Daniel P. Bitner's research while affiliated with Lenox Hill Hospital and other places
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Publications (11)
Background
Surgical video recording provides the opportunity to acquire intraoperative data that can subsequently be used for a variety of quality improvement, research, and educational applications. Various recording devices are available for standard operating room camera systems. Some allow for collateral data acquisition including activities of...
Background: Prior studies on technical skills use small collections of videos for assessment. However, there is likely heterogeneity of performance among surgeons and likely improvement after training. If technical skill explains these differences, then it should vary among practicing surgeons and improve over time. Materials and Methods: Sleeve ga...
Background:
The Global Evaluative Assessment of Robotic Skills (GEARS) rubric provides a measure of skill in robotic surgery. We hypothesize surgery performed by more experienced operators will be associated with higher GEARS scores.
Method:
Patients undergoing sleeve gastrectomy from 2016 to 2020 were analyzed. Three groups were defined by time...
Introduction
The relationship between intraoperative surgical performance scores and patient outcomes has not been demonstrated at a single-case level. The GEARS score is a Likert-based scale that quantifies robotic surgical proficiency in 5 domains. Given that even highly skilled surgeons can have variability in their skill among their cases, we h...
Background
Evaluation of robotic surgical skill has become increasingly important as robotic approaches to common surgeries become more widely utilized. However, evaluation of these currently lacks standardization. In this paper, we aimed to review the literature on robotic surgical skill evaluation.
Methods
A review of literature on robotic surgi...
Introduction
Gender bias has been identified consistently in written performance evaluations. Qualitative tools may provide a standardized way to evaluate surgical skill and minimize gender bias. We hypothesized that there is no difference in operative time or GEARS scores in robotic hysterectomy for men vs women surgeons.
Methods
Patients undergo...
Purpose: To examine how a multidisciplinary team approach incorporating renal mass biopsy (RMB) into decision making changes the management strategy.
Methods: A multidisciplinary team comprised of a radiology proceduralist, a pathologist and urologists convened monthly for renal mass conference with a structured presentation of patient demographics...
Objective
To assess the relationship between robotic surgical simulation performance and the real-life surgical skill of attending surgeons. We hypothesized that simulation performance would not correlate with real-life robotic surgical skill in attending surgeons.
Design
In 2013, Birkmeyer et al. demonstrated an association between laparoscopic s...
Tumor-to-tumor metastasis (TTM) is a rare phenomenon where a focus of distinct metastatic disease is discovered with a second primary tumor. While renal cell carcinoma is the most frequent recipient of metastatic tumor cells, oncocytomas have also previously been described. We present the case of a patient with incidentally detected mammary adenoca...
Citations
... Whilst the use of robotic surgery is increasing in clinical practice, training in robotic surgery and robotic skill assessments continue to require fundamental standardisation [20,21]. For efficiency purposes, standardised robotic skill assessments should be readily available, operation-specific, objective and reproducible [20]. ...
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... Patients younger than 18 years old were also excluded. GEARS scores were assigned through crowd-sourced evaluators by a third party; the methodology has been previously described by this group [10,11]. Patient identifying information is captured and encrypted with a one-way hashing algorithm. ...
... After the suspicion of AML in imaging, a definitive diagnosis must be made by histopathology, highlighting the importance of the pathologist and the utility of preoperative diagnostic percutaneous biopsy in inconclusive or complex cases (14,19,22). Percutaneous biopsy histology is concordant with final pathology in 93% of the cases with a series reporting a complication rate of only 1.5% (23). ...
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... The fact that only the number of laparoscopic cases of the participants was examined in our study and the comparison between the experienced and inexperienced two groups in these studies is more substantial than our study. On the other hand, unlike ours, in the study of Mills et al. on expert robotic surgeons, no significant difference was found between the duration of experience and the success of the simulator [22]. Since the experience difference between the participants was not much, we believe that meaningful results could not be obtained in the simulator application performed on expert robotic surgeons. ...
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... Frequently reported recipient tumors include renal cell carcinoma, meningioma, and sarcoma [9,10], with renal neoplasms being the most common tumor metastasis recipient. To date, a variety of renal neoplasms have been reported to be involved in TTM as the recipient neoplasm, including renal oncocytoma [11,12] as well as chromophobe RCC [13,14], but ccRCC has been the most frequently reported recipient renal neoplasm. We report a case of metastatic invasive lobular carcinoma involving ccRCC. ...
