Robotics in Benign Gynecologic Surgery

Steege, John F.; Einarsson, Jon I.

doi:10.1097/aog.0000000000000072

Cited by 13 publications

(12 citation statements)

References 8 publications

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“…The da Vinci robotic system was approved by the United States Food and Drug Administration with limited clinical evidence of safety or effectiveness (Paul et al, 2013). In the absence of proof that RAL is superior to SL, many investigators simply skip this issue and try to move on to the question of how we should better adopt this new technology (Steege and Einarsson, 2014). Of relevance here, in 2014 Intuitive Surgical, Inc. has been the second leading payer to US obstetricians and gynaecologists and the leading payer to US gynaecologic oncologists, in terms of money transferred for non-research purposes, such as participation at conferences and courses, travel and lodge, meals, speaker fees and consultancies (Shalowitz et al, 2016;Tierney et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

‘Money for nothing’. The role of robotic-assisted laparoscopy for the treatment of endometriosis

Berlanda

Frattaruolo

Aimi

et al. 2017

Reproductive BioMedicine Online

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Section: Discussionmentioning

confidence: 99%

‘Money for nothing’. The role of robotic-assisted laparoscopy for the treatment of endometriosis

Berlanda

Frattaruolo

Aimi

et al. 2017

Reproductive BioMedicine Online

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“…Specifically, results suggest that interventions which only address beliefs about the HPV vaccine may not be sufficient for promoting HPV vaccination among young men. To date, most HPV vaccine interventions for young adults have focused on educating participants about their risk for developing HPV and the availability of the HPV vaccine (Gross et al, 2014; Kester et al, 2014). For example, interventions have involved listening to professional lectures or receiving fact sheets on HPV vaccination (Gross et al, 2014; Kester et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…To date, most HPV vaccine interventions for young adults have focused on educating participants about their risk for developing HPV and the availability of the HPV vaccine (Gross et al, 2014; Kester et al, 2014). For example, interventions have involved listening to professional lectures or receiving fact sheets on HPV vaccination (Gross et al, 2014; Kester et al, 2014). The degree to which these interventions have increased young adults’ HPV vaccine uptake and intentions has been variable (Gross et al, 2014; Kester et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…For example, interventions have involved listening to professional lectures or receiving fact sheets on HPV vaccination (Gross et al, 2014; Kester et al, 2014). The degree to which these interventions have increased young adults’ HPV vaccine uptake and intentions has been variable (Gross et al, 2014; Kester et al, 2014). Furthermore, results of a systematic review of educational interventions to promote HPV vaccination in various populations, including young adults, suggested that the effects of these interventions on HPV vaccine intentions may be short-lived (Fu et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

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The role of anticipated regret and health beliefs in HPV vaccination intentions among young adults

et al. 2016

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Although cognitions have predicted young adults’ human papillomavirus (HPV) vaccine decision-making, emotion-based theories of healthcare decision-making suggest that anticipatory emotions may be more predictive. This study examined whether anticipated regret was associated with young adults’ intentions to receive the HPV vaccine above and beyond the effects of commonly studied cognitions. Unvaccinated undergraduates (N = 233) completed a survey assessing Health Belief Model (HBM) variables (i.e., perceived severity of HPV-related diseases, perceived risk of developing these diseases, and perceived benefits of HPV vaccination), anticipatory emotions (i.e., anticipated regret if one were unvaccinated and later developed genital warts or HPV-related cancer), and HPV vaccine intentions. Anticipated regret was associated with HPV vaccine intentions above and beyond the effects of HBM variables among men. Among women, neither anticipated regret nor HBM variables showed consistent associations with HPV vaccine intentions. Findings suggest that anticipatory emotions should be considered when designing interventions to increase HPV vaccination among college men.

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“…Despite the availability of robotically assisted surgery, the appropriate use of the technology remains controversial (Steege and Einarsson, 2014;Weissman and Zinner, 2013;Rardin, 2014). Proponents of robotic-assisted surgery suggest that the technology facilitates access to minimally invasive surgery, allows completion of more technically challenging procedures by a minimally invasive approach, and enhances surgeon ergonomics (Rardin, 2014;Wright et al, 2013).…”

Section: Introductionmentioning

confidence: 95%

Attitudes and Beliefs Regarding the Utility of Robotically Assisted Gynecologic Surgery Among Practicing Gynecologists

Wright¹,

Raglan²,

Schulkin³

et al. 2017

J Healthc Qual

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While use of robotic-assisted surgery has increased rapidly, little is known about the attitudes and beliefs of practicing gynecologists regarding the utility of the technology. We surveyed a large sample of gynecologists to examine their attitudes and beliefs about the benefits, utility, and factors driving use of robotic-assisted gynecologic surgery. A 51-item survey was mailed to 600 fellows or junior fellows of the American College of Obstetricians and Gynecologists. The survey included questions on use of robotic surgery, decision-making, and beliefs regarding the technology. Responses were stratified based on whether the respondent used robotic surgery or not. A total of 310 responses were received including 27.8% who used robotic surgery in their practices. Hysterectomy was the most commonly performed procedure. Opinions about the use and effectiveness of robotic procedures varied based on whether an individual was a robot user. Eighty-two percentage of robot users and 21% of nonrobot users believed robotic surgery provided benefits over laparoscopic (p < .0001). Among both groups, the ability to increase access to minimally invasive surgery and marketing were believed to be the greatest drivers of use of robotic surgery. Attitudes and beliefs about the effectiveness of robotic gynecologic surgery are highly variable among clinicians.

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Robotics in Benign Gynecologic Surgery

Cited by 13 publications

References 8 publications

‘Money for nothing’. The role of robotic-assisted laparoscopy for the treatment of endometriosis

‘Money for nothing’. The role of robotic-assisted laparoscopy for the treatment of endometriosis

The role of anticipated regret and health beliefs in HPV vaccination intentions among young adults

Attitudes and Beliefs Regarding the Utility of Robotically Assisted Gynecologic Surgery Among Practicing Gynecologists

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