Evidence map›Paper›PMID 36318380›Full record

ArticleJournal of robotic surgery2023

Analysis of fixed and variable operating room (or) time point efficiency in partial nephrectomies: open versus robotic-assisted.

Laura E Geldmaker, Christopher H Hasse, Bryce A Baird, Christian A Ericson, Amanda A Myers, Daniela A Haehn, Abena N Anyane-Yeboah, Mikolaj A Wieczorek, Colleen T Ball, Timothy D Lyon and 2 more

Open access · bronzeAbstract read
In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

12 authors at 2 institutions in 1 country.

Laura E GeldmakerDepartment of Urology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Christopher H HasseDepartment of Administration, Mayo Clinic, Jacksonville, FL, USA.
Bryce A BairdDepartment of Urology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Christian A EricsonDepartment of Urology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Amanda A MyersDepartment of Urology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Daniela A HaehnDepartment of Urology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Abena N Anyane-YeboahDepartment of Administration, Mayo Clinic, Jacksonville, FL, USA.
Mikolaj A WieczorekDivision of Clinical Trials and Biostatistics, Mayo Clinic, Jacksonville, FL, USA.
Colleen T BallDivision of Clinical Trials and Biostatistics, Mayo Clinic, Jacksonville, FL, USA.
Timothy D LyonDepartment of Urology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Raymond W PakDepartment of Urology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
David D ThielDepartment of Urology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA. Thiel.David@mayo.edu.
Mayo Clinic in Florida · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To analyze operating room (OR) efficiency by evaluating fixed and variable OR times for open (OPN) and robotic-assisted partial nephrectomies (RAPN). We analyzed consecutive OPN and RAPN performed by one surgeon over a 24-month period. All patients were placed in the lateral decubitus position and secured with a beanbag regardless of approach. Fixed (non-procedural) OR times were prospectively collected and defined as: in-room to anesthesia-release time (IRAT), anesthesia release to cut time (ARCT), and close to wheels-out time (CTWO). Variable OR time was procedural cut to close time (CTCT). Comparisons of fixed and variable OR time points between OPN and RAPN were performed using the Wilcoxon rank-sum test. 146 RAPN and 31 OPN were evaluated from 2019-2020. Median IRAT was similar for RAPN versus OPN [20 min (IQR: 16-25) vs. 20 min (IQR: 16-26), P = 0.57]. Median ARCT was longer for RAPN than it was for OPN [40 min (IQR: 36-46) vs. 34 min (IQR: 30-39), P < 0.001]. Median CTWO was similar for OPN (12 min, IQR: 9-14) and RAPN (11 min, IQR: 7-15) (P = 0.89). Median CTCT was longer for RAPN (202 min, IQR: 170-236) compared to OPN (164 min, IQR: 154-184) (P < 0.001). In a single surgeon, partial nephrectomy series with the same patient positioning, utilization of robotic technology was associated with longer surgeon operating time as well as less efficient fixed OR times, specifically ARCT.

Indexed as

Kidney NeoplasmsRobotic Surgical ProceduresHumansNephrectomyOperating RoomsRetrospective StudiesTreatment OutcomeOpen partial nephrectomyOperating room efficiencyProcedure start timeRobotic-assisted partial nephrectomy

Identifiers

PMID36318380
PMCPMC9628460
OpenAlexW4308112491

What OpenQuestion holds

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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.