Evidence map›Paper›PMID 28099699›Full record

Trial reportInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2017

Randomized controlled trial comparing operative times between standard and robot-assisted laparoscopic hysterectomy.

Timothy A Deimling, Jennifer L Eldridge, Kristin A Riley, Allen R Kunselman, Gerald J Harkins

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02118974 (Randomized Clinical Trial Comparing Conventional Laparoscopic and Robot-Assisted Laparoscopic Hysterectomy), which is not on this map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT02118974 nacompletednot on this map

Randomized Clinical Trial Comparing Conventional Laparoscopic and Robot-Assisted Laparoscopic Hysterectomy

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2014 to 2015Enrolled144ConditionsMenorrhagia, Pelvic Pain, HysterectomyArmsHysterectomy
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Surgical approach to hysterectomy for benign gynaecological disease.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Pooled it
  5. Robot-assisted surgery in gynaecology.The Cochrane database of systematic reviews · 2019
    Pooled it
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Robotic-assisted versus conventional laparoscopic hysterectomy for endometrial cancer.European journal of obstetrics & gynecology and reproductive biology: X · 2020
    Article
  20. Review of Robotic Surgery in Gynecology-The Future Is Here.Rambam Maimonides medical journal · 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 at 1 institution in 1 country.

Timothy A DeimlingDivision of Minimally Invasive GYN Surgery, Department of Obstetrics and Gynecology, Milton S Hershey Medical Center, Penn State University, Hershey, PA, USA.
Jennifer L EldridgeDivision of Minimally Invasive GYN Surgery, Department of Obstetrics and Gynecology, Milton S Hershey Medical Center, Penn State University, Hershey, PA, USA.
Kristin A RileyDivision of Minimally Invasive GYN Surgery, Department of Obstetrics and Gynecology, Milton S Hershey Medical Center, Penn State University, Hershey, PA, USA.
Allen R KunselmanDivision of Biostatistics and Bioinformatics, Department of Public Health Sciences, Milton S Hershey Medical Center, Penn State University, Hershey, PA, USA.
Gerald J HarkinsDivision of Minimally Invasive GYN Surgery, Department of Obstetrics and Gynecology, Milton S Hershey Medical Center, Penn State University, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Clinical and Translational Science InstituteUL1TR000127 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI SINOWAY, LAWRENCE I · 2012 to 2015
$17.1M
NCATS NIH HHS UL1 TR000127NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

objectiveTo compare the operative time between robot-assisted laparoscopic hysterectomies and standard laparoscopic hysterectomies.

methodsA prospective, randomized controlled trial enrolled women aged 18-80 years attending Penn State Hershey Medical Center between April 23 and October 20, 2014 to undergo hysterectomy. Participants were randomized using a random number generator to undergo either robot-assisted or standard laparoscopic hysterectomy. The primary outcome was the total operative time (surgeon incision to surgeon stop, including robot docking time, if applicable). Intention-to-treat analyses were performed and the operative time was compared between the two treatments for non-inferiority, defined as a difference in operative time of no longer than 15 minutes.

resultsThere were 72 patients randomized to each treatment arm. The mean operative time was 73.9 minutes (median 67.0 minutes; interquartile range 59.0-83.0 minutes) in the robot-assisted hysterectomy group and 74.9 minutes (median 65.5 minutes; interquartile range 57.0-90.5 minutes) in the standard laparoscopic hysterectomy group. The upper bound of the 95% confidence interval of the difference in operative time was 6.6 minutes, below the 15-minute measure of non-inferiority.

conclusionWhen performed by a surgeon experienced in both techniques, the operative time for robot-assisted laparoscopic hysterectomy was non-inferior to that achieved with standard laparoscopic hysterectomy. CLINICALTRIALS.GOV: NCT02118974.

Indexed as

Operative TimeAdultFemaleHumansHysterectomyLaparoscopyLogistic ModelsMiddle AgedPennsylvaniaPostoperative ComplicationsProspective StudiesRobotic Surgical ProceduresHysterectomyLaparoscopicMinimally invasiveOperative timeRobotic-assisted

Identifiers

PMID28099699
PMCPMC5245181
OpenAlexW2582737496

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.