Evidence map›Paper›PMID 42853150›Full record

ReviewBrazilian journal of cardiovascular surgery2026

Proficiency in Robotic Cardiac Surgery: Toward a Brazilian Training Curriculum.

Robinson Poffo, Sergio Augusto Fudaba Curcio, Anderson da Rosa Rosado, Stephanie Senna, Renato Bastos Pope, Alisson Parrilha Toschi

Abstract readReview
In one paragraph

Review in Brazilian journal of cardiovascular surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Robinson PoffoEinstein Hospital Israelita Department of Cardiovascular Surgery São Paulo São Paulo Brazil Department of Cardiovascular Surgery, Einstein Hospital Israelita, São Paulo, São Paulo, Brazil.
Sergio Augusto Fudaba CurcioEinstein Hospital Israelita Department of Cardiovascular Surgery São Paulo São Paulo Brazil Department of Cardiovascular Surgery, Einstein Hospital Israelita, São Paulo, São Paulo, Brazil.
Anderson da Rosa RosadoHospital Regional Hans Dieter Schmidt Palhoça Santa Catarina Brazil Hospital Regional Hans Dieter Schmidt, Palhoça, Santa Catarina, Brazil.
Stephanie SennaEinstein Hospital Israelita Department of Cardiovascular Surgery São Paulo São Paulo Brazil Department of Cardiovascular Surgery, Einstein Hospital Israelita, São Paulo, São Paulo, Brazil.
Renato Bastos PopeEinstein Hospital Israelita Department of Cardiovascular Surgery São Paulo São Paulo Brazil Department of Cardiovascular Surgery, Einstein Hospital Israelita, São Paulo, São Paulo, Brazil.
Alisson Parrilha ToschiEinstein Hospital Israelita Department of Cardiovascular Surgery São Paulo São Paulo Brazil Department of Cardiovascular Surgery, Einstein Hospital Israelita, São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRobotic cardiac surgery has evolved significantly over the past decades, offering enhanced precision, improved visualisation, and minimally invasive approaches. Despite its global expansion, its adoption in Brazil remains limited, particularly due to the absence of a structured and specialty-specific training pathway.

objectiveTo present a structured proposal for the implementation of robotic cardiac surgery training in Brazil, based on current national regulations and international experience.

methodsThis study consists of a narrative review combined with a policy analysis of Brazilian regulatory documents and international training models. Evidence regarding simulation-based training, structured curricula, and competency-based progression was analysed to support the proposed framework.

resultsCurrent Brazilian regulations provide general guidance for robotic surgery but lack specific criteria for cardiac surgery training. In contrast, international models emphasise structured progression, simulation-based training, mentorship, and outcome-based evaluation. Based on these findings, a hybrid training model is proposed, combining short-term certification programmes and dedicated fellowship pathways.

conclusionThe implementation of a structured and standardised training pathway is essential for the safe expansion of robotic cardiac surgery in Brazil. Aligning national policies with international best practices may facilitate broader adoption while ensuring surgical proficiency and patient safety.

Indexed as

Cardiac Surgical ProceduresClinical CompetenceCurriculumRobotic Surgical ProceduresBrazilHumansSimulation TrainingCardiac SurgeryCompetency-Based Education.Robotic Surgical ProceduresSimulation TrainingSurgical Training

Identifiers

PMID42853150
PMCPMC13660077

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Registered trials

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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.