Alexander Beulens

165 Linking surgical skills to postoperative outcomes: a Delphi study on the robot assisted radical prostatectomy Results Delphi Survey The results of the preliminary focus group meeting were used to formulate 72 statements on surgical steps and possible peri-operative events of the RARP procedure and their possible association with (1) direct postoperative complications and (2) Table 1 Domains of statements used in the online Delphi Survey and consensus meeting Domain Statements in Survey (n) Consensus in Survey (n) Consensus Survey (%) Statements in Delphi panel (n) Consensus Delphi panel (n) Consensus Delphi panel (%) Consensus combined Delphi survey and panel (%) The relation of the statement to postoperative complications 14 9 64 6 3 50 79 The relation of the statement to functional results 14 7 50 7 2 29 64 Steps of the surgery associated with complications 11 9 82 2 0 0 82 Steps of the surgery associated with postoperative erectile dysfunction 11 9 82 2 1 50 91 Steps of the surgery associated with postoperative urinary incontinence 11 8 73 3 2 66 91 Factors that play a role in the origins of postoperative complications 4 4 100 - - - 100 Elements that are essential for the training of novice surgeons 7 7 100 - - - 100 functional outcomes. These statements were divided over seven domains and incorporated in an online survey (Table 1). A total of 18 Dutch experts in robot-assisted radical prostatectomy (RARP) were identified and invited to participate in the two-round online Delphi Survey. In the first round, 12 of the 18 (67%) invited experts participated in the survey. Of these 12 participants, 10 experts responded to all statements, and two participants reported difficulties with the survey resulting in a partial response to the statements.

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