Correlation between operative time and crowd-sourced skills assessment for robotic bariatric surgery

doi:10.1007/s00464-020-08019-z

. 2021 Sep;35(9):5303-5309.

doi: 10.1007/s00464-020-08019-z. Epub 2020 Sep 24.

Correlation between operative time and crowd-sourced skills assessment for robotic bariatric surgery

Poppy Addison¹, Andrew Yoo², Jacqueline Duarte-Ramos³, Jermyn Addy⁴, Samuel Dechario⁵, Gregg Husk⁶, Mark Jarrett⁶, Julio Teixeira^{4

7}, Anthony Antonacci⁶, Filippo Filicori^{4

7}

Affiliations

¹ Department of General Surgery, Lenox Hill Hospital, Northwell Health, 186 E 76th St, 1st Floor, New York, NY, 10075, USA. paddison@northwell.edu.
² C-SATS, Inc., Seattle, WA, USA.
³ Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.
⁴ Department of General Surgery, Lenox Hill Hospital, Northwell Health, 186 E 76th St, 1st Floor, New York, NY, 10075, USA.
⁵ Institute for Spine and Scoliosis, Lawrenceville, NJ, USA.
⁶ Northwell Health, Manhasset, NY, USA.
⁷ Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.

PMID: 32970207
DOI: 10.1007/s00464-020-08019-z

Correlation between operative time and crowd-sourced skills assessment for robotic bariatric surgery

Poppy Addison et al. Surg Endosc. 2021 Sep.

. 2021 Sep;35(9):5303-5309.

doi: 10.1007/s00464-020-08019-z. Epub 2020 Sep 24.

Authors

Poppy Addison¹, Andrew Yoo², Jacqueline Duarte-Ramos³, Jermyn Addy⁴, Samuel Dechario⁵, Gregg Husk⁶, Mark Jarrett⁶, Julio Teixeira^{4

7}, Anthony Antonacci⁶, Filippo Filicori^{4

7}

Affiliations

¹ Department of General Surgery, Lenox Hill Hospital, Northwell Health, 186 E 76th St, 1st Floor, New York, NY, 10075, USA. paddison@northwell.edu.
² C-SATS, Inc., Seattle, WA, USA.
³ Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.
⁴ Department of General Surgery, Lenox Hill Hospital, Northwell Health, 186 E 76th St, 1st Floor, New York, NY, 10075, USA.
⁵ Institute for Spine and Scoliosis, Lawrenceville, NJ, USA.
⁶ Northwell Health, Manhasset, NY, USA.
⁷ Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA.

PMID: 32970207
DOI: 10.1007/s00464-020-08019-z

Abstract

Introduction: Operative time has been traditionally used as a proxy for surgical skill and is commonly utilized to measure the learning curve, assuming that faster operations indicate a more skilled surgeon. The Global Evaluative Assessment of Robotic Skills (GEARS) rubric is a validated Likert scale for evaluating technical skill. We hypothesize that operative time will not correlate with the GEARS score.

Methods: Patients undergoing elective robotic sleeve gastrectomy at a single bariatric center of excellence hospital from January 2019 to March 2020 were captured in a prospectively maintained database. For step-specific scoring, videos were broken down into three steps: ligation of short gastric vessels, gastric transection, and oversewing the staple line. Overall and step-specific GEARS scores were assigned by crowd-sourced evaluators. Correlation between operative time and GEARS score was assessed with linear regression and calculation of the R² statistic.

Results: Sixty-eight patients were included in the study, with a mean operative time of 112 ± 27.4 min. The mean GEARS score was 20.1 ± 0.81. Mean scores for the GEARS subcomponents were: bimanual dexterity 4.06 ± 0.17; depth perception 3.96 ± 0.24; efficiency 3.82 ± 0.19; force sensitivity 4.06 ± 0.20; robotic control 4.16 ± 0.21. Operative time and overall score showed no correlation (R² = 0.0146, p = 0.326). Step-specific times and scores showed weak correlation for gastric transection (R² = 0.0737, p = 0.028) and no correlation for ligation of short gastric vessels (R² = 0.0262, p = 0.209) or oversewing the staple line (R² = 0.0142, p = 0.344).

Conclusions: Operative time and crowd-sourced GEARS score were not correlated. Operative time and GEARS scores measure different performance characteristics, and future studies should consider using both a validated skills assessment tool and operative time for a more complete evaluation of skill.

Keywords: Operative time; Skill assessment; Surgical education.

PubMed Disclaimer

Cited by

Outcome prediction in bariatric surgery through video-based assessment.
Addison P, Bitner D, Carsky K, Kutana S, Dechario S, Antonacci A, Mikhail D, Pettit S, Chung PJ, Filicori F. Addison P, et al. Surg Endosc. 2023 Apr;37(4):3113-3118. doi: 10.1007/s00464-022-09480-8. Epub 2022 Aug 4. Surg Endosc. 2023. PMID: 35927353
Controversial Role of Robot in Primary and Revisional Bariatric Surgery Procedures: Review of the Literature and Personal Experience.
Fantola G, Moroni E, Runfola M, Lai E, Pintus S, Gallucci P, Pennestrì F, Raffaelli M. Fantola G, et al. Front Surg. 2022 May 31;9:916652. doi: 10.3389/fsurg.2022.916652. eCollection 2022. Front Surg. 2022. PMID: 35711697 Free PMC article. Review.
Use of targeted educational resources to improve robotic bariatric surgery training.
Clanahan JM, Awad MM, Dimou FM. Clanahan JM, et al. Surg Endosc. 2024 Feb;38(2):894-901. doi: 10.1007/s00464-023-10436-9. Epub 2023 Oct 12. Surg Endosc. 2024. PMID: 37823946
Evaluation of objective tools and artificial intelligence in robotic surgery technical skills assessment: a systematic review.
Boal MWE, Anastasiou D, Tesfai F, Ghamrawi W, Mazomenos E, Curtis N, Collins JW, Sridhar A, Kelly J, Stoyanov D, Francis NK. Boal MWE, et al. Br J Surg. 2024 Jan 3;111(1):znad331. doi: 10.1093/bjs/znad331. Br J Surg. 2024. PMID: 37951600 Free PMC article.
Intellectual property and data ownership in the age of video recording in the operating room.
Filicori F, Addison P. Filicori F, et al. Surg Endosc. 2022 Jun;36(6):3772-3774. doi: 10.1007/s00464-021-08692-8. Epub 2021 Sep 1. Surg Endosc. 2022. PMID: 34468846

See all "Cited by" articles

References

1. Kassite I, Bejan-Angoulvant T, Lardy H, Binet A (2019) A systematic review of the learning curve in robotic surgery: range and heterogeneity. Surg Endosc 33(2):353–365 - DOI
1. Goh Alvin C, Goldfarb David W, Sander James C, Miles Brian J, Dunkin BJ (2012) Global evaluative assessment of robotic skills: validation of a clinical assessment tool to measure robotic surgical skills. J Urol 187(1):247–252 - DOI
1. Sánchez R, Rodríguez O, Rosciano J et al (2016) Robotic surgery training: construct validity of Global Evaluative Assessment of Robotic Skills (GEARS). J Robot Surg 10(3):227–231 - DOI
1. Kaler KS, Valley ZA, Bettir KC et al (2017) Crowdsourcing evaluation of ureteroscopic videos using the post-ureteroscopic lesion scale to assess ureteral injury. J Endourol 32(4):275–281 - DOI
1. Birkmeyer JD, Finks JF, O'Reilly A et al (2013) Surgical skill and complication rates after bariatric surgery. N Engl J Med 369(15):1434–1442 - DOI

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Full Text Sources
- Springer
Medical
- MedlinePlus Health Information

[1] Kassite I, Bejan-Angoulvant T, Lardy H, Binet A (2019) A systematic review of the learning curve in robotic surgery: range and heterogeneity. Surg Endosc 33(2):353–365 - DOI

[2] Kassite I, Bejan-Angoulvant T, Lardy H, Binet A (2019) A systematic review of the learning curve in robotic surgery: range and heterogeneity. Surg Endosc 33(2):353–365 - DOI

[3] Goh Alvin C, Goldfarb David W, Sander James C, Miles Brian J, Dunkin BJ (2012) Global evaluative assessment of robotic skills: validation of a clinical assessment tool to measure robotic surgical skills. J Urol 187(1):247–252 - DOI

[4] Goh Alvin C, Goldfarb David W, Sander James C, Miles Brian J, Dunkin BJ (2012) Global evaluative assessment of robotic skills: validation of a clinical assessment tool to measure robotic surgical skills. J Urol 187(1):247–252 - DOI

[5] Sánchez R, Rodríguez O, Rosciano J et al (2016) Robotic surgery training: construct validity of Global Evaluative Assessment of Robotic Skills (GEARS). J Robot Surg 10(3):227–231 - DOI

[6] Sánchez R, Rodríguez O, Rosciano J et al (2016) Robotic surgery training: construct validity of Global Evaluative Assessment of Robotic Skills (GEARS). J Robot Surg 10(3):227–231 - DOI

[7] Kaler KS, Valley ZA, Bettir KC et al (2017) Crowdsourcing evaluation of ureteroscopic videos using the post-ureteroscopic lesion scale to assess ureteral injury. J Endourol 32(4):275–281 - DOI

[8] Kaler KS, Valley ZA, Bettir KC et al (2017) Crowdsourcing evaluation of ureteroscopic videos using the post-ureteroscopic lesion scale to assess ureteral injury. J Endourol 32(4):275–281 - DOI

[9] Birkmeyer JD, Finks JF, O'Reilly A et al (2013) Surgical skill and complication rates after bariatric surgery. N Engl J Med 369(15):1434–1442 - DOI

[10] Birkmeyer JD, Finks JF, O'Reilly A et al (2013) Surgical skill and complication rates after bariatric surgery. N Engl J Med 369(15):1434–1442 - DOI

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Correlation between operative time and crowd-sourced skills assessment for robotic bariatric surgery

Affiliations

Correlation between operative time and crowd-sourced skills assessment for robotic bariatric surgery

Authors

Affiliations

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical