Measuring the quality of surgical care and setting benchmarks for training using Intuitive Data Recorder technology
University of Birmingham
Duration of Study in the UK
1 years, 8 months, 28 days
The Royal College of Surgeons of England Commission on the Future of Surgery investigated changes in surgical therapy over the next two decades. The Commission described how intelligent robotic systems will provide a platform for delivery of consistent high-quality surgery to patient populations.
Surgery will shift from an unmediated ‘analogue state’ where the surgeon directly sees, feels and manipulates patient tissues to a mediated ‘digital state’ where the surgeon operates via a robotic platform that is able to intervene inside the body. A key advantage of the robotic platform is that it provides a unique opportunity to gather digital point of care data relating to the surgeon’s technical performance during an operation and therefore opens the door to objective assessment and benchmarking of surgical proficiency and performance.
MASTERY will create a data collection platform to capture, annotate and analyse digital point of care data relating to surgeon’s performance. MASTERY is a multi-centre prospective cohort study involving patients undergoing robotic assisted surgery for prostate, colorectal, lung, gynaecological, hepatobiliary, and ear, nose & throat tumours. In this study, automated digital point of care data relating to the surgeons’ performance will be collected via the Intuitive Data Recorder (IDR) device (Intuitive Surgical Inc, USA) during live robotic assisted surgery. Data collection will encompass surgeon characteristics, patient characteristics in addition to 30-day surgical outcomes including complications, reoperation, length of stay, hospital readmission and patient reported outcomes.
The primary goals of this project are to (1) improve surgeon training by defining actionable, task-based metrics that can benchmark technical performance and (2) improve patient outcomes by using task-based metrics to determine optimal procedure workflow and surgeon technical efficiencies.
MASTERY is the first study of the RCS Robotics Working Group and aims to initially recruit 500 patients across 12 centres in United Kingdom.
London - Bloomsbury Research Ethics Committee
Date of REC Opinion
17 Dec 2020
Further Information Favourable Opinion