{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T15:21:58Z","timestamp":1793287318668,"version":"4.5.0"},"reference-count":37,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["ajog.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Obstetrics and Gynecology"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ajog.2026.08.010","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T14:54:44Z","timestamp":1786546484000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development and clinical validation of an objective assessment tool for robotic-assisted and laparoscopic hysterectomy"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4303-666X","authenticated-orcid":false,"given":"Freweini Martha","family":"Tesfai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Iacobelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhivya","family":"Chandrasekaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Lanceley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Isabel","family":"Acien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Preshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Bala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Pavone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicol\u00f2","family":"Bizzarri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Rosati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Mascagni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Padoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Arboit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hersha","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renato","family":"Seracchioli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ertan","family":"Saridogan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Mabrouk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Querleu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violante","family":"Di Donato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise","family":"Lecointre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind","family":"Vashisht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Raimondo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Capasso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Vargiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joao","family":"Casanova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Taliente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danail","family":"Stoyanov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Fagotti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8498-9175","authenticated-orcid":false,"given":"Nader","family":"Francis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajog.2026.08.010_bib1","doi-asserted-by":"crossref","first-page":"34.e1","DOI":"10.1016\/j.ajog.2007.05.039","article-title":"Inpatient hysterectomy surveillance in the United States, 2000\u20132004","volume":"198","author":"Whiteman","year":"2008","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.010_bib2","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.ajog.2015.02.019","article-title":"Global epidemiology of hysterectomy: possible impact on gynecological cancer rates","volume":"213","author":"Hammer","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.010_bib3","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1080\/00016340802596017","article-title":"Hysterectomy on benign indications in Sweden 1987-2003: a nationwide trend analysis","volume":"88","author":"Lundholm","year":"2009","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.ajog.2026.08.010_bib4","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.bpobgyn.2005.01.010","article-title":"Health economics of hysterectomy","volume":"19","author":"Garry","year":"2005","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"10.1016\/j.ajog.2026.08.010_bib5","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","volume":"8","author":"Pickett","year":"2023","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.ajog.2026.08.010_bib6","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1001\/jamasurg.2020.3787","article-title":"Assessment of surgical skill and performance variability-reply","volume":"155","author":"Curtis","year":"2020","journal-title":"JAMA Surg"},{"key":"10.1016\/j.ajog.2026.08.010_bib7","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1056\/NEJMsa1300625","article-title":"Surgical skill and complication rates after bariatric surgery","volume":"369","author":"Birkmeyer","year":"2013","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ajog.2026.08.010_bib8","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1001\/jamasurg.2023.6522","article-title":"A video-based procedure-specific competency assessment tool for minimally invasive esophagectomy","volume":"159","author":"Ketel","year":"2024","journal-title":"JAMA Surg"},{"key":"10.1016\/j.ajog.2026.08.010_bib9","first-page":"107","article-title":"Metric-based simulation training to proficiency in medical education:- what it is and how to do it","volume":"81","author":"Gallagher","year":"2012","journal-title":"Ulster Med J"},{"key":"10.1016\/j.ajog.2026.08.010_bib10","doi-asserted-by":"crossref","first-page":"392.e1","DOI":"10.1016\/j.ajog.2015.11.023","article-title":"Development and validation of a laparoscopic hysterectomy cuff closure simulation model for surgical training","volume":"214","author":"Tunitsky-Bitton","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.ajog.2026.08.010_bib11","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.jsurg.2016.01.001","article-title":"Assessment of surgical competence: development and validation of rating scales used for laparoscopic supracervical hysterectomy","volume":"73","author":"Goderstad","year":"2016","journal-title":"J Surg Educ"},{"key":"10.1016\/j.ajog.2026.08.010_bib12","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.ijgo.2015.09.011","article-title":"Validation of a structured intensive laparoscopic course for basic and advanced gynecologic skills training","volume":"133","author":"Enciso","year":"2016","journal-title":"Int J Gynaecol Obstet"},{"key":"10.1016\/j.ajog.2026.08.010_bib13","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1111\/aogs.14840","article-title":"Objective assessment tools in laparoscopic or robotic-assisted gynecological surgery: a systematic review","volume":"103","author":"Tesfai","year":"2024","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.ajog.2026.08.010_bib14","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.jmig.2016.10.004","article-title":"Surgical competency for robot-assisted hysterectomy: development and validation of a Robotic Hysterectomy Assessment Score (RHAS)","volume":"24","author":"Frederick","year":"2017","journal-title":"J Minim Invasive Gynecol"},{"key":"10.1016\/j.ajog.2026.08.010_bib15","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0190580","article-title":"Development of an objective assessment tool for total laparoscopic hysterectomy: a Delphi method among experts and evaluation on a virtual reality simulator","volume":"13","author":"Knight","year":"2018","journal-title":"PLoS One"},{"key":"10.1016\/j.ajog.2026.08.010_bib16","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.ejogrb.2019.04.011","article-title":"Objective assessment of total laparoscopic hysterectomy: development and validation of a feasible rating scale for formative and summative feedback","volume":"237","author":"Savran","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"10.1016\/j.ajog.2026.08.010_bib17","doi-asserted-by":"crossref","first-page":"4874","DOI":"10.1007\/s00464-019-07270-3","article-title":"Simulator training and residents' first laparoscopic hysterectomy: a randomized controlled trial","volume":"34","author":"Jokinen","year":"2020","journal-title":"Surg Endosc"},{"key":"10.1016\/j.ajog.2026.08.010_bib18","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1016\/S1701-2163(15)30416-3","article-title":"Assessment tool for total laparoscopic hysterectomy: a Delphi consensus survey among international experts","volume":"36","author":"Tremblay","year":"2014","journal-title":"J Obstet Gynaecol Can"},{"key":"10.1016\/j.ajog.2026.08.010_bib19","first-page":"83","article-title":"Development and validation of a curriculum for laparoscopic supracervical hysterectomy","volume":"12","author":"Goderstad","year":"2020","journal-title":"Facts Views Vis Obgyn"},{"key":"10.1016\/j.ajog.2026.08.010_bib21","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1097\/SLA.0b013e318275b72a","article-title":"National Training Programme in Laparoscopic Colorectal Surgery in England. Is competency assessment at the specialist level achievable? A study for the National Training Programme in Laparoscopic Colorectal Surgery in England","volume":"257","author":"Miskovic","year":"2013","journal-title":"Ann Surg"},{"key":"10.1016\/j.ajog.2026.08.010_bib22","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1002\/bjs.9828","article-title":"Clinical validity of consultant technical skills assessment in the English National Training Programme for Laparoscopic Colorectal Surgery","volume":"102","author":"Mackenzie","year":"2015","journal-title":"Br J Surg"},{"key":"10.1016\/j.ajog.2026.08.010_bib24","series-title":"TouchSurgery [Internet]","year":"2025"},{"key":"10.1016\/j.ajog.2026.08.010_bib25","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s10459-013-9458-4","article-title":"What counts as validity evidence? Examples and prevalence in a systematic review of simulation-based assessment","volume":"19","author":"Cook","year":"2014","journal-title":"Adv Health Sci Educ Theory Pract"},{"key":"10.1016\/j.ajog.2026.08.010_bib26","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1007\/s00464-019-07365-x","article-title":"Objective assessment of surgical operative performance by Observational Clinical Human Reliability Analysis (OCHRA): a systematic review","volume":"34","author":"Tang","year":"2020","journal-title":"Surg Endosc"},{"key":"10.1016\/j.ajog.2026.08.010_bib27","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jclinepi.2006.03.012","article-title":"Quality criteria were proposed for measurement properties of health status questionnaires","volume":"60","author":"Terwee","year":"2007","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.ajog.2026.08.010_bib28","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.6477","article-title":"Video-based assessment of surgical quality-will video kill the radio star?","volume":"7","author":"Reitz","year":"2024","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.ajog.2026.08.010_bib29","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1007\/s10151-016-1444-4","article-title":"Application of Objective Clinical Human Reliability Analysis (OCHRA) in assessment of technical performance in laparoscopic rectal cancer surgery","volume":"20","author":"Foster","year":"2016","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.ajog.2026.08.010_bib30","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1007\/s10151-017-1628-6","article-title":"Application of Objective Clinical Human Reliability Analysis (OCHRA) in assessment of technical performance in laparoscopic rectal cancer surgery: common mistakes and methodological issues","volume":"21","author":"Francis","year":"2017","journal-title":"Tech Coloproctol"},{"key":"10.1016\/j.ajog.2026.08.010_bib31","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s11701-024-02062-x","article-title":"Development and evaluation of a societal core robotic surgery accreditation curriculum for the UK","volume":"18","author":"Boal","year":"2024","journal-title":"J Robot Surg"},{"key":"10.1016\/j.ajog.2026.08.010_bib32","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1007\/s00464-023-10510-2","article-title":"The application of Objective Clinical Human Reliability Analysis (OCHRA) in the assessment of basic robotic surgical skills","volume":"38","author":"Gorard","year":"2024","journal-title":"Surg Endosc"},{"key":"10.1016\/j.ajog.2026.08.010_bib33","doi-asserted-by":"crossref","first-page":"3285","DOI":"10.1007\/s00464-020-07628-y","article-title":"SAGES Video-Based Assessment (VBA) program: a vision for life-long learning for surgeons","volume":"34","author":"Feldman","year":"2020","journal-title":"Surg Endosc"},{"key":"10.1016\/j.ajog.2026.08.010_bib34","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1038\/s41585-018-0138-2","article-title":"Video review for measuring and improving skill in urological surgery","volume":"16","author":"Prebay","year":"2019","journal-title":"Nat Rev Urol"},{"key":"10.1016\/j.ajog.2026.08.010_bib35","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1001\/jamasurg.2018.5246","article-title":"Comparison of systematic video documentation with narrative operative report in colorectal cancer surgery","volume":"154","author":"Van de Graaf","year":"2019","journal-title":"JAMA Surg"},{"key":"10.1016\/j.ajog.2026.08.010_bib36","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1007\/s00464-019-07265-0","article-title":"Video-based coaching in surgical education: a systematic review and meta-analysis","volume":"34","author":"Augestad","year":"2020","journal-title":"Surg Endosc"},{"key":"10.1016\/j.ajog.2026.08.010_bib37","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.jsurg.2016.09.002","article-title":"Video coaching as an efficient teaching method for surgical residents \u2013 a randomized controlled trial","volume":"74","author":"Soucisse","year":"2017","journal-title":"J Surg Educ"},{"key":"10.1016\/j.ajog.2026.08.010_bib38","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijgc.2024.100018","article-title":"Methods of surgical quality assurance in cervical and endometrial cancer trials: a systematic review and meta-analysis","volume":"35","author":"Tesfai","year":"2025","journal-title":"Int J Gynecol Cancer"},{"key":"10.1016\/j.ajog.2026.08.010_bib39","series-title":"Surgical Error Detection Dataset for \u2018SEDMamba: Enhancing Selective State Space Modelling with Bottleneck Mechanism and Fine-to-Coarse Temporal Fusion for Efficient Error Detection in Robot-Assisted Surgery\u2019","author":"Xu","year":"2024"}],"container-title":["American Journal of Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937826004138?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002937826004138?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:24:01Z","timestamp":1790022241000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002937826004138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":37,"alternative-id":["S0002937826004138"],"URL":"https:\/\/doi.org\/10.1016\/j.ajog.2026.08.010","relation":{},"ISSN":["0002-9378"],"issn-type":[{"value":"0002-9378","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Development and clinical validation of an objective assessment tool for robotic-assisted and laparoscopic hysterectomy","name":"articletitle","label":"Article Title"},{"value":"American Journal of Obstetrics and Gynecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajog.2026.08.010","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}