Evidence map›Paper›PMID 36996257›Full record

ArticlePloS one2023

The RoboCOS Study: Development of an international core outcome set for the comprehensive evaluation of patient, surgeon, organisational and population level impacts of robotic assisted surgery.

Clare Robertson, Shafaque Shaikh, Jemma Hudson, Patrick Garfjeld Roberts, David Beard, Terry Mackie, Cameron Matthew, Craig Ramsay, Katie Gillies, Marion Campbell

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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

10 authors.

Clare RobertsonHealth Services Research Unit, University of Aberdeen, Aberdeen, United Kingdom.
Shafaque ShaikhHealth Services Research Unit, University of Aberdeen, Aberdeen, United Kingdom.ORCID 0000-0002-4536-9595
Jemma HudsonHealth Services Research Unit, University of Aberdeen, Aberdeen, United Kingdom.
Patrick Garfjeld RobertsNuffield Department of Orthopaedics, Surgical Interventions Trials Unit, Rheumatology & Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
David BeardNuffield Department of Orthopaedics, Surgical Interventions Trials Unit, Rheumatology & Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-7884-6389
Terry MackiePublic Partner, Aberdeen, United Kingdom.
Cameron MatthewAberdeen Royal Infirmary, NHS Grampian, Aberdeen, United Kingdom.
Craig RamsayHealth Services Research Unit, University of Aberdeen, Aberdeen, United Kingdom.
Katie GilliesHealth Services Research Unit, University of Aberdeen, Aberdeen, United Kingdom.ORCID 0000-0001-7890-2854
Marion CampbellHealth Services Research Unit, University of Aberdeen, Aberdeen, United Kingdom.

Funding

Chief Scientist Office HSRU1
6 · The paper itself

Abstract

backgroundThe introduction of robot-assisted surgery is costly and requires whole system transformation, which makes the assessment of benefits (or drawbacks) complex. To date, there has been little agreement on which outcomes should be used in this regard. The aim of the RoboCOS study was to develop a core outcome set for the evaluation of robot-assisted surgery that would account for its impact on the whole system.

methodsIdentification of a long-list of potentially relevant outcomes through systematic review of trials and health technology assessments; interviews with individuals from a range of stakeholder groups (surgeons, service managers, policy makers and evaluators) and a focus group with patients and public; prioritisation of outcomes via a 2-round online international Delphi survey; consensus meeting.

results721 outcomes were extracted from the systematic reviews, interviews and focus group which were conceptualised into 83 different outcome domains across four distinct levels (patient, surgeon, organisation and population) for inclusion in the international Delphi prioritisation survey (128 completed both rounds). The consensus meeting led to the agreement of a 10-item core outcome set including outcomes at: patient level (treatment effectiveness; overall quality of life; disease-specific quality of life; complications (including mortality); surgeon level (precision/accuracy; visualisation); organisation (equipment failure; standardisation of operative quality; cost-effectiveness); and population (equity of access).

conclusionThe RoboCOS core outcome set, which includes the outcomes of importance to all stakeholders, is recommended for use in all future evaluations of robot-assisted surgery to ensure relevant and comparable reporting of outcomes.

Indexed as

Robotic Surgical ProceduresSurgeonsDelphi TechniqueEndpoint DeterminationHumansQuality of LifeResearch DesignTreatment Outcome

Identifiers

PMID36996257
PMCPMC10062593

What OpenQuestion holds

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LicenceCC BY
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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.