Evidence map›Paper›PMID 39105995›Full record

ArticleJournal of robotic surgery2024

The training pathway for residents: 'Robotic Curriculum for young Surgeons' (RoCS) does not impair patient outcome during implementation into clinical routine.

Jessica Stockheim, S Andriof, M Andric, S Al-Madhi, S Acciuffi, M Franz, E Lorenz, S Peglow, F Benedix, A Perrakis and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article 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 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

11 authors.

Jessica Stockheim *Department of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany. jessica.stockheim@med.ovgu.de.
S Andriof *Medical Faculty, University Magdeburg, Magdeburg, Germany.
M AndricDepartment of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany.
S Al-MadhiDepartment of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany.
S AcciuffiDepartment of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany.
M FranzDepartment of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany.
E LorenzDepartment of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany.
S PeglowDepartment of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany.
F BenedixDepartment of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany.
A Perrakis *Department of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany.
R S CronerDepartment of General, Visceral, Vascular, and Transplant Surgery, Otto-von-Guericke University, Magdeburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The "Robotic Curriculum for young Surgeons" (RoCS) was launched 03/2020 to address the increasing importance of robotics in surgical training. It aims to provide residents with foundational robotic skills by involving them early in their training. This study evaluated the impact of RoCS' integration into clinical routine on patient outcomes. Two cohorts were compared regarding the implementation of RoCS: Cohort 1 (before RoCS) included all robot-assisted procedures between 2017 and 03/2020 (n = 174 adults) retrospectively; Cohort 2 (after RoCS) included all adults (n = 177) who underwent robotic procedures between 03/2020 and 2021 prospectively. Statistical analysis covered demographics, perioperative parameters, and follow-up data, including mortality and morbidity. Subgroup analysis for both cohorts was organ-related (upper gastrointestinal tract (UGI), colorectal (CR), hepatopancreaticobiliary system (HPB)). Sixteen procedures were excluded due to heterogeneity. In-hospital, 30-, 90-day morbidity and mortality showed no significant differences between both cohorts, including organ-related subgroups. For UGI, no significant intraoperative parameter changes were observed. Surgery duration decreased significantly in CR and HPB procedures (p = 0.018 and p < 0.001). Estimated blood loss significantly decreased for CR operations (p = 0.001). The conversion rate decreased for HPB operations (p = 0.005). Length of hospitalization decreased for CR (p = 0.015) and HPB (p = 0.006) procedures. Oncologic quality, measured by histopathologic R0-resections, showed no significant changes. RoCS can be safely integrated into clinical practice without compromising patient safety or oncologic quality. It serves as an effective training pathway to guide robotic novices through their first steps in robotic surgery, offering promising potential for skill acquisition and career advancement.

Indexed as

CurriculumInternship and ResidencyRobotic Surgical ProceduresAdultAgedClinical CompetenceFemaleHumansMaleMiddle AgedRetrospective StudiesSurgeonsTreatment OutcomeGeneral surgeryOncologyRoboticsRobotic surgeryTraining

Identifiers

PMID39105995
PMCPMC11303422

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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.