Surgical Preferences and Fears: Misconceptions about Robotic-Assisted Surgery.

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

Urologia Internationalis Pub Date : 2025-02-17 DOI:10.1159/000544773

Christopher Hirtsiefer, Mandy Ehrt, Roman Herout, Sherif Mehralivand, Juozas Vilimas, Martin Baunacke, Christian Thomas

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引用次数: 0

Abstract

Introduction and objective: Robotic-assisted surgery (RAS) is widely adopted across surgical fields, notably urology, but patient knowledge remains limited, often shaped by misconceptions. Previous research indicates factors like age, profession, and technology use influence RAS perceptions. This study investigates public knowledge, preferences, and misconceptions about RAS within a German cohort.

Methods: A cross-sectional survey at a university hospital's open house gathered responses from 339 participants prior to an RAS exhibition. The questionnaire assessed demographics, surgical preferences, and RAS knowledge. Statistical analyses, including t tests, chi-squared tests, ANOVA, and multivariate logistic regression, identified key associations.

Results: A total of 71% (234) of participants favored RAS over conventional surgery, yet misconceptions persisted in 38% (122), particularly among pensioners (48% (46), p < 0.01). Misconceptions were linked to a preference for conventional surgery (43% (52) vs. 19% (36), p < 0.01). Surgical preference emerged as a significant predictor of misconception. Concerns included surgeon skill (41%, 141) and machine malfunction (39%, 132), with younger participants fearing human error and older individuals fearing technical failure (p < 0.01).

Conclusion: This local study reveals strong public support for RAS but underscores prevalent misconceptions, especially among older adults, suggesting that addressing misconceptions could foster acceptance and informed decision-making.

查看原文本刊更多论文

手术偏好和恐惧：关于机器人辅助手术的误解。

机器人辅助手术（RAS）被广泛应用于外科领域，特别是泌尿外科，但患者的知识仍然有限，经常受到误解的影响。先前的研究表明，年龄、职业和技术使用等因素会影响RAS的认知。本研究调查了德国人群中公众对RAS的认知、偏好和误解。方法在一所大学医院的开放日进行横断面调查，收集了339名参与者在RAS展览前的反馈。问卷评估了人口统计学、手术偏好和RAS知识。统计分析，包括t检验、卡方检验、方差分析和多变量逻辑回归，确定了关键关联。结果结果显示，71%（234）的参与者认为RAS优于传统手术，但仍有38%（122）的人存在误解，特别是在养老金领取者中（48% (46),p < 0.01）。误解与对传统手术的偏好有关（43%（52）对19% (36),p < 0.01）。手术偏好成为误解的重要预测因素。担忧包括外科医生技能（41%,141）和机器故障（39%,132），年轻人担心人为失误，老年人担心技术故障（p < 0.01）。这项本地研究显示了公众对RAS的强烈支持，但强调了普遍存在的误解，特别是在老年人中，这表明消除误解可以促进接受和明智的决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Urologia Internationalis 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： Concise but fully substantiated international reports of clinically oriented research into science and current management of urogenital disorders form the nucleus of original as well as basic research papers. These are supplemented by up-to-date reviews by international experts on the state-of-the-art of key topics of clinical urological practice. Essential topics receiving regular coverage include the introduction of new techniques and instrumentation as well as the evaluation of new functional tests and diagnostic methods. Special attention is given to advances in surgical techniques and clinical oncology. The regular publication of selected case reports represents the great variation in urological disease and illustrates treatment solutions in singular cases.