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

A. J. W. Beulens, W. M. Brinkman, H. G. van der Poel, A. N. Vis, J. P. van Basten, R. P. Meijer, C. J. Wijburg, A. J. M. Hendrikx, J. J. G. van Merriënboer, C. Wagner

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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.
Original languageEnglish
JournalJournal of Robotic Surgery
DOIs
Publication statusE-pub ahead of print - 2019

Cite this

Beulens, A. J. W. ; Brinkman, W. M. ; van der Poel, H. G. ; Vis, A. N. ; van Basten, J. P. ; Meijer, R. P. ; Wijburg, C. J. ; Hendrikx, A. J. M. ; van Merriënboer, J. J. G. ; Wagner, C. / Linking surgical skills to postoperative outcomes: a Delphi study on the robot-assisted radical prostatectomy. In: Journal of Robotic Surgery. 2019.
@article{8d25728bd880463c9e12894002da5cc3,
title = "Linking surgical skills to postoperative outcomes: a Delphi study on the robot-assisted radical prostatectomy",
abstract = "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.",
author = "Beulens, {A. J. W.} and Brinkman, {W. M.} and {van der Poel}, {H. G.} and Vis, {A. N.} and {van Basten}, {J. P.} and Meijer, {R. P.} and Wijburg, {C. J.} and Hendrikx, {A. J. M.} and {van Merri{\"e}nboer}, {J. J. G.} and C. Wagner",
year = "2019",
doi = "10.1007/s11701-018-00916-9",
language = "English",
journal = "Journal of Robotic Surgery",
issn = "1863-2483",
publisher = "Springer London",

}

Beulens, AJW, Brinkman, WM, van der Poel, HG, Vis, AN, van Basten, JP, Meijer, RP, Wijburg, CJ, Hendrikx, AJM, van Merriënboer, JJG & Wagner, C 2019, 'Linking surgical skills to postoperative outcomes: a Delphi study on the robot-assisted radical prostatectomy' Journal of Robotic Surgery. https://doi.org/10.1007/s11701-018-00916-9

Linking surgical skills to postoperative outcomes: a Delphi study on the robot-assisted radical prostatectomy. / Beulens, A. J. W.; Brinkman, W. M.; van der Poel, H. G.; Vis, A. N.; van Basten, J. P.; Meijer, R. P.; Wijburg, C. J.; Hendrikx, A. J. M.; van Merriënboer, J. J. G.; Wagner, C.

In: Journal of Robotic Surgery, 2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Linking surgical skills to postoperative outcomes: a Delphi study on the robot-assisted radical prostatectomy

AU - Beulens, A. J. W.

AU - Brinkman, W. M.

AU - van der Poel, H. G.

AU - Vis, A. N.

AU - van Basten, J. P.

AU - Meijer, R. P.

AU - Wijburg, C. J.

AU - Hendrikx, A. J. M.

AU - van Merriënboer, J. J. G.

AU - Wagner, C.

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85059570735&origin=inward

U2 - 10.1007/s11701-018-00916-9

DO - 10.1007/s11701-018-00916-9

M3 - Article

JO - Journal of Robotic Surgery

JF - Journal of Robotic Surgery

SN - 1863-2483

ER -