Evidence map›Paper›PMID 32276286›Full record

ArticleThe international journal of medical robotics + computer assisted surgery : MRCAS2020

Association of demographic, clinical, and hospital-related factors with use of robotic hysterectomy for benign indications: A national database study.

Anna Jo B Smith, Abdelrahman AlAshqar, Kate F Chaves, Mostafa A Borahay

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The international journal of medical robotics + computer assisted surgery : MRCAS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Racial Disparities in Minimally Invasive Benign Hysterectomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
  4. Article
  5. Article
  6. Cost drivers for benign hysterectomy within a health care system: Influence of patient, perioperative, and hospital factors.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2023
    Article
  7. Article
  8. Predictors of the cost of hysterectomy for benign indications.Journal of gynecology obstetrics and human reproduction · 2021
    Article
  9. Senhance Robotic Platform System for Gynecological Surgery.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
  10. Article
  11. Strategies for Cost Optimization in Minimally Invasive Gynecologic Surgery.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

4 authors at 2 institutions in 2 countries.

Anna Jo B SmithDepartment of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0002-7692-773X
Abdelrahman AlAshqarDepartment of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Kate F ChavesDepartment of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Mostafa A BorahayDepartment of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University · USVanderbilt University Medical Center · US

Funding

Mechanisms of actions(s) of simvastatin in uterine leiomyomaR01HD094380 · NICHD · JOHNS HOPKINS UNIVERSITY · PI BORAHAY, MOSTAFA A. · 2018 to 2022
$4.0M
Kelly Society, Johns Hopkins Department of Gynecology and ObstetricsNICHD NIH HHS R01 HD094380NIH HHS 1R01HD094380-01
6 · The paper itself

Abstract

backgroundWe examined the association of patient factors, gynecologic diagnoses, and hospital characteristics with utilization of the robotic approach for benign hysterectomy.

methodsWe performed cross-sectional study of women (n = 725 050) undergoing hysterectomies in the 2012 to 2014 National Inpatient Sample.

resultsA total of 725 050 women underwent inpatient hysterectomy for benign indications: 70345 (10%) were performed robotically. Women were more likely to receive robotic hysterectomy at teaching hospitals (RR 1.60 [95% CI 1.54-1.66]) after adjustment for other patient factors, gynecologic diagnoses, and hospital characteristics. They were more likely to undergo robotic hysterectomy at large (RR 1.34 [95% CI 1.29-1.39]) and for-profit hospitals (RR 1.16 [95% CI 1.11-1.22]). Women were less likely to undergo robotic hysterectomy if they were rural (RR 0.68 [95% CI 0.64-0.72]), African-American (RR 0.78 [95% CI 0.74-0.82]), or publicly insured or uninsured (RR 0.55 [95% CI 0.53-0.57]) women.

conclusionSignificant geographic and hospital-level disparities exist in access to robotic hysterectomy in the United States.

Indexed as

LaparoscopyRobotic Surgical ProceduresCross-Sectional StudiesDemographyFemaleHospitalsHumansHysterectomyUnited Statesbenign hysterectomyminimally invasiveracial disparityrobotic surgery

Identifiers

PMID32276286
PMCPMC9206512
OpenAlexW3015353668

What OpenQuestion holds

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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.