Surgery Surgery
Conditions
Interventions
A prospective, single-centre, observational study assessing the implementation of a multispecialty robotic outpatient program in the national healthcare setting.
The study is looking to recruit all p
Sponsors
Portsmouth Hospitals NHS Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All patients treated at Portsmouth Hospitals University NHS Trust who undergo either a robotic outpatient procedure (defined as an anticipated post-procedure discharge time less than 24 hours) or a planned elective surgical inpatient procedure that is anticipated to be discharged within 24 hours. 2. Patients aged 18 years or above. 3. Must be willing and able to comply with study requirements. 4. Must indicate their understanding of the study and willingness to participate by signing an appropriate informed consent form.
Exclusion criteria
Exclusion criteria: 1. Patients that have multiple resections planned in the same procedure. 2. Mental incapacity to understand or consent to study procedures. 3. Anticipated difficulty for patient to comply with protocol requirements. 4. Unable to comply with the follow up schedule. 5. Patients participating in additional research studies, which may impact the outcomes of this study. 6. Pregnant or breastfeeding patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Quality of life measured using EQ-5D and QoR-15 questionnaires at baseline and postoperative 2. Cost-effectiveness measured by comparing costs per procedure between laparoscopic and robotic outpatient surgeries through anonymized, routinely collected Trust level metrics at 6 monthly intervals for 3 years 3. Operational efficiency measured by comparing number of procedures done between laparoscopic and robotic outpatient units per list, month, and year through anonymized, routinely collected Trust level metrics in the first, second, and third year of the program 4. Peri-operative outcomes measured by comparing anonymized, routinely collected Trust level metrics for robotic and laparoscopic outpatients, including operative time (defined as time between first incision and last suture), anaesthetic time (defined as time between commencement and cessation of anaesthetic regimen), and theatre time (defined as time between wheeling patient in and out of the theatre) in the first, second, and third year of the program | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Need for and benefits of additional endoscope sterilizing capacity throughout the robotic outpatient surgery program measured by comparing the amount of endoscopes sterilized with the maximum capacity of the sterilizing unit (defined as fraction of maximum potential) in the first, second, and third year of the program 2. Health-associated outcome benefits achieved throughout the robotic outpatient surgery program measured by comparing QALYs stratified per procedure between the robotic outpatients in the first, second, and third year of the program 3. Patient clinical outcomes throughout the robotic outpatient surgery program measured by comparing postoperative follow-up data (including complication rates, return to work, and readmissions/reinterventions) stratified per procedure between the robotic outpatients in the first, second, and third year of the program 4. Safe delivery of the robotic outpatient surgery program measured by analysing postoperative complications, morbidity, and mortality, and comparing to historical data and existing literature at 6 monthly intervals for 3 years 5. Impact of the robotic outpatient surgery program to robotic training for surgical trainees measured by comparing postoperative follow-up data stratified per procedure between the robotic outpatients procedures operated (in part) by a surgical trainee in the first, second, and third year of the program 6. Benefits of the robotic outpatient surgery program to robotic training for surgical trainees measured by analysing the number of robotic outpatients procedures operated (in part) by a surgical trainee throughout the program 7. Impact of the robotic outpatient surgery program to the main hospital elective program measured by comparing the total number of robotic procedures performed per specialty through anonymized, routinely collected Trust level metrics at 6 monthly intervals for 3 years 8. Impact of the robotic outpatient surgery program to the number of benign procedures perfo | — |
Countries
England, United Kingdom
Contacts
Public ContactIan Gedge
Outcome results
None listed