Evidence map›Paper›PMID 40481902›Full record

ArticleJournal of robotic surgery2025

Design and implementation of a composite performance score to drive cost efficiency in robotic-assisted surgery: the Orlando Score.

Alexis Sanchez, Andre Teixeira, Muhammad Ghanem, Luis Herrera

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

4 authors.

Alexis SanchezOrlando Health Advanced Robotic Surgery Program, Orlando, FL, USA. dralexissanchez@gmail.com.
Andre TeixeiraOrlando Health Advanced Robotic Surgery Program, Orlando, FL, USA.
Muhammad GhanemOrlando Health Advanced Robotic Surgery Program, Orlando, FL, USA.
Luis HerreraOrlando Health Advanced Robotic Surgery Program, Orlando, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study describes and evaluates the implementation of a composite performance score, an integrated metric designed to enhance performance in robotic surgery by focusing on three domains: operational efficiency, cost control, and clinical outcomes. Quarterly feedback meetings to discuss the evaluations based on the score and individualized reports fostered active surgeon engagement in cost-reduction strategies. The project compared two cohorts: an intervention group where surgeons adopted the score and a control group where it was not implemented. Two periods, pre-implementation (Q1 2024) and post-implementation (Q4 2024), were analyzed to assess the financial impact of the score. The findings showed a 7.5% cost reduction per procedure in the intervention group, while the control group experienced an increase in costs. No differences were observed in operative time, length of stay, or readmission rates, confirming that cost optimization did not compromise the quality of care. This approach highlights the value of the composite performance score as a tool for promoting cost-efficient resource management in robotic procedures, demonstrating that with appropriate data, surgeons can effectively participate in initiatives aimed at lowering costs in robotic surgery.

Indexed as

Robotic Surgical ProceduresCost-Benefit AnalysisCost ControlHumansLength of StayOperative TimeComposite scoreCost efficiencyRobotic surgery

Identifiers

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.