Evidence map›Paper›PMID 30610535›Full record

ArticleJournal of robotic surgery2019

Linking surgical skills to postoperative outcomes: a Delphi study on the robot-assisted radical prostatectomy.

A J W Beulens, W M Brinkman, H G Van der Poel, A N Vis, J P van Basten, R P Meijer, C J Wijburg, A J M Hendrikx, J J G van Merriënboer, C Wagner

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In one paragraph

Article in Journal of robotic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  5. Review
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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

10 authors at 9 institutions in 1 country.

A J W BeulensNetherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands. Alexander.beulens@catharinaziekenhuis.nl.
W M BrinkmanDepartment of Urology, Erasmus Medical Centre, Rotterdam, The Netherlands.
H G Van der PoelDepartment of Urology, Dutch Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
A N VisDepartment of Urology, VU Medical Centre, Amsterdam, The Netherlands.
J P van BastenDepartment of Urology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
R P MeijerDepartment of Oncological Urology, University Medical Centre Utrecht, Utrecht, The Netherlands.
C J WijburgDepartment of Urology, Rijnstate Hospital, Arnhem, The Netherlands.
A J M HendrikxDepartment of Urology, Urologist NP, Catharina Hospital, Eindhoven, The Netherlands.
J J G van MerriënboerSchool of Health Professions Education, Maastricht University, Maastricht, The Netherlands.
C WagnerNetherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands.
Radboud University Nijmegen · NLAmsterdam UMC Location VUmc · NLCanisius-Wilhelmina Ziekenhuis · NLErasmus University Rotterdam · NLMaastricht University · NLNetherlands Institute for Health Services Research · NLRijnstate Hospital · NLThe Netherlands Cancer Institute · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop an assessment instrument for the evaluation of surgical videos to elucidate the association between surgical skills and postoperative outcomes after a robot-assisted radical prostatectomy (RARP).

designA Delphi study consisting of two consecutive online surveys and a consensus group meeting.

settingUrology departments of general, teaching and university hospitals in the Netherlands.

participantsAll Dutch urologists with a specialization in RARP.

resultsOf 18 invited experts, 12 (67%) participated in the first online survey. In the second round, 9 of the 18 invited experts participated (50%). The Delphi meeting was attended by 5 of the 18 (27%) invited experts. The panel identified seven surgical steps with a possible association to postoperative outcomes. The experts also expected an association between adverse postoperative outcomes and the frequency of camera removals, the number of stitches placed, the amount of bleeding, and the extent of coagulation. These factors were incorporated into an assessment instrument.

conclusionsExperts in the field of RARP achieved consensus on 7 surgical steps and 4 aspects of the RARP procedure that may be related to adverse postoperative outcomes. The resulting assessment instrument will be tested in future research to determine its validity.

Indexed as

Clinical CompetencePatient Outcome AssessmentConsensusExpert TestimonyHumansMaleNetherlandsPostoperative ComplicationsProstatectomyRobotic Surgical ProceduresSurveys and QuestionnairesTreatment OutcomeVideo RecordingDelphiPostoperative outcomesProstatectomyRARPSurgical skillsVideo analysis

Identifiers

PMID30610535
OpenAlexW2907788942

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.