MP01-09 VIDEO ANALYSIS OF SURGEONS PERFORMING ROBOT-ASSISTED RADICAL PROSTATECTOMY: IS THERE A RELATIONSHIP BETWEEN THE TIME TAKEN TO COMPLETE THE URETHROVESICAL ANASTOMOSIS WITH TECHNICAL SKILL? (2018)

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment I1 Apr 2018MP01-09 VIDEO ANALYSIS OF SURGEONS PERFORMING ROBOT-ASSISTED RADICAL PROSTATECTOMY: IS THERE A RELATIONSHIP BETWEEN THE TIME TAKEN TO COMPLETE THE URETHROVESICAL ANASTOMOSIS WITH TECHNICAL SKILL? William Johnston III, Parin Patel, Tae Kim, Zack Prebay, Jaya Telang, Ji Qi, Susan Linsell, Eduardo Kleer, David Miller, James Peabody, Khurshid Ghani, and for the Michigan Urological Surgery Improvement Collaborative William Johnston IIIWilliam Johnston III More articles by this author , Parin PatelParin Patel More articles by this author , Tae KimTae Kim More articles by this author , Zack PrebayZack Prebay More articles by this author , Jaya TelangJaya Telang More articles by this author , Ji QiJi Qi More articles by this author , Susan LinsellSusan Linsell More articles by this author , Eduardo KleerEduardo Kleer More articles by this author , David MillerDavid Miller More articles by this author , James PeabodyJames Peabody More articles by this author , Khurshid GhaniKhurshid Ghani More articles by this author , and for the Michigan Urological Surgery Improvement Collaborativefor the Michigan Urological Surgery Improvement Collaborative More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.115AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Identifying robotic skill proficiency and exposing areas for refinement may improve patient outcomes and safety. Previously, we demonstrated a strong correlation with crowdsourced (i.e. lay-person) and peer surgeon video ratings of skill for surgeons performing robot-assisted radical prostatectomy (RARP). However, these evaluations can consume considerable resources. In this project, we evaluated whether the time taken to complete a step for RARP could be used to determine technical skill proficiency. METHODS Surgeons in the Michigan Urological Surgery Improvement Collaborative (MUSIC) submitted a representative video of a non-complicated nerve-sparing RARP. Edited video clips (<5 minutes) of the urethrovesical anastomosis (UVA) underwent evaluation for global robotic skill by 285 crowdworkers (C-SATS, Seattle, WA) and 56 peer surgeons using the Global Evaluative Assessment of Robotic Skills (GEARS) (maximum score 25). We fit linear mixed-effects models to estimate mean crowd and peer ratings for each surgeon and sorted surgical times and skill scores into quartiles for comparison. RESULTS 28 surgeons provided complete UVA videos for review. Crowd ratings for skill ranged from 16.5 to 18.0 in the lowest quartile (LQ) and from 20.2 to 21.9 in the highest quartile (HQ). Peer ratings for skill ranged from 12.0 to 16.5 in the LQ and from 21.4 to 23.9 in the HQ. The length of time to complete the UVA ranged from 10.3 to 49.0 min with a mean time of 19.8 min for HQ vs 30.0 min for LQ surgeons (with mean peer scores of 22.3 vs 15.0, respectively). Peer ratings of skill showed a greater correlation with the time taken to complete the anastomosis than crowd review (peer r=-0.54, p=0.004; crowd r=-0.44, p=0.021; Figure 1). CONCLUSIONS Time taken to complete a step for RARP correlated with peer review of robotic skill. Incorporating time for assessing surgeon skill provides an easily obtainable, comparable, and objective measure that can help target surgeon specific areas for improvement and establishment of benchmarks. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e5 Advertisement Copyright & Permissions© 2018MetricsAuthor Information William Johnston III More articles by this author Parin Patel More articles by this author Tae Kim More articles by this author Zack Prebay More articles by this author Jaya Telang More articles by this author Ji Qi More articles by this author Susan Linsell More articles by this author Eduardo Kleer More articles by this author David Miller More articles by this author James Peabody More articles by this author Khurshid Ghani More articles by this author for the Michigan Urological Surgery Improvement Collaborative More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...