A systematic search identified six studies of performance metrics for robotic hysterectomy, revealing a lack of standardized and validated metrics specific to the procedure.¶

Claim · All claims
Evidence · 1 study (2 entries) · review r2 · q3
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person · recheck by 2028: tool and model accuracy changes quickly

Subclaims¶

q3 i? A systematic search following PRISMA guidelines yielded six included studies on robotic hysterectomy performance metrics. → Arcamo K 2025 q3 i? The review concludes there is a lack of standardized and validated metrics specific to robotic hysterectomy. → Arcamo K 2025 (2)

Evidence¶

Arcamo K 2025¶

Arcamo K, Murugappan S, Larkins K, Mohan H, Costello A, Pendlebury A, McNally O, McBain R. (2025). Determining the metrics of competence in robotic hysterectomy: a systematic review. Journal of Robotic Surgery. https://doi.org/10.1007/s11701-025-02471-6

q3 · i? · review · r2

The review's own PRISMA-guided search of OVID MEDLINE and EMBASE in May 2023 identified six eligible studies, reporting that "The initial search yielded 531 articles, of which 3 were included."

"The initial search yielded 531 articles, of which 3 were included. Three additional articles were identified through citation and website searching, resulting in a total of six articles being included in this review."

Arcamo K 2025 (2)¶

Arcamo K, Murugappan S, Larkins K, Mohan H, Costello A, Pendlebury A, McNally O, McBain R. (2025). Determining the metrics of competence in robotic hysterectomy: a systematic review. Journal of Robotic Surgery. https://doi.org/10.1007/s11701-025-02471-6

q3 · i? · review · r2

The review's synthesis concludes that "the lack of standardized and validated metrics specific to robotic hysterectomy" persists, and that established tools cannot reliably differentiate skill level.

"This review highlights the lack of standardized and validated metrics specific to robotic hysterectomy, as well as the inability of established assessment tools to differentiate between robotic surgical skill level."

Discussion¶

Related Claims¶

• Only two of the included studies demonstrated predictive validity of their metrics for live robotic hysterectomy performance. — related
• The Robotic Hysterectomy Assessment Score (RHAS) is the only robotic hysterectomy-specific clinical skills assessment identified in the literature. — related
• Expert consensus-based methodologies, such as a modified Delphi process, were commonly used to develop robotic hysterectomy performance metrics. — related
• Included studies demonstrated mixed evidence of construct validity, with some metrics distinguishing skill levels but others failing to do so. — related
• Virtual reality simulator performance has limited correlation with intraoperative robotic hysterectomy performance. — related
• A systematic review of robotic surgery training identified 209 studies that included an assessment tool, out of 1591 records screened — related
• A systematic review of minimally invasive gynecological surgery identified 37 objective assessment tools across 72 included studies — related