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

  • A. J. W. BeulensEmail author
  • 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
Original Article
  • 14 Downloads

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.

Keywords

Delphi RARP Video analysis Prostatectomy Surgical skills Postoperative outcomes 

Notes

Acknowledgements

The authors thank H.P. Beerlage, A.E. Boeken Kruger, J.B.W. Rietbergen, J.P.M. Sedelaar, P.C. Weijerman, M.B. Busstra, O.S. Klaver, and B.C. Knipscheer for their participation during the Delphi process.

Compliance with ethical standards

Conflict of interest

Drs. Beulens, Dr. Brinkman, Dr. van der Poel, Dr. Vis, Dr. van Basten, Dr. Meijer, Dr. Wijburg, Dr. Hendrikx, Prof. van Merrienboer,, and Prof. Wagner have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2019

Authors and Affiliations

  • A. J. W. Beulens
    • 1
    • 2
    • 12
    Email author
  • W. M. Brinkman
    • 3
  • H. G. Van der Poel
    • 4
  • A. N. Vis
    • 5
  • J. P. van Basten
    • 6
  • R. P. Meijer
    • 7
  • C. J. Wijburg
    • 8
  • A. J. M. Hendrikx
    • 9
  • J. J. G. van Merriënboer
    • 10
  • C. Wagner
    • 1
    • 11
  1. 1.Netherlands Institute for Health Services Research (NIVEL)UtrechtThe Netherlands
  2. 2.Department of UrologyCatharina HospitalEindhovenThe Netherlands
  3. 3.Department of UrologyErasmus Medical CentreRotterdamThe Netherlands
  4. 4.Department of UrologyDutch Cancer Institute-Antoni van Leeuwenhoek HospitalAmsterdamThe Netherlands
  5. 5.Department of UrologyVU Medical CentreAmsterdamThe Netherlands
  6. 6.Department of UrologyCanisius Wilhelmina HospitalNijmegenThe Netherlands
  7. 7.Department of Oncological UrologyUniversity Medical Centre UtrechtUtrechtThe Netherlands
  8. 8.Department of UrologyRijnstate HospitalArnhemThe Netherlands
  9. 9.Department of Urology, Urologist NPCatharina HospitalEindhovenThe Netherlands
  10. 10.School of Health Professions EducationMaastricht UniversityMaastrichtThe Netherlands
  11. 11.VU Medical Centre, Amsterdam Public Health Research InstituteAmsterdamThe Netherlands
  12. 12.Catharina Hospital EindhovenEindhovenThe Netherlands

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