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51. PD58-04 EFFECT OF SIMULATION-BASED TRAINING ON SURGICAL PROFICIENCY AND PATIENT OUTCOMES: THE SIMULATE RANDOMIZED CONTROLLED TRIAL

Author

Aydin, Abdullatif, primary, Ahmed, Kamran, additional, Abe, Takashige, additional, Raison, Nicholas, additional, Van Hemelrijck, Mieke, additional, Ahmed, Hashim, additional, Mukhtar, Furhan, additional, Al-Jabir, Ahmed, additional, Brunckhorst, Oliver, additional, Shinohara, Nobuo, additional, Zhu, Wei, additional, Zeng, Guohua, additional, Sfakianos, John, additional, Gupta, Mantu, additional, Tewari, Ashutosh, additional, Gözen, Ali Serdar, additional, Rassweiler, Jens, additional, Athens, Greece, Andreas Skolarikos, additional, Kunit, Thomas, additional, Knoll, Thomas, additional, Powers, Andrea Lantz, additional, Chew, Ben, additional, Sarica, Kemal, additional, Khan, Muhammad Shamim, additional, and Dasgupta, Prokar, additional

Published
2021
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52. Effect of Robot-Assisted Radical Cystectomy With Intracorporeal Urinary Diversion vs Open Radical Cystectomy on 90-Day Morbidity and Mortality Among Patients With Bladder Cancer

Author

Catto, James W. F., Khetrapal, Pramit, Ricciardi, Federico, Ambler, Gareth, Williams, Norman R., Al-Hammouri, Tarek, Khan, Muhammad Shamim, Thurairaja, Ramesh, Nair, Rajesh, Feber, Andrew, Dixon, Simon, Nathan, Senthil, Briggs, Tim, Sridhar, Ashwin, Ahmad, Imran, Bhatt, Jaimin, Charlesworth, Philip, Blick, Christopher, Cumberbatch, Marcus G., Hussain, Syed A., Kotwal, Sanjeev, Koupparis, Anthony, McGrath, John, Noon, Aidan P., Rowe, Edward, Vasdev, Nikhil, Hanchanale, Vishwanath, Hagan, Daryl, Brew-Graves, Chris, and Kelly, John D.

Subjects
Socioeconomic Factors, Humans, General Medicine, Practice Patterns, Physicians', Original Investigation
Abstract

IMPORTANCE: Robot-assisted radical cystectomy is being performed with increasing frequency, but it is unclear whether total intracorporeal surgery improves recovery compared with open radical cystectomy for bladder cancer. OBJECTIVES: To compare recovery and morbidity after robot-assisted radical cystectomy with intracorporeal reconstruction vs open radical cystectomy. DESIGN, SETTING, AND PARTICIPANTS: Randomized clinical trial of patients with nonmetastatic bladder cancer recruited at 9 sites in the UK, from March 2017-March 2020. Follow-up was conducted at 90 days, 6 months, and 12 months, with final follow-up on September 23, 2021. INTERVENTIONS: Participants were randomized to receive robot-assisted radical cystectomy with intracorporeal reconstruction (n = 169) or open radical cystectomy (n = 169). MAIN OUTCOMES AND MEASURES: The primary outcome was the number of days alive and out of the hospital within 90 days of surgery. There were 20 secondary outcomes, including complications, quality of life, disability, stamina, activity levels, and survival. Analyses were adjusted for the type of diversion and center. RESULTS: Among 338 randomized participants, 317 underwent radical cystectomy (mean age, 69 years; 67 women [21%]; 107 [34%] received neoadjuvant chemotherapy; 282 [89%] underwent ileal conduit reconstruction); the primary outcome was analyzed in 305 (96%). The median number of days alive and out of the hospital within 90 days of surgery was 82 (IQR, 76-84) for patients undergoing robotic surgery vs 80 (IQR, 72-83) for open surgery (adjusted difference, 2.2 days [95% CI, 0.50-3.85]; P = .01). Thromboembolic complications (1.9% vs 8.3%; difference, –6.5% [95% CI, –11.4% to –1.4%]) and wound complications (5.6% vs 16.0%; difference, –11.7% [95% CI, –18.6% to –4.6%]) were less common with robotic surgery than open surgery. Participants undergoing open surgery reported worse quality of life vs robotic surgery at 5 weeks (difference in mean European Quality of Life 5-Dimension, 5-Level instrument scores, –0.07 [95% CI, –0.11 to –0.03]; P = .003) and greater disability at 5 weeks (difference in World Health Organization Disability Assessment Schedule 2.0 scores, 0.48 [95% CI, 0.15-0.73]; P = .003) and at 12 weeks (difference in WHODAS 2.0 scores, 0.38 [95% CI, 0.09-0.68]; P = .01); the differences were not significant after 12 weeks. There were no statistically significant differences in cancer recurrence (29/161 [18%] vs 25/156 [16%] after robotic and open surgery, respectively) and overall mortality (23/161 [14.3%] vs 23/156 [14.7%]), respectively) at median follow-up of 18.4 months (IQR, 12.8-21.1). CONCLUSIONS AND RELEVANCE: Among patients with nonmetastatic bladder cancer undergoing radical cystectomy, treatment with robot-assisted radical cystectomy with intracorporeal urinary diversion vs open radical cystectomy resulted in a statistically significant increase in days alive and out of the hospital over 90 days. However, the clinical importance of these findings remains uncertain. TRIAL REGISTRATION: ISRCTN Identifier: ISRCTN13680280; ClinicalTrials.gov Identifier: NCT03049410

Published
2022

57. The need for supportive mental wellbeing interventions in bladder cancer patients : A systematic review of the literature

Author

Bessa, Agustina, Rammant, Elke, Enting, Deborah, Bryan, Richard T., Khan, Muhammad Shamim, Malde, Sachin, Nair, Rajesh, Thurairaja, Ramesh, Cahill, Fidelma, Amery, Suzanne, Smith, Sue, Ahmed, Kamran, Russell, Beth, Moss, Charlotte, Chatterton, Kathryn, Häggström, Christel, Van Hemelrijck, Mieke, Bessa, Agustina, Rammant, Elke, Enting, Deborah, Bryan, Richard T., Khan, Muhammad Shamim, Malde, Sachin, Nair, Rajesh, Thurairaja, Ramesh, Cahill, Fidelma, Amery, Suzanne, Smith, Sue, Ahmed, Kamran, Russell, Beth, Moss, Charlotte, Chatterton, Kathryn, Häggström, Christel, and Van Hemelrijck, Mieke

Abstract

Objectives There is an increased awareness of the effect of a bladder cancer diagnosis and its treatments on the mental wellbeing of patients. However, few studies have evaluated the efficacy, feasibility and acceptability of interventions to improve this mental wellbeing. This systematic review is the first phase of the Medical Research Council Framework for developing complex interventions and provides an overview of the published mental wellbeing interventions that could be used to design an intervention specific for BC patients. Methods This review was conducted in accordance with the PRISMA guidelines in January 2019 and studies were identified by conducting searches for Medline, the Cochrane Central Register of Controlled Trials and Ovid Gateway. All included studies met the following criteria: mental wellbeing interventions of adults with medically confirmed diagnosis of any type of urological cancer, reported outcomes for specific HRQoL domains including psychological factors. The quality of evidence was assessed according to Down and Black 27-item checklist. Results A total of 15,094 records were collected from the literature search and 10 studies matched the inclusion and exclusion criteria. Of these, nine interventions were for patients with prostate cancer and one for patients with kidney cancer. No studies were found for other urological cancers. Depression was the most commonly reported endpoint measured. Of the included studies with positive efficacy, three were group interventions and two were couple interventions. In the group interventions, all showed a reduction in depressive symptoms and in the couple interventions, there was a reduction in depressive symptoms and a favourable relationship cohesion. The couple interventions were the most feasible and acceptable, but further research was required for most of the studies. Conclusion While awareness of the importance of mental wellbeing in bladder cancer patients is growing, this systematic literatu

Published
2021
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68. Development and validation of a porcine organ model for training in essential laparoscopic surgical skills

Author

Higuchi, Madoka, 1000010399842, Abe, Takashige, 1000090443936, Hotta, Kiyohiko, Morita, Ken, Miyata, Haruka, Furumido, Jun, Iwahara, Naoya, 1000040802799, Kon, Masafumi, 1000060374443, Osawa, Takahiro, 1000010762536, Matsumoto, Ryuji, 1000020828305, Kikuchi, Hiroshi, 1000040374350, Kurashima, Yo, Murai, Sachiyo, Aydin, Abdullatif, Raison, Nicholas, Ahmed, Kamran, Khan, Muhammad Shamim, Dasgupta, Prokar, 1000090250422, Shinohara, Nobuo, Higuchi, Madoka, 1000010399842, Abe, Takashige, 1000090443936, Hotta, Kiyohiko, Morita, Ken, Miyata, Haruka, Furumido, Jun, Iwahara, Naoya, 1000040802799, Kon, Masafumi, 1000060374443, Osawa, Takahiro, 1000010762536, Matsumoto, Ryuji, 1000020828305, Kikuchi, Hiroshi, 1000040374350, Kurashima, Yo, Murai, Sachiyo, Aydin, Abdullatif, Raison, Nicholas, Ahmed, Kamran, Khan, Muhammad Shamim, Dasgupta, Prokar, 1000090250422, and Shinohara, Nobuo

Abstract

Objectives To develop a wet laboratory training model for learning core laparoscopic surgical skills and evaluating learners' competency level outside the operating room. Methods Participants completed three tasks (task 1: tissue dissection around the aorta; task 2: tissue dissection and division of the renal artery; task 3: renal parenchymal closure). Each performance was video recorded and subsequently evaluated by two experts, according to the Global Operative Assessment of Laparoscopic Skills and task-specific metrics that we developed (Assessment Sheet of Laparoscopic Skills in Wet Lab score). Mean scores were used for analyses. The subjective mental workload was also assessed (NASA Task Load Index). Results The 54 participants included 32 urologists, eight young trainees and 14 medical students. A total of 13 participants were categorized as experts (>= 50 laparoscopic surgeries), eight as intermediates (10-49) and 33 as novices (0-9). There were significant differences in the Global Operative Assessment of Laparoscopic Skills and Assessment Sheet of Laparoscopic Skills in Wet Lab scores among the three groups in all three tasks. Higher NASA Task Load Index scores were observed in novices, and there were significant differences in tasks 1 (Kruskal-Wallis test,P = 0.0004) and 2 (P = 0.0002), and marginal differences in task 3 (P = 0.0745) among the three groups. Conclusions Our training model has good construct validity, and differences in the NASA Task Load Index score reflect previous laparoscopic surgical experiences. Our findings show the ability to assess both laparoscopic surgical skills and mental workloads, which could help educators comprehend trainees' level outside the operating room. Given the decreasing opportunity to carry out pure laparoscopic surgeries because of the dissemination of robotic surgery, especially in urology, our model can offer practical training opportunities.

Published
2020

70. Safety of “hot” and “cold” site admissions within a high‐volume urology department in the United Kingdom at the peak of the COVID‐19 pandemic

Author

Stroman, Luke, primary, Russell, Beth, additional, Kotecha, Pinky, additional, Kantartzi, Anastasia, additional, Ribeiro, Luis, additional, Jackson, Bethany, additional, Ismaylov, Vugar, additional, Debo‐Aina, Adeoye Oluwakanyinsola, additional, MacAskill, Findlay, additional, Kum, Francesca, additional, Kulkarni, Meghana, additional, Sandher, Raveen, additional, Walsh, Anna, additional, Doerge, Ella, additional, Guest, Katherine, additional, Kailash, Yamini, additional, Simson, Nick, additional, McDonald, Cassandra, additional, Mensah, Elsie, additional, June Tay, Li, additional, Chalokia, Ramandeep, additional, Clovis, Sharon, additional, Eversden, Elizabeth, additional, Cossins, Jane, additional, Rusere, Jonah, additional, Zisengwe, Grace, additional, Fleure, Louisa, additional, Cooper, Leslie, additional, Chatterton, Kathryn, additional, Barber, Amelia, additional, Roberts, Catherine, additional, Azavedo, Thomasia, additional, Ritualo, Jeffrey, additional, Omana, Harold, additional, Mills, Liza, additional, Studd, Lily, additional, El Hage, Oussama, additional, Nair, Rajesh, additional, Malde, Sachin, additional, Sahai, Arun, additional, Fernando, Archana, additional, Taylor, Claire, additional, Challacombe, Benjamin, additional, Thurairaja, Ramesh, additional, Popert, Rick, additional, Olsburgh, Jonathon, additional, Cathcart, Paul, additional, Brown, Christian, additional, Hadjipavlou, Marios, additional, Di Benedetto, Ella, additional, Bultitude, Matthew, additional, Glass, Jonathon, additional, Yap, Tet, additional, Zakri, Rhana, additional, Shabbir, Majed, additional, Willis, Susan, additional, Thomas, Kay, additional, O’Brien, Tim, additional, Khan, Muhammad Shamim, additional, and Dasgupta, Prokar, additional

Published
2021
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74. Impact of neoadjuvant chemotherapy on survival and recurrence patterns after robot‐assisted radical cystectomy for muscle‐invasive bladder cancer: Results from the International Robotic Cystectomy Consortium.

Author

Gopalakrishnan, Dharmesh, Elsayed, Ahmed S, Hussein, Ahmed A, Jing, Zhe, Li, Qiang, Wagner, Andrew A, Aboumohamed, Ahmed, Roupret, Morgan, Balbay, Derya, Wijburg, Carl, Stockle, Michael, Dasgupta, Prokar, Khan, Muhammad Shamim, Wiklund, Peter, Hosseini, Abolfazl, Peabody, James, Shigemura, Katsumi, Trump, Donald, Guru, Khurshid A, and Chatta, Gurkamal

Subjects
CANCER invasiveness, NEOADJUVANT chemotherapy, URINARY diversion, BLADDER cancer, SURGICAL robots, CYSTECTOMY, UROTHELIUM
Abstract

Objectives: To analyze the impact of neoadjuvant chemotherapy on survival and recurrence patterns in muscle‐invasive bladder cancer after robot‐assisted radical cystectomy. Materials and methods: The International Robotic Cystectomy Consortium database was reviewed to identify patients who underwent robot‐assisted radical cystectomy for muscle‐invasive bladder cancer between 2002 and 2019. Survival outcomes, response rates, and recurrence patterns were compared between patients who received neoadjuvant chemotherapy and those who did not. Survival distributions were estimated using Kaplan–Meier analyses and compared using the log‐rank test. Results: A total of 1370 patients with muscle‐invasive bladder cancer were identified, of whom 353 (26%) received neoadjuvant chemotherapy. After a median follow‐up of 27 months, neoadjuvant chemotherapy recipients had higher 3‐year overall survival (74% vs 57%; log‐rank P < 0.01), 3‐year cancer‐specific survival (83% vs 73%; log‐rank P = 0.03), and 3‐year relapse‐free survival (64% vs 48%; log‐rank P < 0.01). Neoadjuvant chemotherapy was a predictor of higher overall survival, cancer‐specific survival, and relapse‐free survival in univariate but not multivariate analysis. Pathological downstaging (46% vs 23%; P < 0.01), complete responses (24% vs 8%; P < 0.01), and margin negativity (95% vs 91%; P < 0.01) at robot‐assisted radical cystectomy were more common in the neoadjuvant chemotherapy group. Neoadjuvant chemotherapy recipients had lower distant (15% vs 22%; P < 0.01) but similar locoregional (12% vs 13%; P = 0.93) recurrence rates. Conclusions: In this analysis from a large international database, patients with muscle‐invasive bladder cancer who received neoadjuvant chemotherapy before robot‐assisted radical cystectomy had higher rates of survival, pathological downstaging, and margin‐negative resections. They also experienced fewer distant recurrences. [ABSTRACT FROM AUTHOR]

Published
2022
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75. Non-technical skills for urological surgeons (NoTSUS): development and evaluation of curriculum and assessment scale

Author

Aydın, Abdullatif, primary, Griffin, Cora M., additional, Brunckhorst, Oliver, additional, Al-Jabir, Ahmed, additional, Raison, Nicholas, additional, Aya, Haleema, additional, McIlhenny, Craig, additional, Brewin, James, additional, Shabbir, Majid, additional, Palou Redorta, Joan, additional, Khan, Muhammad Shamim, additional, Dasgupta, Prokar, additional, and Ahmed, Kamran, additional

Published
2020
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76. Safety of ‘hot’ and ‘cold’ site admissions within a high volume urology department in the United Kingdom at the peak of the COVID-19 pandemic

Author

Stroman, Luke, primary, Russell, Beth, additional, Kotecha, Pinky, additional, Kantartzi, Anastasia, additional, Ribeiro, Luis, additional, Jackson, Bethany, additional, Ismaylov, Vugar, additional, Debo-Aina, Adeoye Oluwakanyinsola, additional, MacAskill, Findlay, additional, Kum, Francesca, additional, Kulkarni, Meghana, additional, Sandher, Raveen, additional, Walsh, Anna, additional, Doerge, Ella, additional, Guest, Katherine, additional, Kailash, Yamini, additional, Simson, Nick, additional, McDonald, Cassandra, additional, Mensah, Elsie, additional, Tay, Li June, additional, Chalokia, Ramandeep, additional, Clovis, Sharon, additional, Eversden, Elizabeth, additional, Cossins, Jane, additional, Rusere, Jonah, additional, Zisengwe, Grace, additional, Fleure, Louisa, additional, Cooper, Leslie, additional, Chatterton, Kathryn, additional, Barber, Amelia, additional, Roberts, Catherine, additional, Azavedo, Thomasia, additional, Ritualo, Jeffrey, additional, Omana, Harold, additional, Mills, Liza, additional, Studd, Lily, additional, Hage, Oussama El, additional, Nair, Rajesh, additional, Malde, Sachin, additional, Sahai, Arun, additional, Fernando, Archana, additional, Taylor, Claire, additional, Challacombe, Benjamin, additional, Thurairaja, Ramesh, additional, Popert, Rick, additional, Olsburgh, Jonathon, additional, Cathcart, Paul, additional, Brown, Christian, additional, Hadjipavlou, Marios, additional, Benedetto, Ella Di, additional, Bultitude, Matthew, additional, Glass, Jonathon, additional, Yap, Tet, additional, Zakri, Rhana, additional, Shabbir, Majed, additional, Willis, Susan, additional, Thomas, Kay, additional, O’Brien, Tim, additional, Khan, Muhammad Shamim, additional, and Dasgupta, Prokar, additional

Published
2020
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77. Development and content validation of the percutaneous nephrolithotomy assessment score

Author

Quirke, Kate, primary, Aydın, Abdullatif, additional, Bultitude, Matthew, additional, Sarıca, Kemal, additional, Glass, Jonathan, additional, Khan, Azhar, additional, Marsh, Howard, additional, Al‐Hayek, Samih, additional, Wiseman, Oliver, additional, Patterson, Jake, additional, Makanjuola, Jonathan, additional, Skolarikos, Andreas, additional, Somani, Bhaskar, additional, Khan, Muhammad Shamim, additional, Dasgupta, Prokar, additional, and Ahmed, Kamran, additional

Published
2020
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78. Development and validation of a porcine organ model for training in essential laparoscopic surgical skills

Author

Higuchi, Madoka, primary, Abe, Takashige, additional, Hotta, Kiyohiko, additional, Morita, Ken, additional, Miyata, Haruka, additional, Furumido, Jun, additional, Iwahara, Naoya, additional, Kon, Masafumi, additional, Osawa, Takahiro, additional, Matsumoto, Ryuji, additional, Kikuchi, Hiroshi, additional, Kurashima, Yo, additional, Murai, Sachiyo, additional, Aydin, Abdullatif, additional, Raison, Nicholas, additional, Ahmed, Kamran, additional, Khan, Muhammad Shamim, additional, Dasgupta, Prokar, additional, and Shinohara, Nobuo, additional

Published
2020
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82. LBA01-05 SIMULATION IN UROLOGICAL TRAINING AND EDUCATION (SIMULATE): AN INTERNATIONAL RANDOMISED CONTROLLED CLINICAL AND EDUCATIONAL TRIAL TO DETERMINE THE EFFECT OF SIMULATION-BASED SURGICAL TRAINING

Author

Aydin*, Abdullatif, primary, Ahmed, Kamran, additional, Van Hemelrijck, Mieke, additional, Ahmed, Hashim, additional, Abe, Takashige, additional, Zhu, Wei, additional, Sfakianos, John, additional, Gözen, Ali Serdar, additional, Kunit, Thomas, additional, Skolarikos, Andreas, additional, Raison, Nicholas, additional, Moltzahn, Felix, additional, Knoll, Thomas, additional, Lantz, Andrea, additional, Al-Jabir, Ahmed, additional, Brunckhorst, Oliver, additional, Chew, Ben, additional, Thalmann, George, additional, Rassweiler, Jens, additional, Shinohara, Nobuo, additional, Gupta, Mantu, additional, Tewari, Ashutosh, additional, Zeng, Guohua, additional, Khan, Muhammad Shamim, additional, and Dasgupta, Prokar, additional

Published
2020
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84. Neoadjuvant Chemotherapy is Not Associated with Adverse Perioperative Outcomes after Robot-Assisted Radical Cystectomy: A Case for Increased Use from the IRCC

Author

Aldhaam, Naif A., primary, Elsayed, Ahmed S., additional, Jing, Zhe, additional, Richstone, Lee, additional, Wagner, Andrew A., additional, Rha, Koon Ho, additional, Yuh, Bertram, additional, Palou, Juan, additional, Khan, Muhammad Shamim, additional, Menon, Mani, additional, Roupret, Morgan, additional, Balbay, Derya, additional, Hosseini, Abolfazl, additional, Wiklund, Peter, additional, Gaboardi, Franco, additional, Maatman, Thomas J., additional, Mottrie, Alexandre, additional, Wijburg, Carl, additional, Stöckle, Michael, additional, Hemal, Ashok, additional, Kim, Eric, additional, Kaouk, Jihad, additional, Hussein, Ahmed A., additional, and Guru, Khurshid A., additional

Published
2020
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85. Consensus in Bladder Cancer Research Priorities Between Patients and Healthcare Professionals Using a Four-stage Modified Delphi Method

Author

Bessa, Agustina, Maclennan, Steven, Enting, Deborah, Bryan, Richard, Josephs, Debra, Hughes, Simon, Amery, Suzanne, Khan, Muhammad Shamim, Malde, Sachin, Nair, Rajesh, Cahill, Fidelma, Wylie, Harriet, Thurairaja, Ramesh, Chatterton, Kathryn, Kinsella, Netty, Häggström, Christel, Van Hemelrijck, Mieke, Bessa, Agustina, Maclennan, Steven, Enting, Deborah, Bryan, Richard, Josephs, Debra, Hughes, Simon, Amery, Suzanne, Khan, Muhammad Shamim, Malde, Sachin, Nair, Rajesh, Cahill, Fidelma, Wylie, Harriet, Thurairaja, Ramesh, Chatterton, Kathryn, Kinsella, Netty, Häggström, Christel, and Van Hemelrijck, Mieke

Published
2019
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86. The effect of repeated full immersion simulation training in ureterorenoscopy on mental workload of novice operators

Author

1000010399842, Abe, Takashige, Dar, Faizan, Amnattrakul, Passakorn, Aydin, Abdullatif, Raison, Nicholas, 1000090250422, Shinohara, Nobuo, Khan, Muhammad Shamim, Ahmed, Kamran, Dasgupta, Prokar, 1000010399842, Abe, Takashige, Dar, Faizan, Amnattrakul, Passakorn, Aydin, Abdullatif, Raison, Nicholas, 1000090250422, Shinohara, Nobuo, Khan, Muhammad Shamim, Ahmed, Kamran, and Dasgupta, Prokar

Abstract

Background Difficult surgical procedures may result in a higher mental workload, leading to increased fatigue and subsequent errors. This study was aimed to investigate the effect of repeated simulation training in ureterorenoscopy in a high-fidelity setting on the performance and mental workload of novice operators. Methods Medical students voluntarily participated in the present simulation study. After a didactic and video-based lecture, they underwent simulation training involving a renal stone case, including a rigid cystoscope component (task 1, performing a WHO checklist, assembling a scope, and insertion of a guide-wire and an access sheath after examining the bladder) and a flexible ureterorenoscope component (task 2, retrieving a stone located in the upper calyx using a basket after inspecting the upper, middle, and lower calyx). Training was performed in a mock operating theater. Technical skills were assessed by one author (an experienced urologist) onsite using an Objective Structured Assessment of Technical Skills (OSATS) score at each training session. The mental workload was subjectively evaluated by the National Aeronautics and Space Administration Task Load Index (NASA-TLX) questionnaire after each training session. Results Seventeen students completed a minimum of 6 training sessions (male: female = 10: 7, median age of 22) over a median of 21 days (range, 10-32). In both tasks 1 and 2, the OSATS score improved over the 6 sessions with evidence of plateauing (MANOVA model, task 1: p < 0.0001, task 2: p < 0.0001). In contrast, the NASA-TLX score persistently decreased without plateauing (task 1: p = 0.0005, task 2: p = 0.0028). Conclusions Under repeated simulation training in ureterorenoscopy in a high-fidelity setting, participants showed a continual decrease of the mental workload, while the improvement of technical skills reached a plateau over the 6 sessions. Our study showed the important benefit of simulation training to reduce the ment

Published
2019

87. The SIMULATE ureteroscopy training curriculum: educational value and transfer of skills.

Author

Aydın, Abdullatif, Ahmed, Kamran, Baig, Umair, Raison, Nicholas, Lantz Powers, Andrea G., Macchione, Nicola, Al-Jabir, Ahmed, Abe, Takashige, Khan, Muhammad Shamim, and Dasgupta, Prokar

Subjects
PEARSON correlation (Statistics), URETEROSCOPY, CURRICULUM, STRENGTH training, VIDEO recording, CURRICULUM evaluation
Abstract

Objective: Different simulation modalities may be utilised in a curricular fashion to benefit from the strengths of each training model. The aim of this study is to evaluate a novel multi-modality ureterorenoscopy (URS) simulation curriculum in terms of educational value, content validity, transfer of skills and inter-rater reliability. Methods: This international prospective study recruited urology residents (n = 46) with ≤ 10 URS experience and no prior simulation training. Participants were guided through each phase of the expert-developed SIMULATE URS curriculum by trainers and followed-up in the operating room (OR). Video recordings were obtained during training. A post-training evaluation survey was distributed to evaluate content validity and educational value, using descriptive statistics. Performance was evaluated using the objective structured assessment of technical skills (OSATS) scale to measure improvement in scores throughout the curriculum. Pearson's correlation coefficient and Cohen's kappa tests were utilised to investigate correlation and agreement between raters. Results: Participants reported gaining OR-transferrable skills (Mean: 4.33 ± 0.67) and demonstrated marked improvement in throughout the curriculum, transferred to the OR for both semi-rigid URS (p = 0.004) and flexible URS (p = 0.007). 70% of participants were successfully followed-up in the OR (n = 32). No differences were identified with the additional use of fresh frozen cadavers (p = 0.85, p = 0.90) and the URO Mentor VR simulator (p = 0.13, p = 0.22). A moderate level of correlation was noted on the video OSATS assessments, between two expert assessors (r = 0.70), but a poor agreement with the live rating. Conclusion: The SIMULATE URS training curriculum received high educational value from participants, who demonstrated statistically significant improvement with consecutive cases throughout the curriculum and transferability of skills to the OR in both semi-rigid and flexible URS. [ABSTRACT FROM AUTHOR]

Published
2021
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88. European Association of Urology Section of Urolithiasis (EULIS) Consensus Statement on Simulation, Training, and Assessment in Urolithiasis

Author

Ahmed, Kamran Patel, Sachin Aydin, Abdullatif Veneziano, Domenico van Cleynenbreugel, Ben Goezen, Ali Serdar and Skolarikos, Andreas Sietz, Christian Lahme, Sven Knoll, Thomas Palou Redorta, Juan Somani, Bhaskar Kumar and Sanguedolce, Francesco Liatsikos, Evangelos Rassweiler, Jens and Khan, Muhammad Shamim Dasgupta, Prokar Sarica, Kemal

Abstract

Background: Simulation-based training offers an acceptable adjunct to the traditional mentor-apprentice model in helping trainees to traverse the early stages of the learning curve for ureteroscopy and percutaneous renal surgery. In addition, nontechnical skills are increasingly important in preventing adverse events in the operating room, and simulation-based training can be used for training in such skills. Incorporation of simulation into formalised, standardised, and validated curricula offers an applicable method for training residents. Objective: To develop a curriculum for urolithiasis procedures incorporating technical and nontechnical skills training for implementation across Europe. Design, setting, and participants: An international panel of experts from EULIS, EUREP, ESU and ESUT was consulted in five stages. The study incorporated a mix of qualitative and quantitative data for collection and analysis. Responses were drawn out in (1) an opinion survey and (2) a curriculum development survey, which were discussed in (3) a focus group meeting. Group responses from this meeting were analysed for themes, which were discussed at (4) a focus group meeting, where consensus was reached among the group. Data analysis and integration at this stage were used to draft the curriculum. Results and limitations: All group meetings were transcribed from the focus group discussion. Eight themes were generated, into which all data were categorised. These were: need for a training curriculum; curriculum objectives; curriculum structure; curriculum content; teaching platforms and tools; assessment and certification; validation and implementation; and global integration of the curriculum. A curriculum, including recommended simulators for use, was subsequently proposed. Conclusions: We propose a comprehensive curriculum for training in urolithiasis. Additional planning is required for full validation and implementation before it can be used to train residents. Patient summary: Stone disease accounts for a major proportion of surgical interventions worldwide. We describe a consensus guideline for effective training of stone surgeons. (c) 2017 European Association of Urology. Published by Elsevier B.V. All rights reserved.

Published
2018

90. Graham Roberts Study protocol: first ‘trials within cohort study’ for bladder cancer

Author

Wylie, Harriet, primary, Cahill, Fidelma, additional, Santaolalla, Aida, additional, Moss, Charlotte Louise, additional, Enting, Deborah, additional, Amery, Suzanne, additional, Chatterton, Kathryn, additional, Khan, Muhammad Shamim, additional, Bryan, Richard T, additional, Gillett, Cheryl, additional, Josephs, Debra, additional, Chowdhury, Simon, additional, Rudman, Sarah, additional, Hughes, Simon, additional, Relton, Clare, additional, and Van Hemelrijck, Mieke, additional

Published
2019
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91. Consensus in Bladder Cancer Research Priorities Between Patients and Healthcare Professionals Using a Four-stage Modified Delphi Method

Author

Bessa, Agustina, primary, Maclennan, Steven, additional, Enting, Deborah, additional, Bryan, Richard, additional, Josephs, Debra, additional, Hughes, Simon, additional, Amery, Suzanne, additional, Khan, Muhammad Shamim, additional, Malde, Sachin, additional, Nair, Rajesh, additional, Cahill, Fidelma, additional, Wylie, Harriet, additional, Thurairaja, Ramesh, additional, Chatterton, Kathryn, additional, Kinsella, Netty, additional, Häggström, Christel, additional, and Van Hemelrijck, Mieke, additional

Published
2019
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97. Urinary Diversion

Author

Omar, Kawa, primary, Khan, Nawal Shamim, additional, Shariat, Shahrokh F., additional, Witjes, Johannes Alfred, additional, and Khan, Muhammad Shamim, additional

Published
2019
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