Surgical competency for urethrovesical anastomosis during robot-assisted radical prostatectomy: Development and validation of the robotic anastomosis competency evaluation

Syed Johar Raza; Erinn Field; Christopher Jay; Daniel Eun; Michael Fumo; Jim C. Hu; David Lee; Zayn Mehboob; John Nyquist; James O. Peabody; Richard Sarle; Hans Stricker; Zhengyu Yang; Gregory Wilding; James L. Mohler; Khurshid A. Guru

doi:10.1016/j.urology.2014.09.017

Surgical competency for urethrovesical anastomosis during robot-assisted radical prostatectomy: Development and validation of the robotic anastomosis competency evaluation

Syed Johar Raza
, Erinn Field
, Christopher Jay
, Daniel Eun
, Michael Fumo
, Jim C. Hu
, David Lee
, Zayn Mehboob
, John Nyquist
, James O. Peabody
, Richard Sarle
, Hans Stricker
, Zhengyu Yang
, Gregory Wilding
, James L. Mohler
, Khurshid A. Guru

Roswell Park Cancer Institute
Temple University
University of Illinois at Urbana-Champaign
University of California at Los Angeles
University of Pennsylvania
SUNY Buffalo
Henry Ford Health System
Wayne State University

Research output: Contribution to journal › Article › peer-review

63 Scopus citations

Abstract

Objective To develop and validate an assessment tool for the performance of urethrovesical anastomosis (UVA).

Methods A multicenter, prospective, observational study was conducted in 2 phases. Phase 1, development and content validation, used a panel of 5 experienced robotic surgeons to develop a 6-domain scoring system, Robotic Anastomosis Competence Evaluation (RACE), to assess technical skills for performing UVA. Phase 2, construct validation and reliability, used 5 blinded experienced robotic surgeons to rate UVA recordings of expert, advanced beginner, and novice groups. Content validation index was determined to report consensus in phase 1. Phase 2 involved comparison of RACE scores among the 3 groups. Wilcoxon rank-sum tests were used to compare RACE scores.

Results Two rounds of Delphi methodology achieved consensus on language and content of RACE. Eight experts, 10 advanced beginners, and 10 novice robotic surgeons participated in the validation study. The overall score for the expert group (27.3) was higher than that of the advanced beginner (19.5; P =.04) and novice groups (13.6; P =.001). The advanced beginner and novice groups differed in overall scores (P =.03).

Conclusion RACE allows evaluation of surgical competence to perform UVA for robot-assisted radical prostatectomy, when using an inanimate model.

Original language	English
Pages (from-to)	27-32
Number of pages	6
Journal	Urology
Volume	85
Issue number	1
DOIs	https://doi.org/10.1016/j.urology.2014.09.017
State	Published - Jan 1 2015

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10.1016/j.urology.2014.09.017

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Raza, S. J., Field, E., Jay, C., Eun, D., Fumo, M., Hu, J. C., Lee, D., Mehboob, Z., Nyquist, J., Peabody, J. O., Sarle, R., Stricker, H., Yang, Z., Wilding, G., Mohler, J. L., & Guru, K. A. (2015). Surgical competency for urethrovesical anastomosis during robot-assisted radical prostatectomy: Development and validation of the robotic anastomosis competency evaluation. Urology, 85(1), 27-32. https://doi.org/10.1016/j.urology.2014.09.017

@article{2b3a2438d0b54a2fa9c9f7b49fa5bc80,

title = "Surgical competency for urethrovesical anastomosis during robot-assisted radical prostatectomy: Development and validation of the robotic anastomosis competency evaluation",

abstract = "Objective To develop and validate an assessment tool for the performance of urethrovesical anastomosis (UVA).Methods A multicenter, prospective, observational study was conducted in 2 phases. Phase 1, development and content validation, used a panel of 5 experienced robotic surgeons to develop a 6-domain scoring system, Robotic Anastomosis Competence Evaluation (RACE), to assess technical skills for performing UVA. Phase 2, construct validation and reliability, used 5 blinded experienced robotic surgeons to rate UVA recordings of expert, advanced beginner, and novice groups. Content validation index was determined to report consensus in phase 1. Phase 2 involved comparison of RACE scores among the 3 groups. Wilcoxon rank-sum tests were used to compare RACE scores.Results Two rounds of Delphi methodology achieved consensus on language and content of RACE. Eight experts, 10 advanced beginners, and 10 novice robotic surgeons participated in the validation study. The overall score for the expert group (27.3) was higher than that of the advanced beginner (19.5; P =.04) and novice groups (13.6; P =.001). The advanced beginner and novice groups differed in overall scores (P =.03).Conclusion RACE allows evaluation of surgical competence to perform UVA for robot-assisted radical prostatectomy, when using an inanimate model.",

author = "Raza, \{Syed Johar\} and Erinn Field and Christopher Jay and Daniel Eun and Michael Fumo and Hu, \{Jim C.\} and David Lee and Zayn Mehboob and John Nyquist and Peabody, \{James O.\} and Richard Sarle and Hans Stricker and Zhengyu Yang and Gregory Wilding and Mohler, \{James L.\} and Guru, \{Khurshid A.\}",

note = "Publisher Copyright: {\textcopyright} 2015 Elsevier Inc.",

year = "2015",

month = jan,

day = "1",

doi = "10.1016/j.urology.2014.09.017",

language = "English",

volume = "85",

pages = "27--32",

journal = "Urology",

issn = "0090-4295",

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Raza, SJ, Field, E, Jay, C, Eun, D, Fumo, M, Hu, JC, Lee, D, Mehboob, Z, Nyquist, J, Peabody, JO, Sarle, R, Stricker, H, Yang, Z, Wilding, G , Mohler, JL & Guru, KA 2015, 'Surgical competency for urethrovesical anastomosis during robot-assisted radical prostatectomy: Development and validation of the robotic anastomosis competency evaluation', Urology, vol. 85, no. 1, pp. 27-32. https://doi.org/10.1016/j.urology.2014.09.017

TY - JOUR

T1 - Surgical competency for urethrovesical anastomosis during robot-assisted radical prostatectomy

T2 - Development and validation of the robotic anastomosis competency evaluation

AU - Raza, Syed Johar

AU - Field, Erinn

AU - Jay, Christopher

AU - Eun, Daniel

AU - Fumo, Michael

AU - Hu, Jim C.

AU - Lee, David

AU - Mehboob, Zayn

AU - Nyquist, John

AU - Peabody, James O.

AU - Sarle, Richard

AU - Stricker, Hans

AU - Yang, Zhengyu

AU - Wilding, Gregory

AU - Mohler, James L.

AU - Guru, Khurshid A.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Objective To develop and validate an assessment tool for the performance of urethrovesical anastomosis (UVA).Methods A multicenter, prospective, observational study was conducted in 2 phases. Phase 1, development and content validation, used a panel of 5 experienced robotic surgeons to develop a 6-domain scoring system, Robotic Anastomosis Competence Evaluation (RACE), to assess technical skills for performing UVA. Phase 2, construct validation and reliability, used 5 blinded experienced robotic surgeons to rate UVA recordings of expert, advanced beginner, and novice groups. Content validation index was determined to report consensus in phase 1. Phase 2 involved comparison of RACE scores among the 3 groups. Wilcoxon rank-sum tests were used to compare RACE scores.Results Two rounds of Delphi methodology achieved consensus on language and content of RACE. Eight experts, 10 advanced beginners, and 10 novice robotic surgeons participated in the validation study. The overall score for the expert group (27.3) was higher than that of the advanced beginner (19.5; P =.04) and novice groups (13.6; P =.001). The advanced beginner and novice groups differed in overall scores (P =.03).Conclusion RACE allows evaluation of surgical competence to perform UVA for robot-assisted radical prostatectomy, when using an inanimate model.

AB - Objective To develop and validate an assessment tool for the performance of urethrovesical anastomosis (UVA).Methods A multicenter, prospective, observational study was conducted in 2 phases. Phase 1, development and content validation, used a panel of 5 experienced robotic surgeons to develop a 6-domain scoring system, Robotic Anastomosis Competence Evaluation (RACE), to assess technical skills for performing UVA. Phase 2, construct validation and reliability, used 5 blinded experienced robotic surgeons to rate UVA recordings of expert, advanced beginner, and novice groups. Content validation index was determined to report consensus in phase 1. Phase 2 involved comparison of RACE scores among the 3 groups. Wilcoxon rank-sum tests were used to compare RACE scores.Results Two rounds of Delphi methodology achieved consensus on language and content of RACE. Eight experts, 10 advanced beginners, and 10 novice robotic surgeons participated in the validation study. The overall score for the expert group (27.3) was higher than that of the advanced beginner (19.5; P =.04) and novice groups (13.6; P =.001). The advanced beginner and novice groups differed in overall scores (P =.03).Conclusion RACE allows evaluation of surgical competence to perform UVA for robot-assisted radical prostatectomy, when using an inanimate model.

UR - https://www.scopus.com/pages/publications/84918781938

U2 - 10.1016/j.urology.2014.09.017

DO - 10.1016/j.urology.2014.09.017

M3 - Article

C2 - 25530362

AN - SCOPUS:84918781938

SN - 0090-4295

VL - 85

SP - 27

EP - 32

JO - Urology

JF - Urology

IS - 1

ER -

Surgical competency for urethrovesical anastomosis during robot-assisted radical prostatectomy: Development and validation of the robotic anastomosis competency evaluation

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