{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T12:35:53Z","timestamp":1784637353202,"version":"3.55.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To investigate validity evidence for a simulator-based test in robot-assisted radical prostatectomy (RARP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      The test consisted of three modules on the RobotiX Mentor VR-simulator:\n                      <jats:italic toggle=\"yes\">Bladder Neck Dissection, Neurovascular Bundle Dissection,<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">Ureterovesical Anastomosis<\/jats:italic>\n                      . Validity evidence was investigated by using Messick's framework by including doctors with different RARP experience: novices (who had assisted for RARP), intermediates (robotic surgeons, but not RARP surgeons), or experienced (RARP surgeons). The simulator metrics were analyzed, and Cronbach's alpha and generalizability theory were used to explore reliability. Intergroup comparisons were done with mixed-model, repeated measurement analysis of variance and the correlation between the number of robotic procedures and the mean test score were examined. A pass\/fail score was established by using the contrasting groups' method.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Ten novices, 11 intermediates, and 6 experienced RARP surgeons were included. Six metrics could discriminate between groups and showed acceptable internal consistency reliability, Cronbach's alpha\u2009=\u20090.49,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001. Test\u2013retest reliability was 0.75, 0.85, and 0.90 for one, two, and three repetitions of tests, respectively. Six metrics were combined into a simulator score that could discriminate between all three groups,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.002,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001, and\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.029 for novices\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      intermediates, novices\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      experienced, and intermediates\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      experienced, respectively. Total number of robotic operations and the mean score of the three repetitions were significantly correlated, Pearson's\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.74,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study provides validity evidence for a simulator-based test in RARP. We determined a pass\/fail level that can be used to ensure competency before proceeding to supervised clinical training.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2020.0986","type":"journal-article","created":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T01:03:56Z","timestamp":1612314236000},"page":"1265-1272","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Validation of a Novel Simulation-Based Test in Robot-Assisted Radical Prostatectomy"],"prefix":"10.1177","volume":"35","author":[{"given":"Rikke Groth","family":"Olsen","sequence":"first","affiliation":[{"name":"Copenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flemming","family":"Bjerrum","sequence":"additional","affiliation":[{"name":"Copenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark."},{"name":"Department of Surgery, Herlev\/Gentofte Hospital, Herlev, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Konge","sequence":"additional","affiliation":[{"name":"Copenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark."},{"name":"Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Viberg","family":"Jepsen","sequence":"additional","affiliation":[{"name":"Copenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark."},{"name":"Department of Urology, Herlev\/Gentofte Hospital, Herlev, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nessn H.","family":"Azawi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Herlev\/Gentofte Hospital, Herlev, Denmark."},{"name":"Department of Urology, Zealand University Hospital, Roskilde, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Hjartbro","family":"Bube","sequence":"additional","affiliation":[{"name":"Copenhagen Academy for Medical Education and Simulation (CAMES), Copenhagen, Denmark."},{"name":"Department of Urology, Zealand University Hospital, Roskilde, Denmark."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,8,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.14740\/wjon1191"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14219"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1590\/s1677-5538.ibju.2016.0420"},{"key":"e_1_3_3_5_2","unstructured":"Danish Prostate Cancer Group DaProCa: Clinical guideline for radical prostatectomy in prostate cancer [In Danish]. 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