Evidence map›Paper›PMID 27749475›Full record

Observational studyDiseases of the colon and rectum2016

Adoption of Robotic Technology for Treating Colorectal Cancer.

Mario Schootman, Samantha Hendren, Kendra Ratnapradipa, Lisa Stringer, Nick O Davidson

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Diseases of the colon and rectum, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% of its field
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Safety with Innovation in Colon and Rectal Robotic Surgery.Clinics in colon and rectal surgery · 2021
    Review
  14. Evaluating the Regional Uptake of Minimally Invasive Colorectal Surgery: a Report from the Surgical Care Outcomes Assessment Program.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  15. Hospital robotic use for colorectal cancer care.Journal of robotic surgery · 2021
    Article
  16. Article
  17. Article
  18. The Current Role of Robotics in Colorectal Surgery.Current gastroenterology reports · 2019
    Review
  19. Article
  20. Article
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 at 3 institutions in 1 country.

Mario Schootman1 Department of Epidemiology, College for Public Health and Social Justice, St. Louis University, St. Louis, Missouri 2 Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, Missouri 3 Department of Surgery, University of Michigan, Ann Arbor, Michigan 4 Department of Health Management and Policy, College for Public Health and Social Justice, St. Louis University, St. Louis, Missouri 5 Division of Gastroenterology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Samantha Hendren
Kendra Ratnapradipa
Lisa Stringer
Nick O Davidson
Jewish Hospital · USSaint Louis University · USUniversity of Michigan–Ann Arbor · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
HEPATIC SYNTHESIS AND SECRETION OF APOLIPOPROTEIN (A)R01DK056260 · NIDDK · WASHINGTON UNIVERSITY · PI DAVIDSON, NICHOLAS O. · 1999 to 2017
$5.9M
ENTEROHEPATIC LIPID FLUX AND APOPROTEIN BIOSYNTHESIS.R37HL038180 · NHLBI · WASHINGTON UNIVERSITY · PI DAVIDSON, NICHOLAS O. · 2000 to 2009
$5.1M
ENTEROHEPATIC LIPID FLUX AND APOPROTEIN BIOSYNTHESISR01HL038180 · NHLBI · WASHINGTON UNIVERSITY · PI DAVIDSON, NICHOLAS O. · 1986 to 2018
$3.8M
WASHINGTON UNIVERSITY CER MENTORED CAREER DEVELOPMENT AWARD KM1KM1CA156708 · NCI · WASHINGTON UNIVERSITY · PI FRASER, VICTORIA J. · 2010 to 2010
$2.5M
Geographic Disparities in Colorectal Cancer SurvivalR01CA137750 · NCI · WASHINGTON UNIVERSITY · PI SCHOOTMAN, MARIO · 2009 to 2014
$2.0M
WASHINGTON UNIVERSITY COMPARATIVE EFFECTIVENESS ADMINISTRATIVE DATA REPOSITORYR24HS019455 · AHRQ · WASHINGTON UNIVERSITY · PI FRASER, VICTORIA J. · 2010 to 2010
$969k
Colonoscopy in Colorectal Cancer Patients with Multiple Chronic ConditionsR56AG049503 · NIA · SAINT LOUIS UNIVERSITY · PI SCHOOTMAN, MARIO · 2015 to 2015
$237k
AHRQ HHS R24 HS019455NCATS NIH HHS UL1 TR000448NCI NIH HHS KM1 CA156708NCI NIH HHS P30 CA091842NCI NIH HHS R01 CA137750NHLBI NIH HHS R01 HL038180NHLBI NIH HHS R37 HL038180NIA NIH HHS R56 AG049503NIDDK NIH HHS P30 DK052574NIDDK NIH HHS R01 DK056260
6 · The paper itself

Abstract

backgroundDebate exists regarding the role of robotic-assisted surgery in colorectal cancer. Robotic-assisted surgery has been promoted as a strategy to increase the availability of minimally invasive surgery, which is associated with improved short-term morbidity; however, robotic-assisted surgery is much more expensive than laparoscopic surgery.

objectiveWe aimed to understand hospital and patient trends in the adoption of robotic-assisted surgery.

designThe study used cross-sectional and longitudinal designs. SETTINGS: The study included 2010 and 2012 American Hospital Association surveys, as well as the 2010-2012 Nationwide Inpatient Sample. PATIENTS: US hospitals responding to the American Hospital Association survey were included to measure patients with colorectal cancer who were undergoing elective minimally invasive surgery or open resection.

main outcome measuresRobotic-assisted surgery adoption by US hospitals was measured, regarding specifically patients with colorectal cancer who were treated with robotic surgery.

resultsIn 2010, 20.1% of hospitals adopted robotic-assisted surgery, increasing to 27.4% by 2012. Hospitals more likely to adopt robotic-assisted surgery included teaching hospitals, those with more advanced imaging services, those in metropolitan rather than rural areas, and those performing the highest inpatient surgery volume. Robotic-assisted surgery only accounted for 1.3% of colorectal cancer operations during 2010-2012, but patient probability of robotic-assisted surgery ranged from 0.1% to 15.2%. The percentage of patients with colorectal cancer who were treated robotically among those undergoing minimally invasive surgery increased over time (2010, 1.5%; 2012, 3.6%). Robotic-assisted surgery is increasing more rapidly for patients with rectal cancer with minimally invasive surgery (2010, 5.5%; 2012, 13.3%) versus patients with colon cancer treated with minimally invasive surgery (2010, 1.3%; 2012, 3.3%). LIMITATIONS: The study was limited by its observational study design.

conclusionsRobotic-assisted surgery uptake remains low for colon cancer but higher for rectal cancer surgery, suggesting a more thoughtful adoption of robotic-assisted surgery for colorectal cancer by focusing its use on more technically challenging cases.

Indexed as

ColectomyColorectal NeoplasmsHospitalsLaparoscopyRobotic Surgical ProceduresCross-Sectional StudiesDelivery of Health CareFemaleHealth Care SurveysHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresNeoplasm StagingPostoperative ComplicationsUnited States

Identifiers

PMID27749475
PMCPMC5510895
OpenAlexW2534536690

What OpenQuestion holds

Textmetadata
LicenceTDM
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.