Linking surgical skills to postoperative outcomes: a Delphi study on the robot-assisted radical prostatectomy.

Beulens, AJW ; Brinkman, WM ; et al.

In: Journal of robotic surgery, Jg. 13 (2019-10-01), Heft 5, S. 675-687

Online academicJournal

Zugriff:

Objective: To develop an assessment instrument for the evaluation of surgical videos to elucidate the association between surgical skills and postoperative outcomes after a robot-assisted radical prostatectomy (RARP).

Design: A Delphi study consisting of two consecutive online surveys and a consensus group meeting.

Setting: Urology departments of general, teaching and university hospitals in the Netherlands.

Participants: All Dutch urologists with a specialization in RARP.

Results: Of 18 invited experts, 12 (67%) participated in the first online survey. In the second round, 9 of the 18 invited experts participated (50%). The Delphi meeting was attended by 5 of the 18 (27%) invited experts. The panel identified seven surgical steps with a possible association to postoperative outcomes. The experts also expected an association between adverse postoperative outcomes and the frequency of camera removals, the number of stitches placed, the amount of bleeding, and the extent of coagulation. These factors were incorporated into an assessment instrument.

Conclusions: Experts in the field of RARP achieved consensus on 7 surgical steps and 4 aspects of the RARP procedure that may be related to adverse postoperative outcomes. The resulting assessment instrument will be tested in future research to determine its validity.

Titel:	Linking surgical skills to postoperative outcomes: a Delphi study on the robot-assisted radical prostatectomy.
Autor/in / Beteiligte Person:	Beulens, AJW ; Brinkman, WM ; Van der Poel, HG ; Vis, AN ; van Basten JP ; Meijer, RP ; Wijburg, CJ ; Hendrikx, AJM ; van Merriënboer JJG ; Wagner, C
Link:	View record at Springer (Volltext)
Zeitschrift:	Journal of robotic surgery, Jg. 13 (2019-10-01), Heft 5, S. 675-687
Veröffentlichung:	London : Springer, 2019
Medientyp:	academicJournal
ISSN:	1863-2491 (electronic)
DOI:	10.1007/s11701-018-00916-9
Schlagwort:	Consensus Expert Testimony Humans Male Netherlands Prostatectomy adverse effects Robotic Surgical Procedures adverse effects Surveys and Questionnaires Treatment Outcome Video Recording Clinical Competence Patient Outcome Assessment Postoperative Complications prevention & control Prostatectomy methods Robotic Surgical Procedures methods
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [J Robot Surg] 2019 Oct; Vol. 13 (5), pp. 675-687. <i>Date of Electronic Publication: </i>2019 Jan 04. MeSH Terms: Clinical Competence* ; Patient Outcome Assessment* ; Postoperative Complications / prevention & control ; Prostatectomy / methods ; Robotic Surgical Procedures / *methods ; Consensus ; Expert Testimony ; Humans ; Male ; Netherlands ; Prostatectomy / adverse effects ; Robotic Surgical Procedures / adverse effects ; Surveys and Questionnaires ; Treatment Outcome ; Video Recording References: BJU Int. 2005 Nov;96(7):1022-7. (PMID: 16225521) ; Eur Urol. 2011 Mar;59(3):317-22. (PMID: 21095055) ; J Urol. 2011 May;185(5):1686-90. (PMID: 21419458) ; BJU Int. 2011 Apr;107 Suppl 3:7-10. (PMID: 21492369) ; J Urol. 2012 Jan;187(1):247-52. (PMID: 22099993) ; Eur Urol. 2012 Aug;62(2):261-72. (PMID: 22575909) ; N Engl J Med. 2013 Oct 10;369(15):1434-42. (PMID: 24106936) ; Eur Urol. 2014 Jun;65(6):1078-83. (PMID: 24444476) ; Eur Urol. 2015 Jul;68(1):22-9. (PMID: 25770482) ; Trials. 2015 Mar 04;16:76. (PMID: 25887437) ; J Surg Educ. 2015 Nov-Dec;72(6):1259-65. (PMID: 26111823) ; Radiat Oncol. 2016 Mar 18;11:45. (PMID: 26993980) ; N Engl J Med. 2016 Oct 13;375(15):1425-1437. (PMID: 27626365) ; J Urol. 2017 May;197(5):1237-1244. (PMID: 27913152) ; J Urol. 2017 Jul;198(1):92-99. (PMID: 28153509) ; JAMA. 2017 Mar 21;317(11):1126-1140. (PMID: 28324093) ; Int Braz J Urol. 2017 Jul-Aug;43(4):661-670. (PMID: 28379668) ; J Endourol. 2017 Sep;31(9):858-863. (PMID: 28557582) ; Eur Urol. 2018 Feb;73(2):178-211. (PMID: 28655541) ; Eur Urol. 2017 Dec;72(6):869-885. (PMID: 28757301) ; BJU Int. 2018 Sep;122(3):501-519. (PMID: 29603869) ; J Urol. 1998 Apr;159(4):1276-80. (PMID: 9507852) Contributed Indexing: Keywords: Delphi; Postoperative outcomes; Prostatectomy; RARP; Surgical skills; Video analysis Entry Date(s): Date Created: 20190106 Date Completed: 20200221 Latest Revision: 20200225 Update Code: 20240513

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