Evidence map›Paper›PMID 33523270›Full record

ArticleSurgical endoscopy2022

Current status of robotic surgery in colorectal residency training programs.

Adam D Shellito, Sonam Kapadia, Amy H Kaji, Cynthia M Tom, Christine Dauphine, Beverley A Petrie

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Article
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  7. 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

6 authors.

Adam D ShellitoDepartment of Surgery, Harbor-UCLA Medical Center, 1000 W Carson St. Box 25, Torrance, CA, 90509, USA.ORCID 0000-0003-4251-8556
Sonam KapadiaDepartment of Surgery, Harbor-UCLA Medical Center, 1000 W Carson St. Box 25, Torrance, CA, 90509, USA.
Amy H KajiLundquist Institute of Biomedical Research, Harbor-UCLA Medical Center, Torrance, CA, USA.
Cynthia M TomDepartment of Surgery, Harbor-UCLA Medical Center, 1000 W Carson St. Box 25, Torrance, CA, 90509, USA.
Christine DauphineDepartment of Surgery, Harbor-UCLA Medical Center, 1000 W Carson St. Box 25, Torrance, CA, 90509, USA.
Beverley A PetrieDepartment of Surgery, Harbor-UCLA Medical Center, 1000 W Carson St. Box 25, Torrance, CA, 90509, USA. BPetrie@dhs.lacounty.gov.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobotic surgery (RS) has been increasingly incorporated into colorectal surgery (CRS) training. The degree to which RS has been integrated into CRS residency training is not well described.

methodsA web-based survey was sent to all 2019 accredited CRS residency programs within the United States and Canada. Program directors (PDs) were queried on how robotic surgery had been integrated into their program, specifics on RS curriculum and opinions on RS training during general surgery residency. We compared survey responses by program type (university-based, university-affiliated programs, or independent programs) and by geographic region. In addition, a chi-square test was used to evaluate differences in survey responses with respect to robotic curriculum components.

resultsOf 66 programs, 42 (64%) responded to the survey. Of the responding programs, 35 (83%) were university-based or university-affiliated, while 7 (17%) were independent. Most programs were in the Midwest (33%). Forty-one (98%) reported having a surgical robot in use at their institution, with 95% reporting active participation of CRS residents in RS. While 74% of programs have a formal RS training curriculum for CRS residents, there was considerable variability in the curriculum elements employed by each institution, and the differences in proportions of these elements were significant (χ2 99.8, p < 0.001). The median operative approach to abdominopelvic cases was estimated to be 33% robotic, 40% laparoscopic and 20% open. There were no significant differences in the survey responses between university/university-affiliated and independent programs (p > 0.05) or among the different regions (p > 0.05).

conclusionsThis study demonstrated that almost all CRS residencies have integrated RS and have trainees operating at the robotic console. Most programs have a robotics curriculum and there are expanding indications for RS within CRS. This expansion calls for discussion on implementation of training standards such as curricular requisites, baseline competency assessments, and definitions of minimum case requirements to ensure adequate training.

Indexed as

Colorectal NeoplasmsGeneral SurgeryInternship and ResidencyRobotic Surgical ProceduresCurriculumEducation, Medical, GraduateHumansUnited StatesColorectalMinimally invasive surgeryResidencyRobotic curriculumRobotic surgerySimulationSurgical education

Identifiers

PMID33523270

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.