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AlNaim AA, AlNaim N, Al Nasser F, Albash L, Almulhim M, Albinsaad L. Public's Perception and Knowledge of Using Robotics in General Surgery in Eastern Region, Saudi Arabia. Ann Afr Med 2024; 23:299-306. [PMID: 39034550 DOI: 10.4103/aam.aam_182_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 01/24/2024] [Indexed: 07/23/2024] Open
Abstract
BACKGROUND Robotics in general surgery is a field that involves the use of robotic systems to assist surgeons in performing various types of surgical procedures. OBJECTIVE The objective of this study was to evaluate the perception and knowledge of robotic surgery among the Eastern Region's population. METHODS This cross-sectional study used an electronic questionnaire that was developed using Google Docs. It included males and females aged above 18 years who lived in the Eastern Province. Participants who were below 18 or above 65 years of age, or non-Saudi, or people who lived in other than the Eastern Region of Saudi Arabia were excluded from the study. RESULTS A total of 500 responses were received via the Google Form, and 81 subjects of them were excluded from the study. Approximately half of the participants were aware of the existence of general robotic surgery, while the other half had no prior knowledge about it. When assessing the participants' understanding of how robotic surgery works, a significant proportion provided incorrect responses. In terms of the advantages of general robotic surgery, the most commonly recognized benefit was that it makes the doctor's life easier, followed by more accurate surgical results. However, the participants' understanding of the disadvantages of robotic surgery was not as accurate. A substantial portion of participants were unsure about the disadvantages. CONCLUSION The general public of the Eastern Region in Saudi Arabia showed a derated level of knowledge about the use of robotics in general surgery. Furthermore, a major portion of people were unaware of the availability of robotic surgery in Saudi Arabia. Educational programs are warranted to facilitate the implantation of robotic surgery in Saudi Arabia.
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Arishi AA, Hakami IA, Mashbari HN, Hobani AH, Al-Musawa HI, Abuhadi RI, Maslouf AH, Matari MH, Albrahim HT, Algarni MA, Iskander O, Alyahyawi K. Knowledge, attitude, and perception of robotic-assisted surgery among the general population in Saudi Arabia: a cross-sectional study. J Robot Surg 2024; 18:196. [PMID: 38703278 DOI: 10.1007/s11701-024-01892-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 02/28/2024] [Indexed: 05/06/2024]
Abstract
Minimally invasive surgery (MIS) has revolutionized surgical practices, with robotic-assisted surgery (RAS) significantly advancing. However, the understanding and acceptance of RAS vary, impacting its widespread adoption. This study aims to assess Saudi Arabians' attitudes and comprehension of RAS, which is crucial for promoting its integration into surgical procedures. A cross-sectional study was conducted in various Saudi Arabian cities. A total of 1449 participants were included, while participants with cognitive issues were excluded. Demographic information, knowledge, technology experience, attitudes, and perceptions about RAS were collected using an online self-administered questionnaire. Data were analyzed using descriptive and inferential statistics. Of the participants, 51.1% demonstrated awareness of RAS, mainly through social media (36.9%). Factors influencing awareness included gender, education, income, occupation, computer literacy, and technology comfort. Gender disparities were evident in attitudes and perceptions toward RAS. Concerns about RAS included robot malfunction (62.0%), surgical errors (45.4%), and surgeon competency (44.7%). 36.4% of the participants believe RAS is faster, 29.9% believe RAS is less painful, and 25.3% believe RAS has fewer complications. Positive perceptions encompassed the belief that robot-using surgeons are more skilled (44.5%) and hospitals offering RAS are better (54.3%). Notably, 47.7% expressed willingness to consider RAS as a treatment option. The study underscores the significance of promoting awareness and informed decisions to ensure the successful integration of RAS in surgical practices. Addressing concerns and misconceptions and enhancing public comprehension are pivotal for facilitating informed decision-making and fostering RAS acceptance within Saudi Arabia's surgical landscape.
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Affiliation(s)
- Abdulaziz A Arishi
- General Surgery Department, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia.
| | - Ibrahim A Hakami
- General Surgery Department, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Hassan N Mashbari
- General Surgery Department, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
| | | | | | - Rana I Abuhadi
- Faculty of Medicine, Jazan University, 45142, Jazan, Saudi Arabia
| | - Atheer H Maslouf
- Faculty of Medicine, Jazan University, 45142, Jazan, Saudi Arabia
| | | | | | - Maram A Algarni
- Faculty of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Othamn Iskander
- General Surgery Department, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Khalid Alyahyawi
- General Surgery Department, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
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Al Dihan FA, Alghamdi MA, Aldihan FA, Alamer NM, Alshahrani FA, Alqarni A. Knowledge, Attitude, Awareness, and Future Expectations of Robotic Surgery in Patients Attending Surgical Specialties Clinics. Cureus 2024; 16:e56523. [PMID: 38646294 PMCID: PMC11027023 DOI: 10.7759/cureus.56523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/19/2024] [Indexed: 04/23/2024] Open
Abstract
Introduction The use of robotic-assisted surgeries (RAS) has been growing in surgical specialties. It allows surgeons to perform higher-quality operations with fewer complications, mortality, and morbidity. However, there are a lot of misconceptions about RAS among patients. Therefore, our study aimed to assess the knowledge, attitude, awareness, and future expectations of RAS in patients attending surgical clinics. Methods A cross-sectional study was conducted in King Abdulaziz Medical City (KAMC) surgical clinics in Riyadh, Saudi Arabia. All participants <18 years of age were excluded. The questionnaire was distributed to 304 patients attending surgical clinics with a confidence level of 95% and a margin of error of 5%. Cluster sampling was used since the respondents were from multiple surgical specialties. Finally, multivariate analysis was performed to assess participants' preference for robotic surgery. Results Most participants (58.6%, n=178) were between 21 and 40 years old, and males were 52% of the participants. Many respondents thought a robot did not do the surgery. 70.7% of respondents had not heard of robotic surgery, with the media being the most common source of information. Internal damage was the prevalent concern (51.0%, n= 155) in malfunctions of robotic surgery. A significant relationship was found between participants from 21 to 40 years of age and a stronger preference for robotic surgery (p=.027). Respondents who preferred robotic surgery were discovered to have a significant relationship with participants who thought robotic surgery was safer and had better results (p<.001). 13.9% of participants who did not prefer robotic surgery also took cost into account significantly (χ2=28.93, p<.001, Cramer's V=.22). 67.2% (n=43) of respondents who preferred robotic surgery believed it might eventually replace present practices. Conclusion Our study concluded that the majority did not favor or were unsure whether to undergo robotic surgeries or not. However, most participants had some misconceptions and a lack of awareness about robotic surgeries. Raising awareness among patients can improve the mutual decision-making between them and their treating physician.
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Affiliation(s)
- Fahad A Al Dihan
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Mohannad A Alghamdi
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Faisal A Aldihan
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Nawaf M Alamer
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Faisal A Alshahrani
- College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Ayyob Alqarni
- General and Colorectal Surgery, King Abdulaziz Medical City Riyadh, Riyadh, SAU
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Wu S, Yang C, He L, Hu Z, Yao J. Meta-synthesis of qualitative studies on patient perceptions and requirements during the perioperative period of robotic surgery. J Robot Surg 2024; 18:44. [PMID: 38240864 DOI: 10.1007/s11701-023-01791-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 12/02/2023] [Indexed: 01/23/2024]
Abstract
This research undertakes a comprehensive evaluation and amalgamation of patient experiences and requirements during the perioperative period of robot-assisted surgery (RS), with the goal of enriching clinical practice with patient-centered insights. A meta-synthesis was performed and reported according to the preferred reporting Items for systematic reviews and meta-analyses and the enhancing transparency in reporting the synthesis of qualitative research statement. A rigorous literature search was conducted across multiple Chinese and English databases, namely PubMed, CINAHL (EBSCO), Embase, Web of Science, Scopus, China Biomedical Literature Database (CBLD), China National Knowledge Infrastructure (CNKI), Wanfang Data, and VIP Information. This study incorporated ten qualitative studies, the outcomes were classified into three overarching themes: personalized patient requirements related to RS; the psychological and physiological experiences of patients; and the divergent perceptions of male and female patients regarding RS. Greater emphasis needs to be placed on patient comprehension of RS, augmenting focus on patient psychological experiences, recognizing unique patient needs at various stages of RS, and providing patients with specialized knowledge and technical support.
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Affiliation(s)
- Shuang Wu
- School of Nursing, Shaanxi University of Chinese Medicine, Century Avenue, Chenyangzhai, Qindu District, Xianyang, 712046, Shaanxi, China
| | - Chunzhi Yang
- School of Nursing, Shaanxi University of Chinese Medicine, Century Avenue, Chenyangzhai, Qindu District, Xianyang, 712046, Shaanxi, China
| | - Liu He
- School of Nursing, Shaanxi University of Chinese Medicine, Century Avenue, Chenyangzhai, Qindu District, Xianyang, 712046, Shaanxi, China
| | - Zhixuan Hu
- School of Nursing, Shaanxi University of Chinese Medicine, Century Avenue, Chenyangzhai, Qindu District, Xianyang, 712046, Shaanxi, China
| | - Jie Yao
- School of Nursing, Shaanxi University of Chinese Medicine, Century Avenue, Chenyangzhai, Qindu District, Xianyang, 712046, Shaanxi, China.
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Esmer AC, Çolak T, Edizsoy A, Tazeoğlu D, Serdar Karaca A. Current status of laparoscopic surgery usage in Türkiye: A middle-income country. Turk J Surg 2022; 38:353-361. [PMID: 36875273 PMCID: PMC9979558 DOI: 10.47717/turkjsurg.2022.5713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Accepted: 08/31/2022] [Indexed: 01/12/2023]
Abstract
Objectives This study aimed to determine the usage status of laparoscopic procedures in general surgical practice in Türkiye, which is a sample of middle-income countries. Material and Methods The questionnaire was sent to general surgeons, gastrointestinal surgeons, and surgical oncologists who have completed their residency training and are actively working in university, public or private hospitals. Demographic data, laparoscopy training and the period of education, the rate of laparoscopy use, the type and volume of laparoscopic surgical procedures, their views on the advantages and disadvantages of laparoscopic surgery, and the reasons for preferring laparoscopy were determined with a 30-item questionnaire. Results Two hundred and forty-four questionnaires from 55 different cities of Türkiye were evaluated. The responders were mainly males, younger surgeons (F/M= 11.1/88.9 % and 30-39 y/o), and graduated from the university hospital residence program (56.6%). Laparoscopic training was frequently taken during residency (77.5%) in the younger age group, while the elderly participants mostly received additional training after specialization (91.7%). Laparoscopic surgery was mostly not available in public hospitals for advanced procedures (p <0.0001) but was available for cholecystectomy and appendectomy operations (p= NS). However, participants working in university hospitals mostly stated that the laparoscopic approach was the first choice for advanced procedures. Conclusion The results of this study showed that the surgeons working in MICs spent strong effort to use laparoscopy in daily practice, especially in university and high-volume hospitals. However, inappropriate education, cost of laparoscopic equipment, healthcare policies, and some cultural and social barriers might have negatively impacted the widespread use of laparoscopic surgery and its usage in daily practice in MICs such as Türkiye.
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Affiliation(s)
- Ahmet Cem Esmer
- Department of Surgical Oncology, Mersin University Faculty of Medicine, Mersin, Türkiye
| | - Tahsin Çolak
- Department of Surgical Oncology, Mersin University Faculty of Medicine, Mersin, Türkiye
| | - Akay Edizsoy
- Department of Surgical Oncology, Mersin University Faculty of Medicine, Mersin, Türkiye
| | - Deniz Tazeoğlu
- Department of Surgical Oncology, Mersin University Faculty of Medicine, Mersin, Türkiye
| | - Ahmet Serdar Karaca
- Clinic of General Surgery, Başkent University Faculty of Medicine İstanbul Hospital, İstanbul, Türkiye
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Moore HN, de Paula TR, Keller DS. Needs assessment for patient-centered education and outcome metrics in robotic surgery. Surg Endosc 2022; 37:3968-3973. [PMID: 36002685 PMCID: PMC10156849 DOI: 10.1007/s00464-022-09500-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 07/23/2022] [Indexed: 11/24/2022]
Abstract
BACKGROUND From clinical experience, many patients undergoing robotic assisted surgery (RAS) have a poor understanding of the technology. To ensure informed consent and appropriate expectations, a needs assessment for patient-centered education and outcome metrics in RAS is warranted. Our goal was to perform an assessment of patient understanding, comfort with robotic technology, and ability to obtain critical information from their surgeon when undergoing RAS. METHODS Twenty patients planned for RAS by three surgeons were asked to complete a six-item Likert agreement scale survey prior to signing informed consent. The study coordinator administered surveys, while the surgeon left the room. Indicator statements were crafted to reduce bias and two-way evaluated for consistency. The surgeons were additionally asked their perception of each patient's understanding and comfort with RAS. Frequency statistics and tendencies were analyzed. RESULTS Surgeons strongly agreed all patients appropriately understood how RAS functioned and would ask more questions before signing consent, if needed. Patients were predominately not familiar with RAS and felt surgeons did not explain how RAS worked. There was wide variability on if patients understood how RAS worked for their treatment. Overall, patients were not completely comfortable with RAS for their care, did not understand the risks of RAS compared to other approaches, and did not feel their surgeon understood what they needed to know to make informed decisions. CONCLUSIONS This needs assessment demonstrated critical gaps in patient knowledge about RAS, surgeon communication skills, and the ability of surgeons to know what was important from the patient perspective. The development of RAS patient-centered education and outcome metrics could help address these gaps.
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Affiliation(s)
- Hope Nicole Moore
- Department of Surgery, Davis Medical Center, University of California, 2335, Stockton Blvd, NAOB 6Th Floor, Sacramento, CA, 95817, USA.
| | - Thais Reif de Paula
- Biomedical Sciences Department, University of Houston Medical School, Houston, TX, USA
| | - Deborah S Keller
- Department of Surgery, Davis Medical Center, University of California, 2335, Stockton Blvd, NAOB 6Th Floor, Sacramento, CA, 95817, USA
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Chan KS, Kwan JR, Shelat VG. Awareness, perception, knowledge, and attitude toward robotic surgery in a general surgical outpatient clinic in Singapore, Asia. J Clin Transl Res 2022; 8:224-233. [PMID: 35813899 PMCID: PMC9260340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 04/29/2022] [Accepted: 05/01/2022] [Indexed: 11/08/2022] Open
Abstract
BACKGROUND AND AIM Robotic surgery is an advancing technology and patients may not be fully aware of these advancements. Social media and advertisements may falsely skew patients' understanding. This study aims to seek awareness, understanding. and attitude toward robotic surgery in Singapore. MATERIALS AND METHODS A cross-sectional study of 472 patients and/or their relatives (response rate 94.4%) in a specialist outpatient clinic chosen through convenience sampling from May to July 2017 was performed. All healthcare workers or participants <21 years of age were excluded. A 19-point survey questionnaire including patient sociodemographics and awareness and attitudes toward robotic surgery was administered. Univariate and multivariate analysis was performed to assess participants' preference for robotic surgery. RESULTS Two hundred and sixty (55.1%) of the participants were female and the majority were aged 21-40 years old (55.5%). 250 participants (53.0%) reported having heard of robotic surgery; majority (n=205, 82.0%) were from the media. Two hundred and six (43.6%) participants had the misconception that robotic surgery involved an automated robot. Multivariate analysis showed that perception that robotic surgery yielded better results was independently associated with preference for robotic surgery (prefers robotic surgery: n=56/159 (35.2%), do not prefer robotic surgery: n=81/313 (25.9%), odds ratio (OR) 1.61, 95% confidence interval (CI): 1.06-2.45, P=0.026). Having concerns that wrong surgery may be performed by robotic surgery were also independently associated with disinclination toward robotic surgery (OR 0.51 [95% CI: 0.35-0.76], P=0.001). CONCLUSION Understanding of robotic surgery was poor with several misconceptions. It is paramount to clarify these misconceptions to advocate for informed decision-making. RELEVANCE FOR PATIENTS Measures need to be taken to ensure adequacy of pre-operative counseling in patients undergoing robotic surgery. Misconceptions on benefits and risks of robotic surgery should be cleared before decision on the surgical access and approach.
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Affiliation(s)
- Kai Siang Chan
- 1MOH Holdings Private Limited, Singapore
- 2Department of General Surgery, Tan Tock Seng Hospital, Singapore
- Corresponding author: Kai Siang Chan MOH Holdings, Singapore, 1 Maritime Square, Singapore 099253. Tel: +65-91389343.
| | | | - Vishal G. Shelat
- 2Department of General Surgery, Tan Tock Seng Hospital, Singapore
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Ammer E, Mandt LS, Silbersdorff IC, Kahl F, Hagmayer Y. Robotic Anxiety—Parents’ Perception of Robot-Assisted Pediatric Surgery. CHILDREN 2022; 9:children9030399. [PMID: 35327771 PMCID: PMC8947283 DOI: 10.3390/children9030399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 03/03/2022] [Accepted: 03/05/2022] [Indexed: 11/23/2022]
Abstract
In contrast to many other countries, robot-assisted (RA) pediatric surgery is not yet very common in Germany. Although the first pediatric RA intervention was published in 2001, RA pediatric surgery is still perceived as a “new technology”. As a consequence, little is known about parents’ perception of this operation method. In this study, we analyzed parents‘ intention to let their child undergo RA and laparoscopic (LA) surgery. Two subsamples (online and at the University Medical Center Goettingen) received a questionnaire addressing attitude towards RA and LA pediatric surgery with the help of a case example. Results showed that parents had a higher intention to consent to LA surgery. Perceiving more benefits, assuming a positive attitude of the social environment, and feeling less anxiety increased intention. A mediation analysis indicated that the type of surgery affected intentions through assumed attitude of the social environment. Exploratory analyses showed that the perception of risks and anxiety reduced intention for only RA surgery. These findings should be considered in preoperational discussions with parents. Anxiety and perceived risks should especially be addressed in order to encounter hesitancy.
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Affiliation(s)
- Elisabeth Ammer
- Department of General, Visceral, and Pediatric Surgery, University Medical Center Goettingen, 37075 Goettingen, Germany;
- Correspondence:
| | - Laura Sophie Mandt
- Georg-Elias-Mueller Institute for Psychology, University Goettingen, 37073 Goettingen, Germany; (L.S.M.); (I.C.S.); (Y.H.)
| | | | - Fritz Kahl
- Department of General, Visceral, and Pediatric Surgery, University Medical Center Goettingen, 37075 Goettingen, Germany;
| | - York Hagmayer
- Georg-Elias-Mueller Institute for Psychology, University Goettingen, 37073 Goettingen, Germany; (L.S.M.); (I.C.S.); (Y.H.)
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Darlington D, Anitha FS, Joseph C. A Cross-Sectional Study of Resident Training in Robotic Surgery in India. Cureus 2022; 14:e22162. [PMID: 35308716 PMCID: PMC8923250 DOI: 10.7759/cureus.22162] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2022] [Indexed: 11/08/2022] Open
Abstract
Background The widespread implementation of robotic surgery in the Indian subcontinent has received mixed reactions from residents and mentors alike. To date, however, no study has documented the perception of Indian surgical trainees on the effect of robotic surgery on surgical training. Therefore, we conducted a questionnaire-based study on Indian surgical residents to assess their views about robotic surgery and the effect, they believe, it might have on resident training. Materials and methods Questionnaires were distributed to 300 surgical residents from programs that do not have surgical robots. All other residents, faculty, medical students, and interns were excluded from the study. The responses were collected and analyzed using appropriate statistical methods. Results Overall, 210 surgical residents responded to the survey. A majority of them (57.72%) reported low levels of knowledge regarding robotic surgery. While 88.10% of the study participants reported that the use of robotic surgery will continue to rise in India, an equal proportion (88%) believed that procuring a robot in their program will impair their training in open and laparoscopic surgeries. Conclusions The introduction of robotic surgery into surgical residency programs is seen, by most residents, as a threat to training in traditional surgical methods. This calls for the effective incorporation of robotic training into residency training with equal distribution of resident training cases in programs across the country.
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Belilovets A, Gopal N, Stockwell E, Pedroso J, Brotherton J, Volker KW, Howard D. Patient Understanding of Uterine Fibroids and the Different Surgical Approaches to Hysterectomy. WOMEN'S HEALTH REPORTS 2020; 1:252-258. [PMID: 33786487 PMCID: PMC7784805 DOI: 10.1089/whr.2020.0040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Accepted: 06/16/2020] [Indexed: 11/30/2022]
Abstract
Objective: The purpose of this study was to assess understanding of the hysterectomy procedure and uterine fibroids among women in a general gynecology clinic. Materials and Methods: This was an anonymous cross-sectional survey. We adapted and pilot tested a survey instrument designed to assess understanding of the hysterectomy procedure and of uterine fibroids. The final version of the survey consisted of basic demographic questions, followed by 28 knowledge questions (Canadian Task Force Classification II-2). The survey was disseminated to women in the waiting room of one of our gynecology clinics. The patient population included women 18 years and older. Results: The mean age of respondents was 33.5 years old. In total, 69.5% of the respondents had at least some college education. In the group of questions related to different types of hysterectomies, the most poorly answered question was “Which type of hysterectomy has the highest risk of damage to the bladder?” Less than 40% of the respondents were able to identify a laparoscopic and robotic hysterectomy based on a written description. Of questions about uterine fibroids, the most poorly answered question was whether cancer that looks like fibroids is common, with >90% of the respondents incorrectly thinking that cancer that resembled fibroids is common. More than half of respondents did not know what a fibroid is. Conclusions: In this analysis of the understanding of the hysterectomy procedure and fibroids among an educated population, overall understanding was poor. Specific areas where knowledge was particularly poor were the different ways of doing a hysterectomy and uterine fibroids.
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Affiliation(s)
- Anastasia Belilovets
- Obstetrics and Gynecology, Sunrise Health Graduate Medical Education Consortium, Las Vegas, Nevada, USA
| | - Nithya Gopal
- Las Vegas Minimally Invasive Surgery/Women's Pelvic Health Center (A Davita Medical Group), Las Vegas, Nevada, USA
| | - Erica Stockwell
- Las Vegas Minimally Invasive Surgery/Women's Pelvic Health Center (A Davita Medical Group), Las Vegas, Nevada, USA.,Obstetrics and Gynecology, University of Nevada Las Vegas, Las Vegas, Nevada, USA
| | - Jasmine Pedroso
- Las Vegas Minimally Invasive Surgery/Women's Pelvic Health Center (A Davita Medical Group), Las Vegas, Nevada, USA
| | - Joy Brotherton
- Obstetrics and Gynecology, Harbor-UCLA Medical Center, Torrance, California, USA.,Obstetrics and Gynecology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA
| | - K Warren Volker
- Las Vegas Minimally Invasive Surgery/Women's Pelvic Health Center (A Davita Medical Group), Las Vegas, Nevada, USA.,Obstetrics and Gynecology, University of Nevada Las Vegas, Las Vegas, Nevada, USA
| | - David Howard
- Las Vegas Minimally Invasive Surgery/Women's Pelvic Health Center (A Davita Medical Group), Las Vegas, Nevada, USA.,Obstetrics and Gynecology, University of Nevada Las Vegas, Las Vegas, Nevada, USA
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Buabbas AJ, Aldousari S, Shehab AA. An exploratory study of public' awareness about robotics-assisted surgery in Kuwait. BMC Med Inform Decis Mak 2020; 20:140. [PMID: 32611407 PMCID: PMC7329483 DOI: 10.1186/s12911-020-01167-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Accepted: 06/24/2020] [Indexed: 01/11/2023] Open
Abstract
Background The adoption of robotic-assisted surgery (RAS) requires a clear willingness, not only from healthcare organization to operate the robotic system but also from the public that is going to perceive it. This study aims to explore public’s awareness, understanding and their perceptions towards RAS in Kuwait. Methods This cross-sectional study used a survey questionnaire that was disseminated on a tablet device to people at their convenience in governmental institutions. Results A total of 1087 people agreed to participate in this study. The study results showed that only 36.8% of respondents had heard of RAS and 27.1% knew what RAS is. Moreover, 47.6% of the respondents were uncertain about its safety, while 29.7% thought RAS was safe. The results also showed that 40.9 and 34.4% of respondents thought that RAS is more precise and faster than conventional surgical procedures, respectively, whereas 30.6% feared malfunctioning issues during surgical procedures. Conclusion This public survey among a Middle Eastern population reveals lack of awareness and limited understanding of RAS. However, there was a tendency towards believing that RAS may have potential advantages in terms of better outcomes compared to conventional surgical procedures.
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Affiliation(s)
- Ali Jasem Buabbas
- Department of Community Medicine & Behavioral Sciences, Faculty of Medicine, Kuwait University, P.O. Box 24923, 13110, Safat, Kuwait.
| | - Saad Aldousari
- Department of Surgery (Urology Division), Faculty of Medicine, Kuwait University, P.O. Box 24923, 13110, Safat, Kuwait
| | - Abrar Abdulmohsen Shehab
- Department of Immunology, Mubarak Alkabeer Hospital, Hawally Health Region, Ministry of Health, Jabriya, Kuwait
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12
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Building a predictive model of U.S. patient willingness to undergo robotic surgery. J Robot Surg 2020; 15:203-214. [PMID: 32452012 DOI: 10.1007/s11701-020-01092-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 05/12/2020] [Indexed: 01/10/2023]
Abstract
Prior research regarding robotic surgery (RS) has largely focused on the engineering or medical aspects of these tools. A few studies have examined consumer opinions toward, or willingness to use, robotic surgeons; however, no study to date has examined what type of person would be willing to undergo RS. Across two studies, the current research fills this gap by building both a descriptive and predictive regression model used to predict what type of user would be willing to undergo RS. To build the descriptive model, 1324 potential patients were asked a series of questions about demographics, attitudes, opinions, and personalities. Results indicate that perceived value, familiarity, wariness of new technologies, fear of surgery, openness, anger, fear, and happiness are all significant predictors of willingness to undergo RS. A regression equation was developed and then used to predict scores in a second study with 1335 potential patients. The scores from both studies were compared for model fit. Several methods were used to validate the regression model, including correlational analyses, a t test, and calculation of the cross-validity coefficient. All three stringent tests showed strong model fit, explaining 62% of the variance in the model. These findings have both practical and theoretical values to the field and can be used to identify early adopters of this advanced medical technology.
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Willobee BA, Dosch AR, Allen CJ, Macedo FI, Bartholomew TS, Picado O, Gaidarski AA, Dudeja V, Yakoub D, Merchant NB. Minimally Invasive Surgery is Associated with an Increased Risk of Postoperative Venous Thromboembolism After Distal Pancreatectomy. Ann Surg Oncol 2020; 27:2498-2505. [PMID: 31919713 DOI: 10.1245/s10434-019-08166-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Indexed: 12/13/2022]
Abstract
BACKGROUND Venous thromboembolism (VTE) is a major cause of morbidity and mortality following distal pancreatectomy (DP). However, the influence of operative technique on VTE risk after DP is unknown. OBJECTIVE The purpose of this study was to examine the association between the MIS technique versus the open technique and the development of postoperative VTE after DP. METHODS Patients who underwent DP from 2014 to 2015 were identified in the American College of Surgeons National Surgical Quality Improvement Program pancreas-specific database. Multivariable logistic regression was then used to identify independent associations with the development of postoperative VTE after DP. RESULTS A total of 3558 patients underwent DP during this time period. Of these cases, 47.8% (n = 1702) were performed via the MIS approach. After adjusting for significant covariates, the MIS approach was independently associated with the development of any VTE (odds ratio [OR] 1.60, 95% confidence interval [CI] 1.06-2.40; p = 0.025), as well as increasing the risk of developing a postdischarge VTE (OR 1.80, 95% CI 1.05-3.08; p = 0.033) when compared with the open approach. There was an association between VTE and the development of numerous postoperative complications, including pneumonia, unplanned intubation, need for prolonged mechanical ventilation, and cardiac arrest. CONCLUSION Compared with the open approach, the MIS approach is associated with higher rates of postoperative VTE in patients undergoing DP. The majority of these events are diagnosed after hospital discharge.
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Affiliation(s)
- Brent A Willobee
- Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Austin R Dosch
- Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Casey J Allen
- Division of Surgery, Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Francisco I Macedo
- Department of Surgery, Surgical Oncology, University of Central Florida College of Medicine, Orlando, FL, USA
| | | | - Omar Picado
- Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Alex A Gaidarski
- Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Vikas Dudeja
- Division of Surgical Oncology, Department of Surgery, Jackson Memorial Hospital/Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, 33136, USA.,Sylvester Comprehensive Cancer Center, Miami, FL, USA
| | - Danny Yakoub
- Department of Surgery, Surgical Oncology, University of Tennessee Health Science Center College of Medicine Memphis, Memphis, TN, USA
| | - Nipun B Merchant
- Division of Surgical Oncology, Department of Surgery, Jackson Memorial Hospital/Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, 33136, USA. .,Sylvester Comprehensive Cancer Center, Miami, FL, USA.
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14
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McDermott H, Choudhury N, Lewin-Runacres M, Aemn I, Moss E. Gender differences in understanding and acceptance of robot-assisted surgery. J Robot Surg 2019; 14:227-232. [PMID: 31049775 PMCID: PMC7000495 DOI: 10.1007/s11701-019-00960-z] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 04/09/2019] [Indexed: 11/29/2022]
Abstract
Robot-assisted surgery has numerous patient benefits compared to open surgery including smaller incisions, lower risk of infection, less post-operative pain, shorter hospital stays and a quicker return to the workforce. As such, it has become the first-choice surgical modality for several surgical procedures with the most common being prostatectomy and hysterectomy. However, research has identified that the perceptions of robot-assisted surgery among surgical patients and medical staff often do not accurately reflect the real-world situation. This study aimed to understand male and female perceptions of robot-assisted surgery with the objective of identifying the factors that might inhibit or facilitate the acceptance of robotic surgery. Semi-structured interviews were undertaken with 25 men/women from diverse social/ethnic backgrounds. The interviews were transcribed and analysed using thematic analysis. The majority of female participants expressed concerns in relation to the safety and perception of new technology in surgery, whereas many male participants appeared to be unfazed by the notion of robotic surgery. There were clear differences in how males and females understood and conceptualised the robot-assisted surgical process. Whilst male participants tended to humanise the process, female participants saw it as de-humanising. There is still a discrepancy between the public perceptions of robotic surgery and the clinical reality perceived by healthcare professionals. The findings will educate medical staff and support the development of current informative techniques given to patients prior to surgery.
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Affiliation(s)
- Hilary McDermott
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK.
| | - Nazmin Choudhury
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK
| | - Molly Lewin-Runacres
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK
| | - Ismail Aemn
- Department of Gynaecological Oncology, University Hospitals of Leicester, Leicester, Leicestershire, UK
| | - Esther Moss
- Department of Gynaecological Oncology, University Hospitals of Leicester, Leicester, Leicestershire, UK.,Leicester Cancer Research Centre, University of Leicester, Leicester, LE2 7LX, UK
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15
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Alonso-Silverio GA, Pérez-Escamirosa F, Bruno-Sanchez R, Ortiz-Simon JL, Muñoz-Guerrero R, Minor-Martinez A, Alarcón-Paredes A. Development of a Laparoscopic Box Trainer Based on Open Source Hardware and Artificial Intelligence for Objective Assessment of Surgical Psychomotor Skills. Surg Innov 2018; 25:380-388. [DOI: 10.1177/1553350618777045] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Background. A trainer for online laparoscopic surgical skills assessment based on the performance of experts and nonexperts is presented. The system uses computer vision, augmented reality, and artificial intelligence algorithms, implemented into a Raspberry Pi board with Python programming language. Methods. Two training tasks were evaluated by the laparoscopic system: transferring and pattern cutting. Computer vision libraries were used to obtain the number of transferred points and simulated pattern cutting trace by means of tracking of the laparoscopic instrument. An artificial neural network (ANN) was trained to learn from experts and nonexperts’ behavior for pattern cutting task, whereas the assessment of transferring task was performed using a preestablished threshold. Four expert surgeons in laparoscopic surgery, from hospital “Raymundo Abarca Alarcón,” constituted the experienced class for the ANN. Sixteen trainees (10 medical students and 6 residents) without laparoscopic surgical skills and limited experience in minimal invasive techniques from School of Medicine at Universidad Autónoma de Guerrero constituted the nonexperienced class. Data from participants performing 5 daily repetitions for each task during 5 days were used to build the ANN. Results. The participants tend to improve their learning curve and dexterity with this laparoscopic training system. The classifier shows mean accuracy and receiver operating characteristic curve of 90.98% and 0.93, respectively. Moreover, the ANN was able to evaluate the psychomotor skills of users into 2 classes: experienced or nonexperienced. Conclusion. We constructed and evaluated an affordable laparoscopic trainer system using computer vision, augmented reality, and an artificial intelligence algorithm. The proposed trainer has the potential to increase the self-confidence of trainees and to be applied to programs with limited resources.
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16
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Impact of robot-assisted spine surgery on health care quality and neurosurgical economics: A systemic review. Neurosurg Rev 2018; 43:17-25. [DOI: 10.1007/s10143-018-0971-z] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2018] [Revised: 02/26/2018] [Accepted: 03/21/2018] [Indexed: 12/24/2022]
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17
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Abstract
STUDY DESIGN Prospective questionnaire. OBJECTIVE To describe patient perceptions of minimally invasive spine (MIS) versus open surgery, and to determine which factors are most heavily considered by the patient when choosing between approaches. SUMMARY OF BACKGROUND DATA MIS surgery has increased in popularity due to proposed advantages in the perioperative and immediate postoperative periods. However, patient preferences and understanding with regard to the differences between MIS and open surgery have not been elucidated. MATERIALS AND METHODS An anonymous questionnaire consisting of 30 questions was administered to patients scheduled to see either an MIS surgeon or an open spine surgeon for a clinical evaluation from 2016 to 2017. Six questions asked about patient demographics and medical history. Nine questions asked respondents to rate the importance of several criteria when deciding between MIS and open surgery. In total, 15 multiple choice and free response questions asked respondents about their perceptions of MIS versus open surgery with regard to surgical and physician characteristics. RESULTS In total, 326 patients completed the survey. The 3 most important criteria for patients when choosing between open and MIS surgery were: long-term outcomes, surgeon's recommendation, and complication risk. When compared with MIS surgery, the majority of patients perceived open surgery to be more painful (83.8%), have increased complication risk (78.5%), have increased recovery time (89.3%), have increased costs (68.1%), and require heavier sedation (62.6%). If required to have spine surgery in the future, the majority of both patient groups would prefer a minimally invasive approach (80.0%). CONCLUSIONS Long-term outcomes, surgeon's recommendation, and complication risk were the most important criteria identified by patients when choosing between open and MIS surgery. Patients also perceived MIS surgery to have advantages over open surgery with regard to postoperative pain, complication risk, recovery time, cost, and anesthesia requirement. Most patients seem to prefer a minimally invasive approach to their treatment.
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