Methodological quality assessment of robot-assisted surgery guidelines and consensus_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

NIU Zhenyi , JIN Runsen ,  LI Hecheng

Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 200025, P. R. China;

Corresponding?author：

LI Hecheng, Email: lihecheng2000@hotmail.com

Keywords：

Robot-assisted surgery; guideline; consensus; methodological quality assessment

DOI：

10.7507/1007-4848.202201048

Video：

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Objective To evaluate the methodological quality of clinical practice guidelines and consensuses of robot-assisted surgery. Methods The guidelines and consensuses were screened according to the inclusion and exclusion criteria by searching the domestic and overseas guidelines network and electronic database from 1 January, 2000 to 29 December, 2021. The Appraisal of Guidelines for Research and EvaluationⅡ (AGREEⅡ) instrument was used independently by two evaluators to evaluate the guidelines and consensuses. The consistency test of intraclass correlation coefficient (ICC) was carried out for two evaluators, and the score of guidelines and consensuses in the six domains of AGREEⅡ were calculated. Results A total of 34 guidelines and consensuses were included, including 10 guidelines and 24 consensuses. The ICC was all greater than 0.75, indicating that the consistency of the two evaluators was high. The average scores of the 34 guidelines and consensuses in the six domains of AGREEⅡ (scope and purpose, stakeholder involvement, rigor of development, clarity of presentation, applicability and editorial independence) were 81.0%, 43.5%, 28.2%, 81.5%, 12.7% and 51.7%, respectively. Conclusion These evaluated guidelines and consensuses of robot-assisted surgery still need to be improved in the domains of rigor of development, applicability and editorial independence. With the continuous development of robot-assisted surgery, more guidelines and consensuses based on higher level of evidence will be developed to promote the standardized use of robot-assisted surgery.

Citation： NIU Zhenyi, JIN Runsen, LI Hecheng. Methodological quality assessment of robot-assisted surgery guidelines and consensus. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(9): 1120-1127. doi: 10.7507/1007-4848.202201048 Copy

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1. Nguyen KT, Gamblin TC, Geller DA. World review of laparoscopic liver resection-2, 804 patients. Ann Surg, 2009, 250(5): 831-841.
2. Hu JC, Gu X, Lipsitz SR, et al. Comparative effectiveness of minimally invasive vs. open radical prostatectomy. JAMA, 2009, 302(14): 1557-1564.
3. Koeda K, Nishizuka S, Wakabayashi G. Minimally invasive surgery for gastric cancer: The future standard of care. World J Surg, 2011, 35(7): 1469-1477.
4. Himpens J, Leman G, Cadiere GB. Telesurgical laparoscopic cholecystectomy. Surg Endosc, 1998, 12(8): 1091.
5. Maza G, Sharma A. Past, present, and future of robotic surgery. Otolaryngol Clin North Am, 2020, 53(6): 935-941.
6. 郝迎學, 張榮杰. 機器人手術系統在血管外科中的應用與展望. 第三軍醫大學學報, 2019, 41(24): 2366-2369.
7. 方玉桂, 楊玩華, 王秀嵐. 從來稿透視護理研究中的不足. 中華醫院管理雜志, 2001, 17(3): 181-182.
8. 如何正確運用組內相關系數進行一致性檢驗—藥物研究中的統計學(一). 藥學與臨床研究, 2018, 26(1): 7-8.
9. Liu R, Wakabayashi G, Palanivelu C, et al. International consensus statement on robotic pancreatic surgery. Hepatobiliary Surg Nutr, 2019, 8(4): 345-360.
10. Asbun HJ, Moekotte AL, Vissers FL, et al. The Miami international evidence-based guidelines on minimally invasive pancreas resection. Ann Surg, 2020, 271(1): 1-14.
11. Ramirez PT, Adams S, Boggess JF, et al. Robotic-assisted surgery in gynecologic oncology: A Society of Gynecologic Oncology consensus statement. Developed by the Society of Gynecologic Oncology's Clinical Practice Robotics Task Force. Gynecol Oncol, 2012, 124(2): 180-184.
12. Montorsi F, Wilson TG, Rosen RC, et al. Best practices in robot-assisted radical prostatectomy: Recommendations of the Pasadena Consensus Panel. Eur Urol, 2012, 62(3): 368-381.
13. Chan KG, Guru K, Wiklund P, et al. Robot-assisted radical cystectomy and urinary diversion: Technical recommendations from the Pasadena Consensus Panel. Eur Urol, 2015, 67(3): 423-431.
14. Merseburger AS, Herrmann TR, Shariat SF, et al. EAU guidelines on robotic and single-site surgery in urology. Eur Urol, 2013, 64(2): 277-291.
15. Faria EF, Maciel CVM, Berger A, et al. Recommendations on robotic-assisted radical prostatectomy: A Brazilian experts' consensus. J Robot Surg, 2021, 15(6): 829-839.
16. Wilson TG, Guru K, Rosen RC, et al. Best practices in robot-assisted radical cystectomy and urinary reconstruction: Recommendations of the Pasadena Consensus Panel. Eur Urol, 2015, 67(3): 363-375.
17. Randazzo M, Lengauer L, Rochat CH, et al. Best practices in robotic-assisted repair of vesicovaginal fistula: A consensus report from the European Association of Urology Robotic Urology Section Scientific Working Group for Reconstructive Urology. Eur Urol, 2020, 78(3): 432-442.
18. Miskovic D, Ahmed J, Bissett-Amess R, et al. European consensus on the standardization of robotic total mesorectal excision for rectal cancer. Colorectal Dis, 2019, 21(3): 270-276.
19. Liu R, Wakabayashi G, Kim HJ, et al. International consensus statement on robotic hepatectomy surgery in 2018. World J Gastroenterol, 2019, 25(12): 1432-1444.
20. Egberts JH, Biebl M, Perez DR, et al. Robot-assisted oesophagectomy: Recommendations towards a standardised Ivor Lewis procedure. J Gastrointest Surg, 2019, 23(7): 1485-1492.
21. Li B, Yang Y, Toker A, et al. International consensus statement on robot-assisted minimally invasive esophagectomy (RAMIE). J Thorac Dis, 2020, 12(12): 7387-7401.
22. Szold A, Bergamaschi R, Broeders I, et al. European Association of Endoscopic Surgeons (EAES) consensus statement on the use of robotics in general surgery. Surg Endosc, 2015, 29(2): 253-288.
23. Corcione A, Angelini P, Bencini L, et al. Joint consensus on abdominal robotic surgery and anesthesia from a task force of the SIAARTI and SIC. Minerva Anestesiol, 2018, 84(10): 1189-1208.
24. Herron DM, Marohn M, SAGES-MIRA Robotic Surgery Consensus Group. A consensus document on robotic surgery. Surg Endosc, 2008, 22(2): 313-325.
25. Tian W, Liu YJ, Liu B, et al. Guideline for thoracolumbar pedicle screw placement assisted by orthopaedic surgical robot. Orthop Surg, 2019, 11(2): 153-159.
26. Tian W, Liu YJ, Liu B, et al. Guideline for posterior atlantoaxial internal fixation assisted by orthopaedic surgical robot. Orthop Surg, 2019, 11(2): 160-166.
27. Lai HW, Toesca A, Sarfati B, et al. Consensus statement on robotic mastectomy-expert panel from International Endoscopic and Robotic Breast Surgery Symposium (IERBS) 2019. Ann Surg, 2020, 271(6): 1005-1012.
28. 蔡輝, 馬云濤, 盧婷婷, 等. 中國機器人胃癌手術指南. 中華普通外科雜志, 2021, 36(8): 635-640.
29. 中國醫師協會結直腸腫瘤專業委員會機器人手術專業委員會, 中國研究型醫院學會機器人與腹腔鏡外科專業委員會. 機器人結直腸癌手術中國專家共識(2020版). 中國實用外科雜志, 2021, 41(1): 12-19.
30. 中國醫師協會外科醫師分會上消化道外科學組, 中華醫學會外科學分會胃腸外科學組, 中國研究型醫院學會消化道腫瘤專業委員會, 等. 機器人胃癌切除術后完全腔內消化道重建中國專家共識 (2021版). 中華胃腸外科雜志, 2021, 24(8): 647-652.
31. 中國研究型醫院學會微創外科學專業委員會, 中國醫藥教育協會代謝病學專業委員會. 機器人輔助袖狀胃切除術操作指南(2020年版). 腹腔鏡外科雜志, 2021, 26(1): 1-6.
32. 陶英群, 鞏順. 神經外科手術機器人輔助腦深部電刺激手術的中國專家共識. 中國微侵襲神經外科雜志, 2021, 26(7): 291-295.
33. 張春芳, 高陽, 張恒, 等. 機器人胸外科日間手術臨床實踐專家共識. 中國內鏡雜志, 2021, 27(8): 10-20.
34. 羅清泉, 王述民, 李鶴成, 等. 機器人輔助肺癌手術中國臨床專家共識. 中國胸心血管外科臨床雜志, 2020, 27(10): 1119-1126.
35. 中國醫師協會醫學機器人醫師分會胸外科專業委員會籌備組, 譚群友, 陶紹霖, 等. 機器人輔助縱隔腫瘤手術中國專家共識(2019版). 中國胸心血管外科臨床雜志, 2020, 27(2): 117-125.
36. 中國抗癌協會食管癌專業委員會. 機器人輔助食管切除術中國臨床專家建議(2019版). 中華外科雜志, 2019, 57(9): 641-649.
37. 中國醫師協會外科醫師分會甲狀腺外科醫師委員會, 中國研究型醫院學會甲狀腺疾病專業委員會. 機器人手術系統輔助甲狀腺和甲狀旁腺手術專家共識. 中國實用外科雜志, 2016, 36(11): 1165-1170.
38. 中國研究型醫院學會微創外科學專業委員會. 結直腸癌肝轉移腹腔鏡/機器人同期聯合切除技術指南(2017修訂). 中華腔鏡外科雜志(電子版), 2017, 10(6): 324-326.
39. 《機器人肝膽胰手術操作指南》制定委員會. 機器人肝膽胰手術操作指南. 中華腔鏡外科雜志(電子版), 2019, 12(1): 12-27.
40. 黃健. 中國機器人輔助根治性膀胱切除術專家共識. 中華泌尿外科雜志, 2018, 39(1): 2-5.
41. 中華醫學會泌尿外科學分會小兒泌尿外科學組. 兒童機器人輔助腹腔鏡腎盂輸尿管連接處梗阻手術操作指南(2020版). 中華泌尿外科雜志, 2020, 41(7): 486-491.
42. 中國醫促會泌尿健康促進分會, 中國研究型醫院學會泌尿外科學專業委員會. 腹腔鏡(含機器人輔助)前列腺癌根治術安全共識. 現代泌尿外科雜志, 2020, 25(7): 575-584.
43. Lai A, Dobbs RW, Talamini S, et al. Single port robotic radical prostatectomy: A systematic review. Transl Androl Urol, 2020, 9(2): 898-905.
44. Pernar LIM, Robertson FC, Tavakkoli A, et al. An appraisal of the learning curve in robotic general surgery. Surg Endosc, 2017, 31(11): 4583-4596.
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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Methodological quality assessment of robot-assisted surgery guidelines and consensus

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