ArticleSurgical endoscopy2023
Validation and effect of the NASA-TLX score on the assessment of the workload of pediatric robotic operations.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Laparoscopic Versus Robotic Adrenalectomy: A Randomized Clinical Trial.Annals of surgical oncology · 2026Trial
- Multi-perspective analysis of daVinci surgical virtual reality training: a prospective randomized controlled study.Journal of robotic surgery · 2025Trial
- Time neutrality and reduced ecological burden - handheld robotic-assisted total knee arthroplasty improves operating room efficiency compared with manual total knee arthroplasty.International orthopaedics · 2026Article
- Ergonomic impact of a passive upper-limb exoskeleton on surgeon workload during laparoscopic tasks: a crossover experimental study.Surgical endoscopy · 2026Article
- Surgeon workload in supervised robotic colorectal surgery: a surgical task load index study.Surgical endoscopy · 2026Article
- Learning curve for proficiency with a robotic microsurgical system: an In vitro study of young medical professionals.Surgery today · 2026Article
- Reduced workload demand with handheld robotic-assisted revision knee arthroplasty: A multi-centre NASA Task Load Index analysis.Journal of experimental orthopaedics · 2026Article
- From precision to strength: computer vision for suture quality assessment-an ex vivo pilot study.Surgical endoscopy · 2026Article
- Cognitive Load in Pediatric Critical Care Medicine: Tsunamis and a Thousand Cuts.Critical care explorations · 2025Article
- Technical performance, surgical workload and patient outcomes of robotic and laparoscopic surgery for pediatric choledochal cyst: a multicenter retrospective cohort and propensity score-matched study.Hepatobiliary surgery and nutrition · 2025Article
- Robot-assisted upper urinary tract repair surgery using the MP1000 system: a prospective, single-center, single-arm clinical study.Translational andrology and urology · 2025Article
- An examination of the interrelationships among NASA-TLX dimensions utilizing the DEMATEL method.PloS one · 2025Article
- Differences in coaching in single- versus dual-console robotic cases: a mixed-methods study.Surgical endoscopy · 2024Article
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9 authors.
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Abstract
objectiveThe objective of the study was to assess the validity of the NASA-TLX score in rating the workload of pediatric robotic operations.
methodsThe workload of 230 pediatric gastrointestinal and thoracic robotic operations was rated using the NASA-TLX score. The difference between the high workload group and the low workload group in each subscale of the NASA-TLX score was analyzed. The correlation of each subscale with the total workload score in the high workload group and low workload group was also analyzed. A logistic regression analysis was subsequently conducted to assess the effects of different factors (sex, age, weight, procedure duration, procedure specialties, combined malformation and blood loss) on the workload.
resultsThe average NASA-TLX score was 56.5 ± 5.1 for the total group, 56.9 ± 5.0 for the gastrointestinal group and 54.6 ± 4.8 for the thoracic group, p = 0.007. The score of the high workload group was 62.7 ± 3.2, while it was 50.6 ± 2.7 for the low workload group (p < 0.001). The score on each subscale was also significantly different between the high and low workload groups. In the high workload group, a stronger correlation was observed between the total score and TD and Fr and a lower correlation with MD and Pe. In the low workload group, all six subscales showed a moderate correlation with the total score. A multivariate logistic regression analysis revealed that the procedure duration was an independent influencing factor for a higher workload score.
conclusionsNASA-TLX is a valid tool to rate the surgeon's workload in pediatric robotic surgery. A longer operative time contributes to a higher workload.
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