Evidence map›Paper›PMID 33547926›Full record

ArticleWorld journal of urology2021

Integration of aquablation through telemetry: an alternative to onsite proctoring?

Jose M El-Asmar, Muhieddine Labban, Albert El-Hajj

Abstract read
In one paragraph

Article in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Remote Proctorship: Bringing World Class Expertise to Every Operating Table.Cardiovascular and interventional radiology · 2023
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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

3 authors.

Jose M El-Asmar *Division of Urology, Department of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut, 1107 2020, Lebanon.ORCID http://orcid.org/0000-0001-7749-1045
Muhieddine Labban *Division of Urology, Department of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut, 1107 2020, Lebanon.ORCID http://orcid.org/0000-0002-4580-1915
Albert El-HajjDivision of Urology, Department of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut, 1107 2020, Lebanon. ae67@aub.edu.lb.ORCID http://orcid.org/0000-0002-0043-7195

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the feasibility of telementoring for aquablation by comparing the outcomes of onsite versus telemetry proctoring.

methodsThe telemetry device of choice was Proximie, an innovative digital platform that uses live video stream with an augmented reality technology. Our study retrospectively reviewed outcomes from our IRB approved prospective Aquablation database from March 2018 till October 2019. Procedures were guided by a proctor either onsite or remotely through telemetry. One-way ANOVA or Chi-square was used to compare perioperative parameters and mixed model ANOVA was used to compare functional outcomes.

resultsOur data included 59 patients who underwent a proctored-based Aquablation of which 21 were telementor guided and 38 were onsite guided. The initial ten procedures were done with the latter approach. There was no statistical difference in age, comorbidities, prostate size, and baseline serum markers amongst the two groups. In contrast, telementor guidance was associated with increased general anaesthesia use (76.2% vs. 21.1%) and haemostatic cauterization (81.0% versus 47.4%) with a p value < 0.00001 and 0.004 respectively. However, the main procedure outcomes: operative time, time to Foley catheter removal, haemoglobin drop, urinary retention, and adverse events were statistically insignificant (p value > 0.05).

conclusionFollowing an initial phase of onsite proctoring, telementoring can be safely used in the adoption phase of a new robotic technology. This approach allowed more flexibility in patient scheduling and reduced travel costs with similar surgical outcomes.

Indexed as

TelemetryAblation TechniquesAgedFeasibility StudiesHumansMaleMiddle AgedProstatic HyperplasiaRetrospective StudiesWaterWaterBenign prostatic hyperplasiaRemote consultationRoboticsTechnologyTelemedicine

Identifiers

PMID33547926
PMCPMC7866960

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.