Evidence map›Paper›PMID 27628118›Full record

ArticleJournal of robotic surgery2011

Surgeon perception is not a good predictor of peri-operative outcomes in robot-assisted radical prostatectomy.

Joshua Stern, Saurabh Sharma, Pierre Mendoza, Mary Walicki, Rachel Hastings, Kelly Monahan, Baber Sheikh, Alexei Wedmid, David I Lee

Erratum issuedAbstract read
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In one paragraph

Article in Journal of robotic surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Joshua SternDivision of Urology, Penn Presbyterian Medical Center, University of Pennsylvania, 51 North 39th Street, Medical Office Building Suite 300, Philadelphia, PA, 19104, USA.
Saurabh SharmaDivision of Urology, Penn Presbyterian Medical Center, University of Pennsylvania, 51 North 39th Street, Medical Office Building Suite 300, Philadelphia, PA, 19104, USA.
Pierre MendozaDivision of Urology, Penn Presbyterian Medical Center, University of Pennsylvania, 51 North 39th Street, Medical Office Building Suite 300, Philadelphia, PA, 19104, USA.
Mary WalickiDivision of Urology, Penn Presbyterian Medical Center, University of Pennsylvania, 51 North 39th Street, Medical Office Building Suite 300, Philadelphia, PA, 19104, USA.
Rachel HastingsDivision of Urology, Penn Presbyterian Medical Center, University of Pennsylvania, 51 North 39th Street, Medical Office Building Suite 300, Philadelphia, PA, 19104, USA.
Kelly MonahanDivision of Urology, Penn Presbyterian Medical Center, University of Pennsylvania, 51 North 39th Street, Medical Office Building Suite 300, Philadelphia, PA, 19104, USA.
Baber SheikhDivision of Urology, Penn Presbyterian Medical Center, University of Pennsylvania, 51 North 39th Street, Medical Office Building Suite 300, Philadelphia, PA, 19104, USA.
Alexei WedmidDivision of Urology, Penn Presbyterian Medical Center, University of Pennsylvania, 51 North 39th Street, Medical Office Building Suite 300, Philadelphia, PA, 19104, USA.
David I LeeDivision of Urology, Penn Presbyterian Medical Center, University of Pennsylvania, 51 North 39th Street, Medical Office Building Suite 300, Philadelphia, PA, 19104, USA. david.i.lee@uphs.upenn.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgeons have always used their cognitive intuition for the execution of skilled tasks and real-time perception of intra-operative outcomes. We attempted to measure the overall accuracy of intra-operative surgeon perception on the functional outcome of early continence after robot-assisted radical prostatectomy (RARP). A single experienced surgeon (D.I.L.) used a scoring sheet to prospectively capture his subjective opinion of how well a particular portion of the RARP procedure was completed. Surgeon perception of factors affecting post-operative continence such as quality of bladder neck preservation, nerve sparing, urethral length, anastomosis, striated sphincter thickness, quality of Rocco repair and bladder neck plication suture (total 7 variables) were graded as "poor", "average" or "good". Urinary continence was graded as either total continence [0 pads per day (PPD) or social continence (security pad or one PPD)]. A total of 273 (39 patients × 7 variables) responses were recorded: 58.6% were rated as "good", 32.2% as "average" and 8.4% as "poor". A log-rank test for all perception variables showed no significant differences in subsequent achievement of continence (either 0 or 1 PPD) (P > 0.05) at both the 1- and 3-month time points. In the case of some perception variables, patients with "bad" scores gained continence a median of 3 weeks sooner than patients with "good" scores. Surgeon perception of intra-operative performance during RARP is a poor predictive indicator of subsequent functional outcome in terms of urinary continence. Inter-surgeon variability of perception may vary and needs further investigation.

Indexed as

Prostate cancerRadical prostatectomyRobotic prostatectomyRobotic surgery

Identifiers

PMID27628118

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.