ArticleBJU international2021
Objective assessment of intraoperative skills for robot-assisted radical prostatectomy (RARP): results from the ERUS Scientific and Educational Working Groups Metrics Initiative.
Article in BJU international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07669974 (A Randomized Non-Inferiority Trial Comparing Two Training Modalities for Achieving Proficiency in Robot-Assisted Radical Prostatectomy), which is not on this map. Cited by 39 papers, 4 of them syntheses that pooled it.
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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.
A Randomized Non-Inferiority Trial Comparing Two Training Modalities for Achieving Proficiency in Robot-Assisted Radical Prostatectomy
Who cites it
39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Digital transformation of robotic surgery train the trainer 'TTT' courses: training the trainer in technique and technology (the 4Ts course).Journal of robotic surgery · 2025Pooled it
- Measures of performance and proficiency in robotic assisted surgery: a systematic review.Journal of robotic surgery · 2024Pooled it
- Evaluation of objective tools and artificial intelligence in robotic surgery technical skills assessment: a systematic review.The British journal of surgery · 2024Pooled it
- What are clinically relevant performance metrics in robotic surgery? A systematic review of the literature.Journal of robotic surgery · 2023Pooled it
- Development and validation of objective performance metrics for robot-assisted basic surgical skills in a simulated anastomosis task using a single-port robotic system.Journal of robotic surgery · 2026Article
- Introduction of posterior reconstruction technique during robotic assisted radical prostatectomy at a tertiary center: results on the self-perception of anastomotic quality and ease of execution.International urology and nephrology · 2026Article
- Artificial intelligence and surgical data science in robot-assisted radical prostatectomy: global research trends, knowledge structure, and emerging frontiers.Journal of robotic surgery · 2026Review
- Robot-generated data and objective performance assessment in urologic robotic surgery: global research trends and emerging frontiers.Journal of robotic surgery · 2026Review
- Ten-year update on the European Association of Urology Robotic Section (ERUS) fellowship training for robot-assisted radical prostatectomy.BJUI compass · 2026Article
- Proficiency-based simulation training in healthcare - a scoping review protocol.Irish journal of medical science · 2026Review
- Teaching in radical prostatectomy is safe: a multicenter prospective registry analysis.Journal of robotic surgery · 2026Observational
- Association of skill and errors with outcomes in robotic rectal cancer surgery.Surgical endoscopy · 2026Article
- International expert consensus on metric-based characterization of robot-assisted total laparoscopic hysterectomy (RATLH).Surgical endoscopy · 2026Article
- Development of a procedure specific and skill based robotic-assisted surgical training program for residents: Delphi study identifying key steps and required skill levels for teaching the low-anterior resection.Surgical endoscopy · 2026Article
- Salvage robotic-assisted radical prostatectomy after targeted high-intensity focused ultrasound: a single-center study on feasibility, oncological and functional outcomes.Frontiers in oncology · 2026Article
- AI model predicts patient outcomes from surgical gestures and provides insights into explainability.npj digital surgery · 2026Article
- Current training landscape for novice robotic surgeons: an international investigative survey by the Junior-ERUS/Young academic urologists (YAU) robotics in urology working group.World journal of urology · 2025Article
- Epidemiology, diagnosis and treatment of anterior prostate cancer.Nature reviews. Urology · 2025Review
- Assessment of face and content validity of performance metrics for basic robotic surgery skills PBP curriculum: a J-ERUS/YAU consensus on dry-lab training models.Journal of robotic surgery · 2025Article
- The contribution of personalized video feedback to robotic partial nephrectomy training in realistic 3D tumor kidney models: design, production and implementation.Frontiers in surgery · 2025Article
Corrections and comments
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Authors and funding
9 authors at 8 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop and seek consensus from procedure experts on the metrics that best characterise a reference robot-assisted radical prostatectomy (RARP) and determine if the metrics distinguished between the objectively assessed RARP performance of experienced and novice urologists, as identifying objective performance metrics for surgical training in robotic surgery is imperative for patient safety. MATERIALS AND
methodsIn Study 1, the metrics, i.e. 12 phases of the procedure, 81 steps, 245 errors and 110 critical errors for a reference RARP were developed and then presented to an international Delphi panel of 19 experienced urologists. In Study 2, 12 very experienced surgeons (VES) who had performed >500 RARPs and 12 novice urology surgeons performed a RARP, which was video recorded and assessed by two experienced urologists blinded as to subject and group. Percentage agreement between experienced urologists for the Delphi meeting and Mann-Whitney U- and Kruskal-Wallis tests were used for construct validation of the newly identified RARP metrics.
resultsAt the Delphi panel, consensus was reached on the appropriateness of the metrics for a reference RARP. In Study 2, the results showed that the VES performed ~4% more procedure steps and made 72% fewer procedure errors than the novices (P = 0.027). Phases VIIa and VIIb (i.e. neurovascular bundle dissection) best discriminated between the VES and novices. LIMITATIONS: VES whose performance was in the bottom half of their group demonstrated considerable error variability and made five-times as many errors as the other half of the group (P = 0.006).
conclusionsThe international Delphi panel reached high-level consensus on the RARP metrics that reliably distinguished between the objectively scored procedure performance of VES and novices. Reliable and valid performance metrics of RARP are imperative for effective and quality assured surgical training.
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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.