Objective and subjective data on the real-world usage of pediatric robotic surgery in Germany.

IF 0.9 4区 医学 Q3 PEDIATRICS
Elisabeth Ammer, Andrea Schmedding, Fritz Kahl, Ludger Tüshaus
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引用次数: 0

Abstract

Twenty years after the first robotic pediatric surgery, robotic surgery still plays a limited role in pediatric surgery. A better understanding of the current application of robotic pediatric surgery, could be valuable for the further development and implementation of minimally invasive and robotic pediatric surgery. The aim of this study was to analyze the nationwide distribution of robotic surgery in children and its acceptance among pediatric surgeons. The national database of administrative claims data from the Institute for the Remuneration System in Hospitals (InEK) and the quality reports in Germany were analyzed to determine the number of pediatric patients who underwent surgery using a robotic system and the number of pediatric surgical departments having access to this system. Additionally, an electronic questionnaire was developed for a nationwide cross-sectional survey within the DGKCH. From 2019 to 2024, the number of robot-assisted surgeries in children increased from 105 cases in 2019 to 376 cases in 2024. The majority of procedures are urological surgeries. The online survey was completed by 39 pediatric surgeons between December 2022 and March 2023. The survey identified and mapped differences in the use of robotic systems, the patient population treated, and the assessment of outcomes, complication rates, and patient satisfaction. This study is the first to document the varying views on pediatric robotic surgery in Germany.

客观和主观数据在现实世界中使用的儿童机器人手术在德国。
在第一个机器人儿科手术20年后,机器人手术在儿科手术中仍然发挥着有限的作用。更好地了解目前机器人儿科手术的应用,可能对微创和机器人儿科手术的进一步发展和实施有价值。本研究的目的是分析全国儿童机器人手术的分布及其在儿科外科医生中的接受程度。我们分析了来自医院薪酬制度研究所(InEK)的国家行政索赔数据数据库和德国的质量报告,以确定使用机器人系统进行手术的儿科患者数量和使用该系统的儿科外科部门数量。此外,还开发了一份电子问卷,用于DGKCH的全国性横断面调查。从2019年到2024年,机器人辅助儿童手术数量从2019年的105例增加到2024年的376例。大多数手术是泌尿外科手术。这项在线调查是由39名儿科外科医生在2022年12月至2023年3月期间完成的。该调查确定并绘制了机器人系统的使用、治疗的患者群体、结果评估、并发症发生率和患者满意度的差异。这项研究首次记录了德国对儿科机器人手术的不同看法。
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
Klinische Padiatrie
Klinische Padiatrie 医学-小儿科
CiteScore
1.10
自引率
0.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Das Forum für wissenschaftliche Information in der Kinderheilkunde ausgewählte Originalarbeiten aus allen Bereichen der Pädiatrie Visite: Ihr Forum für interessante Krankengeschichten und außergewöhnliche Kasuistiken aktuelle Fortschritte in Diagnostik und Therapie jährliche Schwerpunkthefte: Ergebnisse der pädiatrischen Onkologie plus Medizin und Markt topaktuelle Informationen aus der Industrie
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