ArticleWorld journal of urology2025
Attaining competency and proficiency in pediatric robot-assisted laparoscopic ureteric reimplantation: a learning curve configuration using cumulative sum analysis.
Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robotic-assisted ureteric reimplantation versus laparoscopic and open approaches: systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Robotic-assisted laparoscopic ureteral reimplantation using the LUAA technique: VCUG-confirmed outcomes, learning curve and CUSUM analysis.BJUI compass · 2026Article
- Evolution of robotic-assisted resection of pediatric neuroblastic tumors: a retrospective analysis.Updates in surgery · 2026Article
- Facing the toughest cases: the role of robot-assisted laparoscopic ureteral reimplantation (RALUR) in pediatric urology - a multicenter analysis.Journal of robotic surgery · 2025Article
- Robot-Assisted Extravesical Ureteral Reimplantation (RALUR-EV) in Children: Initial Single-Center Experience at a Public Tertiary-Care Hospital in Ecuador.Journal of clinical medicine · 2025Article
- Comment on "methodological considerations for learning curve analysis in pediatric robot-assisted ureteral reimplantation".World journal of urology · 2025Review
- Single-center results from the first 100 robotic ureteral reimplantation in children: analysis of learning curve effects.Frontiers in surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesRobot-assisted laparoscopic ureteric reimplantation (RALUR) is a minimally invasive procedure for treating vesicoureteral reflux (VUR) and congenital megaureter. Despite its benefits, the adoption of RALUR involves a significant learning curve. This study aims to evaluate the learning curve of a fellowship-trained surgeon performing RALUR using cumulative sum (CUSUM) analysis.
methodsA retrospective review of RALUR cases without concurrent procedures from July 2012 to July 2024 was conducted. Patients' clinical characteristics and surgical outcomes were assessed. The learning curve was analyzed using CUSUM for operative time (OT) and complication rates (CR), dividing the curve into three phases: learning (phase 1), competency (phase 2), and proficiency (phase 3).
resultsThere was a total of 65 eligible RALUR cases within specified time-period (38 bilateral). There was an overall median follow up of 16.8 months (IQR 8.2-39.4). The overall reoperation rates were 6.2% (4/65). CUSUM-OT peaked at case 23, indicating the end of the learning phase, and progression to competency (phase 2). By case 40, the surgeon achieved proficiency, with continued improvement in CUSUM-CR. Increased case complexity and trainee involvement in phase 3 did not adversely affect patient outcomes. Mention traditional OT analysis finding.
conclusionThe learning curve for RALUR can be effectively mapped using CUSUM analysis, with technical competency reached by the 24th case. Patient safety was not compromised during the learning process of trainees. Future research should include multi-institutional studies and simulation-based training to generalize findings and enhance surgical training programs.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.