Evidence map›Paper›PMID 35753009›Full record

ReviewJournal of robotic surgery2023

Analysis of trends in perioperative outcomes in over 1000 robotic-assisted anatomic lung resections.

Robert E Merritt, Desmond M D'Souza, Mahmoud Abdel-Rasoul, Peter J Kneuertz

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of robotic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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 1 country.

Robert E MerrittDivision of Thoracic Surgery, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, N847A Doan Hall, Columbus, OH, 43210, USA. robert.merritt@osumc.edu.ORCID http://orcid.org/0000-0002-1803-057X
Desmond M D'SouzaDivision of Thoracic Surgery, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, N847A Doan Hall, Columbus, OH, 43210, USA.
Mahmoud Abdel-RasoulCenter for Biostatistics, The Ohio State University, Columbus, OH, USA.
Peter J KneuertzDivision of Thoracic Surgery, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, N847A Doan Hall, Columbus, OH, 43210, USA.
The Ohio State University Wexner Medical Center · USThe Ohio State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic-assisted surgery is gaining popularity as a minimally invasive approach for anatomic lung resection. We investigated the temporal changes in case volume, costs, and postoperative outcomes for robotic-assisted anatomic lung resection in over 1000 cases. We reviewed our institutional STS database for patients who had undergone robotic-assisted lobectomy, bi-lobectomy, or segmentectomy as the primary procedure between years 2009-2021. The patients were divided into two groups: first 500 cases (n = 501) and second 500 cases (n = 500). Temporal trends of case volume, surgical indications, hospital length of stay, costs, and perioperative outcomes were analyzed. A total of 1001 patients were analyzed, of which 968 (96.7%) patients underwent robotic-assisted lobectomy, 21 (2.1%) patients underwent bi-lobectomy, 10 (1.0%) patients underwent segmentectomy, and 3 (0.3%) patients underwent sleeve lobectomy. Primary lung cancer was the most common indication (87.7%), followed by metastatic lung tumors (7.1%), and benign diagnosis (5.2%). The overall postoperative complication rate decreased from 46.1% for the first 500 cases compared to 29.6% for the second 500 cases (p < 0.0001). The median hospital length of stay was down trending, which was 4 days [IQR: 3-7] for the first 500 cases and 3 days [IQR: 3-5] (p = 0.0001) for the second. The inflation-adjusted direct and indirect hospital costs were significantly lower in the second 500 cases (p < 0.0001). The complications rates, hospital costs, and hospital length of stay for robotic-assisted anatomic pulmonary resection decreased significantly over time at a single institution. Continuous improvement in perioperative outcomes may be observed with increasing institutional experience.

Indexed as

Lung NeoplasmsRobotic Surgical ProceduresHumansLungPostoperative ComplicationsRetrospective StudiesThoracic Surgery, Video-AssistedAnatomic lung resectionRobotic lobectomy, hospital costsSurgical outcomes

Identifiers

PMID35753009
OpenAlexW4283515082

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.