Robotchirurgie in Nederland: hoogwaardig bewijs voor effectiviteit ontbreekt.

Claire F. la Chapelle; Frank Willem Jansen; Rob C.M. Pelger; Ben Willem J. Mol

Robotchirurgie in Nederland: hoogwaardig bewijs voor effectiviteit ontbreekt.

Translated title of the contribution: [Robotic surgery in the Netherlands: lack of high-quality proof of efficacy].

Claire F. la Chapelle^*, Frank Willem Jansen, Rob C.M. Pelger, Ben Willem J. Mol

^*Corresponding author for this work

Applied Health Sciences

Research output: Contribution to journal › Review article › peer-review

2 Citations (Scopus)

Abstract

More than 10 years after its first introduction, robot-assisted surgery is now performed in 17 Dutch hospitals. Robotic-assisted radical prostatectomy (RARP) is the most frequently performed, though its clinical superiority compared to open (RRP) and laparoscopic prostatectomy (LRP) has not been demonstrated. One randomized controlled trial showed better outcome in erectile function after RARP compared to LRP. The quality of the other studies into RARP is too limited to draw reliable conclusions on clinically relevant outcome measures such as survival, disease-free survival and quality of life. Given the high costs and small scientific evidence, the introduction of robotic surgery has been irresponsibly quick. Better scientific research of robotic surgery is needed before this technology can be broadly applied in clinical practice.

Translated title of the contribution	[Robotic surgery in the Netherlands: lack of high-quality proof of efficacy].
Original language	Dutch
Pages (from-to)	A5145
Journal	Nederlands tijdschrift voor geneeskunde
Volume	157
Issue number	28
Publication status	Published - 2013

Cite this

@article{13bd44baeee54719886182e8db2288a5,

title = "Robotchirurgie in Nederland: hoogwaardig bewijs voor effectiviteit ontbreekt.",

abstract = "More than 10 years after its first introduction, robot-assisted surgery is now performed in 17 Dutch hospitals. Robotic-assisted radical prostatectomy (RARP) is the most frequently performed, though its clinical superiority compared to open (RRP) and laparoscopic prostatectomy (LRP) has not been demonstrated. One randomized controlled trial showed better outcome in erectile function after RARP compared to LRP. The quality of the other studies into RARP is too limited to draw reliable conclusions on clinically relevant outcome measures such as survival, disease-free survival and quality of life. Given the high costs and small scientific evidence, the introduction of robotic surgery has been irresponsibly quick. Better scientific research of robotic surgery is needed before this technology can be broadly applied in clinical practice.",

author = "{la Chapelle}, {Claire F.} and Jansen, {Frank Willem} and Pelger, {Rob C.M.} and Mol, {Ben Willem J.}",

year = "2013",

language = "Dutch",

volume = "157",

pages = "A5145",

journal = "Nederlands tijdschrift voor geneeskunde",

issn = "0028-2162",

publisher = "Bohn Stafleu van Loghum",

number = "28",

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TY - JOUR

T1 - Robotchirurgie in Nederland

T2 - hoogwaardig bewijs voor effectiviteit ontbreekt.

AU - la Chapelle, Claire F.

AU - Jansen, Frank Willem

AU - Pelger, Rob C.M.

AU - Mol, Ben Willem J.

PY - 2013

Y1 - 2013

N2 - More than 10 years after its first introduction, robot-assisted surgery is now performed in 17 Dutch hospitals. Robotic-assisted radical prostatectomy (RARP) is the most frequently performed, though its clinical superiority compared to open (RRP) and laparoscopic prostatectomy (LRP) has not been demonstrated. One randomized controlled trial showed better outcome in erectile function after RARP compared to LRP. The quality of the other studies into RARP is too limited to draw reliable conclusions on clinically relevant outcome measures such as survival, disease-free survival and quality of life. Given the high costs and small scientific evidence, the introduction of robotic surgery has been irresponsibly quick. Better scientific research of robotic surgery is needed before this technology can be broadly applied in clinical practice.

AB - More than 10 years after its first introduction, robot-assisted surgery is now performed in 17 Dutch hospitals. Robotic-assisted radical prostatectomy (RARP) is the most frequently performed, though its clinical superiority compared to open (RRP) and laparoscopic prostatectomy (LRP) has not been demonstrated. One randomized controlled trial showed better outcome in erectile function after RARP compared to LRP. The quality of the other studies into RARP is too limited to draw reliable conclusions on clinically relevant outcome measures such as survival, disease-free survival and quality of life. Given the high costs and small scientific evidence, the introduction of robotic surgery has been irresponsibly quick. Better scientific research of robotic surgery is needed before this technology can be broadly applied in clinical practice.

UR - http://www.scopus.com/inward/record.url?scp=84883732158&partnerID=8YFLogxK

M3 - Review article

C2 - 23841922

AN - SCOPUS:84883732158

SN - 0028-2162

VL - 157

SP - A5145

JO - Nederlands tijdschrift voor geneeskunde

JF - Nederlands tijdschrift voor geneeskunde

IS - 28

ER -

Robotchirurgie in Nederland: hoogwaardig bewijs voor effectiviteit ontbreekt.

Abstract

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