Evidence map›Paper›PMID 36368747›Full record

ArticleBMJ open2022

Current issues and future considerations for the wider implementation of robotic-assisted surgery: a qualitative study.

Louisa Lawrie, Katie Gillies, Loretta Davies, Jared Torkington, John McGrath, Richard Kerr, Arul Immanuel, Marion Campbell, David Beard

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 18 citations in OpenAlex.

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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

9 authors at 6 institutions in 1 country.

Louisa LawrieHealth Services Research Unit, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK louisa.lawrie1@abdn.ac.uk.ORCID 0000-0002-9867-2184
Katie GilliesHealth Services Research Unit, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.ORCID 0000-0001-7890-2854
Loretta DaviesRCS Surgical Interventional Trials Unit (SITU), Nuffield Dept Orthopaedics, Rheumatology and Musculo-skeletal Sciences, University of Oxford, Oxford, UK.
Jared TorkingtonDepartment of Colorectal Surgery, University Hospital of Wales Healthcare NHS Trust, Cardiff, UK.ORCID 0000-0002-3218-0574
John McGrathDepartment of Urology, Royal Devon and Exeter NHS Foundation Trust, Exeter, Devon, UK.
Richard KerrDepartment of Neurosurgery, Oxford Radcliffe Hospitals NHS Trust, Oxford, UK.
Arul ImmanuelNorthern Oesophago-Gastric Unit, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle Upon Tyne, UK.
Marion CampbellHealth Services Research Unit, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
David BeardRCS Surgical Interventional Trials Unit (SITU), Nuffield Dept Orthopaedics, Rheumatology and Musculo-skeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0001-7884-6389
University of Aberdeen · GBNuffield Orthopaedic Centre · GBNewcastle upon Tyne Hospital · GBOxford University Hospitals NHS Trust · GBRoyal Devon & Exeter NHS Foundation Trust · GBUniversity Hospital of Wales · GB

Funding

Chief Scientist Office HSRU1
6 · The paper itself

Abstract

objectivesThe effective implementation of a fast-changing healthcare delivery innovation, such as robotic-assisted surgery (RAS), into a healthcare system, can be affected (both positively and negatively) by external contextual factors. As part of a wider project investigating ways to optimise the implementation of RAS, this qualitative study aimed to uncover current issues of RAS and predictions about the future of robotic surgery. We refer to 'current issues' as the topical and salient challenges and opportunities related to the introduction of RAS in the UK healthcare system, from the perspectives of key stakeholders involved in the delivery and implementation of RAS.

designSemi-structured interviews and focus groups were conducted. A thematic analysis was conducted to summarise salient issues that were articulated by the participants. SETTING AND

participantsThe interview sample (n=35) comprised surgeons, wider theatre staff and other relevant personnel involved in the introduction and delivery of RAS services across the UK, including service managers and policymakers/commissioners. Two focus groups were also conducted with surgical trainees (n=7) and members of the public (n=8), respectively.

resultsThe results revealed a largely positive attitude towards the introduction of RAS technology and an expectation of continued rapid expansion. Areas perceived to be particularly pertinent and requiring ongoing attention were also highlighted, including the need to achieve improved quality control, expertise quantification and training issues and the need to educate the public. Issues of centralisation, service organisation and equity of access were also emphasised.

conclusionsOur study has highlighted a range of issues perceived to be particularly pertinent to the current and future provision of RAS which should be addressed. The areas outlined can enable healthcare managers and surgeons to plan for the adoption and/or expansion of RAS services.

Indexed as

Robotic Surgical ProceduresDelivery of Health CareFocus GroupsHumansQualitative Researchhealth services administration & managementqualitative researchsurgery

Identifiers

PMID36368747
PMCPMC9660630
OpenAlexW4308805625

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.