Evidence map›Paper›PMID 38578350›Full record

SynthesisJournal of robotic surgery2024

Contemporary analysis of the learning curve for robotic-assisted total hip arthroplasty emerging technologies.

Christian J Hecht, Joshua R Porto, Parshva A Sanghvi, Yasuhiro Homma, Peter K Sculco, Atul F Kamath

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of robotic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 11 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

6 authors at 3 institutions in 2 countries.

Christian J HechtDepartment of Orthopaedic Surgery, Center for Hip Preservation, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.ORCID http://orcid.org/0000-0002-2529-0126
Joshua R PortoDepartment of Orthopaedic Surgery, Center for Hip Preservation, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.ORCID http://orcid.org/0000-0002-5418-3143
Parshva A SanghviDepartment of Orthopaedic Surgery, Center for Hip Preservation, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Yasuhiro HommaDepartment of Medicine for Orthopaedics and Motor Organs, Juntendo University Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan.ORCID http://orcid.org/0000-0002-7891-3024
Peter K SculcoDepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 10021, USA.
Atul F KamathDepartment of Orthopaedic Surgery, Center for Hip Preservation, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. kamatha@ccf.org.ORCID http://orcid.org/0000-0002-9214-2756
Cleveland Clinic · USHospital for Special Surgery · USJuntendo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic assisted (RA) total hip arthroplasty (THA) offers improved acetabular component placement and radiographic outcomes, but inconsistent assessment methods of its learning curves render the evaluation of adopting novel platforms challenging. Therefore, we conducted a systematic review to assess the learning curve associated with RA-THA, both tracking a surgeon's performance across initial cases and comparing their performance to manual THA (M-THA). PubMed, MEDLINE, EBSCOhost, and Google Scholar were searched on June 16, 2023, to identify studies published between January 1, 2000 and June 16, 2023 (PROSPERO registration: CRD42023437339). The query yielded 655 unique articles, which were screened for eligibility. The final analysis included 11 articles, evaluating 1351 THA procedures. Risk of bias was assessed via the Methodological Index for Nonrandomized Studies (MINORS) tool. The mean MINORS score was 21.3 ± 0.9. RA-THA provided immediate improvements in acetabular component placement accuracy and radiographic outcomes compared to M-THA, with little to no experience required to achieve peak proficiency. A modest learning curve (12-17 cases) was associated with operative time, which was elevated compared to M-THA (+ 9-13 min). RA-THA offers immediate advantages to M-THA for component placement accuracy and radiographic outcomes. Surgeons should expect to experience increased operative times, which become less pronounced or equivalent to M-THA after a modest caseload.

Indexed as

Arthroplasty, Replacement, HipRobotic Surgical ProceduresSurgery, Computer-AssistedAcetabulumHumansLearning CurveCUSUM analysisLearning curveRobotic assistanceTotal hip arthroplasty

Identifiers

PMID38578350
OpenAlexW4393981656

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.