Evidence map›Paper›PMID 42428668›Full record

ArticleBJUI compass2026

Ten-year update on the European Association of Urology Robotic Section (ERUS) fellowship training for robot-assisted radical prostatectomy.

Marco Paciotti, Christian Wagner, Nicola Frego, Edoardo Beatrici, Angelo Mottaran, Carlo Andrea Bravi, Federico Piramide, Maria Peraire Lores, Luca Sarchi, Adele Piro and 24 more

Abstract read
In one paragraph

Article in BJUI compass, 2026. 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. Article
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

34 authors.

Marco PaciottiDepartment of Biochemical Science Humanitas University Milan Italy.
Christian WagnerDepartment of Urology Urologic Oncology and Robotic Surgery, St. Antonius-Hospital Gronau Germany.ORCID https://orcid.org/0000-0002-9639-0415
Nicola FregoDepartment of Urology Humanitas Mater Domini Varese Italy.
Edoardo BeatriciDepartment of Biochemical Science Humanitas University Milan Italy.
Angelo MottaranDivision of Urology IRCCS University Hospital of Bologna Bologna Italy.
Carlo Andrea BraviDepartment of Urology Northampton General Hospital Northampton UK.ORCID https://orcid.org/0000-0002-6412-9546
Federico PiramideDivision of Urology, Department of Oncology San Luigi Gonzaga Hospital, University of Turin Turin Italy.
Maria Peraire LoresServicio de Urologia del Hospital Universitario Joan XXIII de Tarragona Tarragona Spain.
Luca SarchiDepartment of Urology IEO European Institute of Oncology, IRCCS Milan Italy.ORCID https://orcid.org/0000-0001-5008-4247
Adele PiroDepartment of Urology Dolo Hospital Dolo Italy.ORCID https://orcid.org/0009-0005-1457-8115
Rui FarinhaORSI Academy Melle Belgium.ORCID https://orcid.org/0000-0002-1286-1399
Gabriele SorceServicio de Urologia del Hospital Universitario Joan XXIII de Tarragona Tarragona Spain.
Eleonora BalestrazziDivision of Urology IRCCS University Hospital of Bologna Bologna Italy.
Luigi NoceraDepartment of Urology, Division of Oncology Urological Research Institute, IRCCS Ospedale San Raffaele Milan Italy.
Claudia Collà RuvoloDepartment of Neurosciences, Science of Reproduction and Odontostomatology University of Naples Federico II Naples Italy.ORCID https://orcid.org/0000-0001-8110-7341
Silvia RebuffoIRCCS Ospedale Policlinico S. Martino Genoa Italy.
Nikolaos LiakosDepartment of Urology, Faculty of Medicine Medical Centre of the University of Freiburg Freiburg Germany.
Paolo Dell'OglioASST Grande Ospedale Metropolitano Niguarda Urology Department Milan Italy.ORCID https://orcid.org/0000-0002-2771-2919
Mike WenzelDepartment of Urology Goethe University Hospital Frankfurt Frankfurt am Main Germany.ORCID https://orcid.org/0000-0002-4338-0889
Marcio Covas MoschovasAdventHealth Global Robotics Institute Celebration Florida USA.ORCID https://orcid.org/0000-0002-3290-7323
Filippo TurriA. Gemelli University Hospital Foundation IRCCS Rome Italy.
Fabrizio Di MaidaDepartment of Experimental and Clinical Medicine University of Florence - Unit of Oncologic Minimally-Invasive Urology and Andrology, Careggi Hospital Florence Italy.
Edward LambertDepartment of Urology Onze-Lieve-Vrouwziekenhuis Hospital Aalst Belgium.ORCID https://orcid.org/0000-0002-8627-4808
Christoph WurnschimmelDepartment of Urology Luzerner Kantonsspital Lucerne Switzerland.ORCID https://orcid.org/0000-0001-7891-4791
Ruben De GrooteDepartment of Urology Onze-Lieve-Vrouwziekenhuis Hospital Aalst Belgium.
Ben van CleynenbreugelDepartment of Development and Regeneration KU Leuven Louvain Belgium.ORCID https://orcid.org/0000-0001-9517-3673
Alessandro LarcherDepartment of Urology, Division of Oncology Urological Research Institute, IRCCS Ospedale San Raffaele Milan Italy.
Iulia AndrasDepartment of Urology Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca Romania.
Nicolò Maria BuffiDepartment of Biochemical Science Humanitas University Milan Italy.
Henk G van der PoelDepartment of Urology Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital Amsterdam The Netherlands.ORCID https://orcid.org/0000-0002-8772-1120
Alberto BredaDepartment of Urology Fundació Puigvert Barcelona Spain.
Alexandre MottrieORSI Academy Melle Belgium.
Anthony G GallagherSchool of Medicine, Faculty of Life and Health Sciences Ulster University Belfast UK.
ERUS Working Group on Education and Junior ERUS/YAU Working Group on Robot‐assisted Surgery

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this paper is to evaluate fellowship outcomes 10 years after implementation of the European Association of Urology Robotic Section (ERUS) structured curriculum for robot-assisted radical prostatectomy (RARP), with a focus on completion rates and reasons for non-completion. Subjects and methods: Data were obtained from institutional records and a trainee survey. The primary outcome was fellowship completion (i.e., Certificate of Excellence achievement). Secondary outcomes included reasons for non-completion and satisfaction. Completion rates were analysed annually, with trends assessed using the Cochran-Armitage test and log-linear regression for the Estimated Annual Percentage Change (EAPC). Comparisons before and after introduction of a procedural diary (2023) and between pandemic and non-pandemic years used Fisher's Exact Test. Results: Among 126 fellows, a total of 42 (33%) completed the fellowship by achieving the Certificate of Excellence. The trainee survey achieved a response rate of 77%, supporting the representativeness of the collected data. The main barriers to fellowship completion included limited console access (49%), insufficient programme duration (20%), logistical difficulties (20%) and COVID-19-related disruptions (11%). Despite these limitations, overall satisfaction with the fellowship was high (83%), with particularly strong approval of the ORSI hands-on training week (100%). Completion rates demonstrated a progressive increase over time, rising from 20% in 2018 to 52% in 2023. The Cochran-Armitage test confirmed a statistically significant upward trend in completion rates over the study period ( Conclusions: The RARP ERUS Fellowship remains a benchmark in robotic training, but unsatisfactory completion rates highlight the need for improvement. Recent reforms, including the procedural diary, show promise and warrant expansion.

Indexed as

curriculumfellowship trainingpatient safetyrobot‐assisted radical prostatectomyrobotic surgerysurgical education

Identifiers

PMID42428668
PMCPMC13345989

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.