Evidence map›Paper›PMID 32015612›Full record

ArticleUrology annals

The learning curve for robotic-assisted pyeloplasty in children: Our initial experience from a single center.

Noor Nabi Junejo, Anwar Alotaibi, Saeed Malwi Alshahrani, Ahmad Alshammari, Craig A Peters, Hamdan Alhazmi, Santiago A Vallasciani

Open access · goldAbstract read
In one paragraph

Article in Urology annals. 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
2.2field-weighted citation impact, top 11% 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, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Pediatric robotic urologic procedures: Indications and outcomes.Indian journal of urology : IJU : journal of the Urological Society of India
    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

7 authors at 5 institutions in 2 countries.

Noor Nabi JunejoUrology Department, King Faisal Specialist Hospital and Research Centre and College of Medicine, Alfaisal University, Abha, Saudi Arabia.
Anwar AlotaibiBiostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Centre, Abha, Saudi Arabia.
Saeed Malwi AlshahraniKing Faisal Medical City for Southern Region, Abha, Saudi Arabia.
Ahmad AlshammariPediatric Urology Division, Urology Department, King Faisal Specialist Hospital and Research Centre, Abha, Saudi Arabia.
Craig A PetersChildren's Medical Centre, University of South-Eastern, Dallas, Texas, USA.
Hamdan AlhazmiUrology Division, Department of Surgery, King Saud University Medical City and College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Santiago A VallascianiPediatric Urology Division, Surgery Department, Sidra Medical and Research Center, Doha, Qatar.
Alfaisal University · SAKing Faisal Specialist Hospital & Research Centre · SAKing Saud Medical City · SANational Guard Health Affairs · SASidra Medical and Research Center · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic-assisted pyeloplasty surgery has become the preferred approach of ureteropelvic junction obstruction (UPJO) in pediatrics. However, to our knowledge, there is limited data on the learning curve for robotic-assisted pyeloplasty in children and no similar study from Saudi Arabia.

aimsThe objective of the study was to evaluate the progression of the surgical team performing robotic-assisted laparoscopic pyeloplasty (RALP) and to assess the feasibility of the RALP in children, since it is having been recently started in the Kingdom. SETTINGS AND

designRetrospective charts and surgical videos review at the tertiary care centre. SUBJECTS AND

methodsAfter approval from the internal review board (IRB), we reviewed the surgical video recording of the RALP procedure of 15 patients presented with UPJO from January 2016 to October 2017. Statistical analysis was done for the variables includes dissection time, pyelotomy, anastomosis on both sides, and total surgery time and calculated in minutes. Renal ultrasound reviewed to assess any change in grade.

resultsFifteen patients with UPJO underwent RALP. Of 15 cases, nine were primary and six cases as secondary UPJO. The median age was 8 (3-15) years. Out of 15 cases, 13 and 2 patients diagnosed as Society for Fetal Urology grades of 4 and 3, respectively. Total operative time was prolonged in secondary group as compared to primary pyeloplasty group (mean [standard deviation (SD)]: 166.3 [35.1], range: 125-223,

conclusionsThe evaluation of the learning curve of RALP for this group of patients concluded that total operative time for RALP, performed by the pediatric urology team, steadily decreased with collective surgical experience.

Indexed as

Learning curvepediatricpyeloplastyrobotics

Identifiers

PMID32015612
PMCPMC6978967
OpenAlexW2997024318

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.