Evidence map›Paper›PMID 40908399›Full record

ArticleJournal of robotic surgery2025

National adoption of robotic-assisted thoracoscopic surgery for oncologic lung resections.

Hayley Reddington, Zachary Ballinger, Jiddu Guart, Isabel Emmerick, Allison Crawford, Mark Maxfield, Karl Uy, Feiran Lou

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Advances in the Basic Sciences in Thoracic Oncology in the Last 20 Years and Their Translational Impact.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    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

8 authors.

Hayley ReddingtonDivision of Thoracic Surgery, Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA, 01608, USA. Hayley.reddington@umassmemorial.org.ORCID http://orcid.org/0009-0000-1330-2030
Zachary BallingerDivision of Thoracic Surgery, Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA, 01608, USA.
Jiddu GuartDivision of Thoracic Surgery, Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA, 01608, USA.
Isabel EmmerickDivision of Thoracic Surgery, Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA, 01608, USA.
Allison CrawfordDivision of Thoracic Surgery, Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA, 01608, USA.
Mark MaxfieldDivision of Thoracic Surgery, Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA, 01608, USA.
Karl UyDivision of Thoracic Surgery, Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA, 01608, USA.
Feiran LouDivision of Thoracic Surgery, Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA, 01608, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study is to analyze national trends in the adoption of robotic-assisted thoracoscopic surgery (RATS) for lung cancer resections compared to video-assisted thoracoscopic surgery (VATS) and open approaches across geographic regions and institution types in the National Cancer Database (NCDB). A retrospective cohort study was performed of adults who underwent a lung resection for non-small cell lung cancer between 2010 and 2021 in the NCDB. Data were stratified by facility type, surrounding area population, and geographic location. Multivariable logistic regressions with interaction terms were used to determine if the change in rates of RATS varied by facility type, surrounding population, and location. A total of 301,123 oncologic lung resections were included in this study. The total number of RATS surpassed VATS in 2019, with 9579 and 9454 cases, respectively. By 2021, RATS accounted for 65.4% of minimally invasive cases. Academic programs were found to be increasing the proportion of their RATS resections at a faster rate than community programs. Facilities in metropolitan settings are adopting robotic resections at a more rapid rate than in urban and rural areas. The rate of RATS adoption varied significantly by region, with the East South-Central region having the slowest adoption rate. In contrast, the South Atlantic and East North-Central regions experienced the highest rate of increase in RATS adoption. RATS for oncologic lung resection is increasing and has surpassed VATS and open resections as of 2019. RATS resections are growing most rapidly in academic and metropolitan programs, and in certain geographic regions.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsPneumonectomyRobotic Surgical ProceduresThoracic Surgery, Video-AssistedAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesUnited StatesLung cancerLung resectionMinimally invasiveRobotic surgery

Identifiers

PMID40908399

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.