{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T20:25:44Z","timestamp":1787343944709,"version":"build-2736575974"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urol Nephrol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Single-port (SP) robotic-assisted kidney transplantation (SP-RAKT) is an emerging minimally invasive approach whose perioperative safety profile and early graft outcomes remain poorly characterized. We performed a systematic review to summarize available evidence on SP-RAKT using the da Vinci SP platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A protocol-registered systematic review (PROSPERO: CRD420251086071) was conducted per PRISMA guidelines. PubMed and Embase were searched through June 28, 2025. Adult studies reporting perioperative, postoperative, or graft outcomes following SP-RAKT were included. Quantitative synthesis was restricted to allotransplantation studies, with preclinical and autotransplantation studies described narratively; weighted means were calculated for continuous outcomes and proportions for categorical outcomes. Study quality was assessed using Joanna Briggs Institute (JBI) and MINORS criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventeen studies (272 procedures, 2019\u20132025) met inclusion criteria, of which only one was a full-text peer-reviewed clinical study; the remainder comprised conference abstracts, video reports, a preprint, and two preclinical studies. Quantitative synthesis of the 253 allotransplantation procedures showed a mean recipient age of 51.39\u00a0years and BMI of 31.70\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ; 66% received living donor grafts. Mean operative time was 287.45\u00a0min, estimated blood loss 60.87\u00a0mL, and vascular anastomosis time 53.33\u00a0min. Mean hospital stay was 2.38\u00a0days. No conversion to open surgery was reported. Delayed graft function occurred in 6% of patients, overall complication rate was 10%, and 90-day readmission rate was 24%. Mean serum creatinine improved from 2.37\u00a0mg\/dL at discharge to 1.48\u00a0mg\/dL at last follow-up. No graft losses were reported at 6 or 12\u00a0months in cohorts with available data. Mean postoperative pain score was 3.93 and opioid consumption 61.20 morphine milligram equivalents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Early institutional experience suggests SP-RAKT is technically feasible in carefully selected patients at experienced centers, with minimal blood loss, short hospitalization, and early graft function consistent with established benchmarks. Operative times reflect an expected learning curve and improve with experience. The evidence base is derived primarily from small, single-center, predominantly non-peer-reviewed series with heterogeneous outcome reporting; these findings support feasibility but not comparative safety or superiority over open or multi-port approaches. Prospective, multicenter trials with standardized endpoints are needed to define the definitive role of SP-RAKT in transplant surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11255-026-05349-0","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T19:46:14Z","timestamp":1787341574000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Single-port robotic-assisted kidney transplantation: early benchmarks from a systematic review"],"prefix":"10.1007","author":[{"given":"Pierangelo","family":"Nitzkowski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Ouyang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thriaksh","family":"Rajan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hachem","family":"Ziadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Eltemamy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nima","family":"Nassiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramy","family":"Abou Ghayda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"issue":"1","key":"5349_CR1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.2165\/00003495-200868001-00002","volume":"68","author":"G Knoll","year":"2008","unstructured":"Knoll G (2008) Trends in kidney transplantation over the past decade. Drugs 68(1):3\u201310. https:\/\/doi.org\/10.2165\/00003495-200868001-00002","journal-title":"Drugs"},{"key":"5349_CR2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2022.106264","volume":"99","author":"JS Slagter","year":"2022","unstructured":"Slagter JS, Outmani L, Tran KTCK, Ijzermans JNM, Minnee RC (2022) Robot-assisted kidney transplantation as a minimally invasive approach for kidney transplant recipients: a systematic review and meta-analyses. Int J Surg 99:106264. https:\/\/doi.org\/10.1016\/j.ijsu.2022.106264","journal-title":"Int J Surg"},{"key":"5349_CR3","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14103307","author":"K Yamanaka","year":"2025","unstructured":"Yamanaka K, Kakuta Y, Nakazawa S, Kobayashi K, Nonomura N, Kageyama S (2025) Surgical and infectious complications following kidney transplantation: a contemporary review. J Clin Med. https:\/\/doi.org\/10.3390\/jcm14103307","journal-title":"J Clin Med"},{"issue":"4","key":"5349_CR4","doi-asserted-by":"publisher","DOI":"10.1016\/j.tpr.2023.100148","volume":"8","author":"I Kanella","year":"2023","unstructured":"Kanella I, Kengadaran K, Papalois V (2023) Management of incisional hernias in renal transplant patients. Transplant Rep 8(4):100148. https:\/\/doi.org\/10.1016\/j.tpr.2023.100148","journal-title":"Transplant Rep"},{"issue":"12","key":"5349_CR5","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14506","volume":"35","author":"R Gioco","year":"2021","unstructured":"Gioco R, Sanfilippo C, Veroux P et al (2021) Abdominal wall complications after kidney transplantation: a clinical review. Clin Transplant 35(12):e14506. https:\/\/doi.org\/10.1111\/ctr.14506","journal-title":"Clin Transplant"},{"key":"5349_CR6","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1016\/j.urology.2025.07.009","volume":"206","author":"TT Nguyen","year":"2025","unstructured":"Nguyen TT, El-Achkar A, Tiong HY et al (2025) Robotic-assisted vs open kidney transplantation: a systematic review and meta-analysis of propensity-matched studies. Urology 206:216\u2013226. https:\/\/doi.org\/10.1016\/j.urology.2025.07.009","journal-title":"Urology"},{"issue":"1","key":"5349_CR7","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.lers.2020.12.003","volume":"4","author":"T Fonseka","year":"2021","unstructured":"Fonseka T (2021) Evolution of techniques in robotic kidney transplantation with perspectives on future developments. Laparosc Endosc Robot Surg 4(1):3\u20138. https:\/\/doi.org\/10.1016\/j.lers.2020.12.003","journal-title":"Laparosc Endosc Robot Surg"},{"issue":"4","key":"5349_CR8","doi-asserted-by":"publisher","first-page":"1604","DOI":"10.1016\/S0022-5347(05)65162-2","volume":"167","author":"A Hoznek","year":"2002","unstructured":"Hoznek A, Zaki SK, Samadi DB et al (2002) Robotic assisted kidney transplantation: an initial experience. J Urol 167(4):1604\u20131606","journal-title":"J Urol"},{"issue":"4","key":"5349_CR9","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1093\/ckj\/sfab214","volume":"15","author":"HVM Spiers","year":"2022","unstructured":"Spiers HVM, Sharma V, Woywodt A, Sivaprakasam R, Augustine T (2022) Robot-assisted kidney transplantation: an update. Clin Kidney J 15(4):635\u2013643. https:\/\/doi.org\/10.1093\/ckj\/sfab214","journal-title":"Clin Kidney J"},{"key":"5349_CR10","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-2244-x","author":"I Tzvetanov","year":"2013","unstructured":"Tzvetanov I, Bejarano-Pineda L, Giulianotti PC et al (2013) State of the art of robotic surgery in organ transplantation. World J Surg. https:\/\/doi.org\/10.1007\/s00268-013-2244-x","journal-title":"World J Surg"},{"issue":"2","key":"5349_CR11","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1097\/TP.0000000000000590","volume":"99","author":"A Sood","year":"2015","unstructured":"Sood A, Ghosh P, Jeong W et al (2015) Minimally invasive kidney transplantation: perioperative considerations and key 6-month outcomes. Transplantation 99(2):316. https:\/\/doi.org\/10.1097\/TP.0000000000000590","journal-title":"Transplantation"},{"issue":"4","key":"5349_CR12","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1016\/j.eururo.2024.12.005","volume":"87","author":"A Territo","year":"2025","unstructured":"Territo A, Afferi L, Musquera M et al (2025) Robot-assisted kidney transplantation: the 8-year European experience. Eur Urol 87(4):468\u2013475. https:\/\/doi.org\/10.1016\/j.eururo.2024.12.005","journal-title":"Eur Urol"},{"issue":"1","key":"5349_CR13","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1097\/CU9.0000000000000313","volume":"20","author":"J Cui","year":"2026","unstructured":"Cui J, Tan S, Song Y, Sun X (2026) Robotic-assisted kidney transplantation: technical evolution and applications in complex scenarios. Curr Urol 20(1):37. https:\/\/doi.org\/10.1097\/CU9.0000000000000313","journal-title":"Curr Urol"},{"issue":"10","key":"5349_CR14","doi-asserted-by":"publisher","first-page":"1650","DOI":"10.1097\/TP.0000000000002328","volume":"102","author":"AM Hameed","year":"2018","unstructured":"Hameed AM, Yao J, Allen RDM, Hawthorne WJ, Pleass HC, Lau H (2018) The evolution of kidney transplantation surgery into the robotic era and its prospects for obese recipients. Transplantation 102(10):1650. https:\/\/doi.org\/10.1097\/TP.0000000000002328","journal-title":"Transplantation"},{"issue":"3","key":"5349_CR15","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1016\/j.eururo.2021.03.002","volume":"80","author":"J Kaouk","year":"2021","unstructured":"Kaouk J, Eltemamy M, Aminsharifi A et al (2021) Initial experience with single-port robotic-assisted kidney transplantation and autotransplantation. Eur Urol 80(3):366\u2013373. https:\/\/doi.org\/10.1016\/j.eururo.2021.03.002","journal-title":"Eur Urol"},{"key":"5349_CR16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","author":"MJ Page","year":"2020","unstructured":"Page MJ, McKenzie JE, Bossuyt PM et al (2020) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. https:\/\/doi.org\/10.1136\/bmj.n71","journal-title":"BMJ"},{"issue":"9","key":"5349_CR17","doi-asserted-by":"publisher","first-page":"712","DOI":"10.1046\/j.1445-2197.2003.02748.x","volume":"73","author":"K Slim","year":"2003","unstructured":"Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J (2003) Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. ANZ J Surg 73(9):712\u2013716. https:\/\/doi.org\/10.1046\/j.1445-2197.2003.02748.x","journal-title":"ANZ J Surg"},{"issue":"3","key":"5349_CR18","doi-asserted-by":"publisher","first-page":"467","DOI":"10.11124\/JBIES-22-00224","volume":"21","author":"Z Munn","year":"2023","unstructured":"Munn Z, Stone JC, Aromataris E et al (2023) Assessing the risk of bias of quantitative analytical studies: introducing the vision for critical appraisal within JBI systematic reviews. JBI Evid Synth 21(3):467. https:\/\/doi.org\/10.11124\/JBIES-22-00224","journal-title":"JBI Evid Synth"},{"key":"5349_CR19","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.urology.2023.02.030","volume":"176","author":"J Kaouk","year":"2023","unstructured":"Kaouk J, Chavali JS, Ferguson E et al (2023) Single port robotic kidney autotransplantation: initial case series and description of technique. Urology 176:87\u201393. https:\/\/doi.org\/10.1016\/j.urology.2023.02.030","journal-title":"Urology"},{"key":"5349_CR20","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1590\/S1677-5538.IBJU.2019.191","volume":"46","author":"J Garisto","year":"2020","unstructured":"Garisto J, Eltemamy M, Bertolo R, Miller E, Wee A, Kaouk J (2020) Single port robot-assisted transperitoneal kidney transplant using the SP\u00ae surgical system in a pre-clinical model. Int Braz J Urol 46:680\u2013681. https:\/\/doi.org\/10.1590\/S1677-5538.IBJU.2019.191","journal-title":"Int Braz J Urol"},{"key":"5349_CR21","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1016\/j.urology.2019.09.007","volume":"134","author":"M Eltemamy","year":"2019","unstructured":"Eltemamy M, Garisto J, Miller E, Wee A, Kaouk J (2019) Single port robotic extra-peritoneal dual kidney transplantation: initial preclinical experience and description of the technique. Urology 134:232\u2013236. https:\/\/doi.org\/10.1016\/j.urology.2019.09.007","journal-title":"Urology"},{"issue":"S3","key":"5349_CR22","doi-asserted-by":"publisher","first-page":"S416","DOI":"10.1097\/01.tp.0000700724.62445.e1","volume":"104","author":"E Miller","year":"2020","unstructured":"Miller E, Wilson C, Sawczyn G et al (2020) Single port robot-assisted kidney transplantation. Transplantation 104(S3):S416. https:\/\/doi.org\/10.1097\/01.tp.0000700724.62445.e1","journal-title":"Transplantation"},{"key":"5349_CR23","doi-asserted-by":"publisher","DOI":"10.1097\/01.JU.0001010048.21113.99.11","author":"NA Soputro","year":"2024","unstructured":"Soputro NA, Mikesell C, Ramos-Carpinteyro R et al (2024) V06\u201311 contralateral single-port robotic kidney autotransplantation in a patient with ipsilateral nutcracker and May-Thurner synDROME. J Urol. https:\/\/doi.org\/10.1097\/01.JU.0001010048.21113.99.11","journal-title":"J Urol"},{"key":"5349_CR24","doi-asserted-by":"publisher","DOI":"10.1097\/01.JU.0001010048.21113.99.10","author":"YC Lin","year":"2024","unstructured":"Lin YC, Soputro NA, Refaai K et al (2024) V06\u201310 Simultaneous single-port robotic donor nephrectomy and kidney transplantation. J Urol. https:\/\/doi.org\/10.1097\/01.JU.0001010048.21113.99.10","journal-title":"J Urol"},{"key":"5349_CR25","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002579.02","author":"A Kaviani","year":"2022","unstructured":"Kaviani A, Kaouk J, Zeinab MA et al (2022) V05\u201302 Single port robot-assisted extraperitoneal kidney transplantation: tips and tricks. J Urol. https:\/\/doi.org\/10.1097\/JU.0000000000002579.02","journal-title":"J Urol"},{"key":"5349_CR26","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003241.01","author":"JS Chavali","year":"2023","unstructured":"Chavali JS, Kaouk J, Ferguson E et al (2023) V03\u201301 Single-port kidney auto-transplantation (SP-KAT) with Boari flap ureteral reimplant: description of our novel approaCH. J Urol. https:\/\/doi.org\/10.1097\/JU.0000000000003241.01","journal-title":"J Urol"},{"key":"5349_CR27","doi-asserted-by":"publisher","DOI":"10.1097\/01.JU.0001110028.22652.53.25","author":"JSS Chavali","year":"2025","unstructured":"Chavali JSS, Kaouk J, Soputro N, Mikesell CD, Pedraza AM, Eltemamy M (2025) IP17\u201325 Single-port extraperitoneal robotic kidney transplantation: early learning curve and functional outcomes. J Urol. https:\/\/doi.org\/10.1097\/01.JU.0001110028.22652.53.25","journal-title":"J Urol"},{"key":"5349_CR28","doi-asserted-by":"publisher","DOI":"10.2139\/ssrn.5381639","author":"S Agrawal-Patel","year":"2025","unstructured":"Agrawal-Patel S, Mortach S, Pei E et al (2025) Feasibility and perioperative outcomes of the initial extraperitoneal single-port robotic assisted kidney transplant case series. Soc Sci Res Netw. https:\/\/doi.org\/10.2139\/ssrn.5381639","journal-title":"Soc Sci Res Netw"},{"key":"5349_CR29","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002041.08","author":"M Eltemamy","year":"2021","unstructured":"Eltemamy M, Lin YC, Aminsharifi A et al (2021) Single-port robotic extraperitoneal kidney transplantation\u2013initial experience. J Urol. https:\/\/doi.org\/10.1097\/JU.0000000000002041.08","journal-title":"J Urol"},{"issue":"8","key":"5349_CR30","doi-asserted-by":"publisher","first-page":"S51","DOI":"10.1016\/j.ajt.2025.07.093","volume":"25","author":"H Siddiqui","year":"2025","unstructured":"Siddiqui H, Scovell J, Gross M et al (2025) Comparative outcomes of single-port vs. multi-port robotic kidney transplantation for living and deceased donor. Am J Transplant 25(8):S51\u2013S52. https:\/\/doi.org\/10.1016\/j.ajt.2025.07.093","journal-title":"Am J Transplant"},{"issue":"5S","key":"5349_CR31","doi-asserted-by":"publisher","DOI":"10.1097\/01.JU.0001008592.06852.43.12","volume":"211","author":"HU Siddiqui","year":"2024","unstructured":"Siddiqui HU, Scovell JM, Refaai K et al (2024) PD06-12 Single port robotic renal transplantation\u2013early functional results and learning curve. J Urol 211(5S):e165. https:\/\/doi.org\/10.1097\/01.JU.0001008592.06852.43.12","journal-title":"J Urol"},{"key":"5349_CR32","unstructured":"Michael P, Chavali J, Ramos R, et al. Single-port robot-assisted kidney transplantation: learning curve from a single institution experience. Am J Transplant. 2023;23(6). Accessed April 8, 2026. https:\/\/atc.digitellinc.com\/p\/s\/single-port-robot-assisted-kidney-transplantation-learning-curve-from-a-single-institution-experience-33867"},{"issue":"5","key":"5349_CR33","first-page":"S501","volume":"237","author":"S Agrawal","year":"2023","unstructured":"Agrawal S, Mortach S, Pei E et al (2023) Comparisons in single-port robotic kidney transplantation and open kidney transplantation in deceased and living donors. J Am Coll Surg 237(5):S501\u2013S502","journal-title":"J Am Coll Surg"},{"issue":"9S","key":"5349_CR34","doi-asserted-by":"publisher","first-page":"S563","DOI":"10.1097\/01.tp.0000888540.44777.7d","volume":"106","author":"AC Wee","year":"2022","unstructured":"Wee AC, Eltemamy M, Kaviani A et al (2022) P8.034: Single port robotic versus open kidney transplantation: a comparison of outcomes. Transplantation 106(9S):S563. https:\/\/doi.org\/10.1097\/01.tp.0000888540.44777.7d","journal-title":"Transplantation"},{"issue":"8","key":"5349_CR35","doi-asserted-by":"publisher","first-page":"S663","DOI":"10.1016\/j.ajt.2025.07.1550","volume":"25","author":"H Siddiqui","year":"2025","unstructured":"Siddiqui H, Isaacson D, Esa A et al (2025) Comparative outcomes of single-port robotic versus open surgical approaches in living donor kidney transplantation. Am J Transplant 25(8):S663. https:\/\/doi.org\/10.1016\/j.ajt.2025.07.1550","journal-title":"Am J Transplant"},{"issue":"2","key":"5349_CR36","doi-asserted-by":"publisher","first-page":"89805","DOI":"10.21037\/tau.2019.11.05","volume":"9","author":"A Lai","year":"2020","unstructured":"Lai A, Dobbs RW, Talamini S et al (2020) Single port robotic radical prostatectomy: a systematic review. Transl Androl Urol 9(2):89805\u201389905. https:\/\/doi.org\/10.21037\/tau.2019.11.05","journal-title":"Transl Androl Urol"},{"issue":"2","key":"5349_CR37","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.amsu.2015.03.003","volume":"4","author":"G Luglio","year":"2015","unstructured":"Luglio G, De Palma GD, Tarquini R et al (2015) Laparoscopic colorectal surgery in learning curve: role of implementation of a standardized technique and recovery protocol. A cohort study. Ann Med Surg (Lond) 4(2):89\u201394. https:\/\/doi.org\/10.1016\/j.amsu.2015.03.003","journal-title":"Ann Med Surg (Lond)"},{"issue":"1","key":"5349_CR38","doi-asserted-by":"publisher","first-page":"44","DOI":"10.3393\/ac.2022.00745.0106","volume":"40","author":"MS Choi","year":"2024","unstructured":"Choi MS, Yun SH, Lee SC et al (2024) Learning curve for single-port robot-assisted colectomy. Ann Coloproctol 40(1):44\u201351. https:\/\/doi.org\/10.3393\/ac.2022.00745.0106","journal-title":"Ann Coloproctol"},{"issue":"8","key":"5349_CR39","doi-asserted-by":"publisher","first-page":"1887","DOI":"10.1097\/TP.0000000000001774","volume":"101","author":"A Tong","year":"2017","unstructured":"Tong A, Gill J, Budde K et al (2017) Toward establishing core outcome domains for trials in kidney transplantation: report of the standardized outcomes in nephrology\u2014kidney transplantation consensus workshops. Transplantation 101(8):1887\u20131896. https:\/\/doi.org\/10.1097\/TP.0000000000001774","journal-title":"Transplantation"},{"issue":"2","key":"5349_CR40","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1097\/SLA.0000000000004975","volume":"277","author":"KNL Avery","year":"2023","unstructured":"Avery KNL, Wilson N, Macefield R et al (2023) A core outcome set for seamless, standardized evaluation of innovative surgical procedures and devices (COHESIVE): a patient and professional stakeholder consensus study. Ann Surg 277(2):238\u2013245. https:\/\/doi.org\/10.1097\/SLA.0000000000004975","journal-title":"Ann Surg"}],"container-title":["International Urology and Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11255-026-05349-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11255-026-05349-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11255-026-05349-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T19:46:16Z","timestamp":1787341576000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11255-026-05349-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,21]]},"references-count":40,"alternative-id":["5349"],"URL":"https:\/\/doi.org\/10.1007\/s11255-026-05349-0","relation":{},"ISSN":["1573-2584"],"issn-type":[{"value":"1573-2584","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,21]]},"assertion":[{"value":"15 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Nima Nassiri reports a financial relationship with Medawar Therapeutics, Inc. unrelated to the submitted work. All other authors declare no conflicts of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was waived, as the analysis does not contain human data.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":4,"name":"Ethics","label":"Animal studies","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was performed at Case Western Reserve University School of Medicine, Cleveland, OH, 44106.","order":5,"name":"Ethics","label":"Study location","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"PROSPERO (CRD420251086071).","order":6,"name":"Ethics","label":"Registry and the registration no. of the study\/trial","group":{"name":"EthicsHeading","label":"Declarations"}}]}}