[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

Research output: Contribution to journalReview article

1 Citation (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].
LanguageDutch
JournalNederlands Tijdschrift voor Geneeskunde
Volume157
Issue number28
Publication statusPublished - 2013
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

Cite this

la Chapelle, C. F., Jansen, F. W., Pelger, R. C. M., & Mol, B. W. J. (2013). Robotchirurgie in Nederland: hoogwaardig bewijs voor effectiviteit ontbreekt. Nederlands Tijdschrift voor Geneeskunde, 157(28).
la Chapelle, Claire F. ; Jansen, Frank Willem ; Pelger, Rob C M ; Mol, Ben Willem J. / Robotchirurgie in Nederland : hoogwaardig bewijs voor effectiviteit ontbreekt. In: Nederlands Tijdschrift voor Geneeskunde. 2013 ; Vol. 157, No. 28.
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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",
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journal = "Nederlands Tijdschrift voor Geneeskunde",
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la Chapelle, CF, Jansen, FW, Pelger, RCM & Mol, BWJ 2013, 'Robotchirurgie in Nederland: hoogwaardig bewijs voor effectiviteit ontbreekt.', Nederlands Tijdschrift voor Geneeskunde, vol. 157, no. 28.

Robotchirurgie in Nederland : hoogwaardig bewijs voor effectiviteit ontbreekt. / la Chapelle, Claire F.; Jansen, Frank Willem; Pelger, Rob C M; Mol, Ben Willem J.

In: Nederlands Tijdschrift voor Geneeskunde, Vol. 157, No. 28, 2013.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Robotchirurgie in Nederland

T2 - Nederlands Tijdschrift voor Geneeskunde

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.

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M3 - Review article

VL - 157

JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

SN - 0028-2162

IS - 28

ER -