerySurgical outcomesTeamwork

Identifiers

PMID27493469
PMCPMC4949353

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.