{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T22:13:24Z","timestamp":1767996804661,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T00:00:00Z","timestamp":1758067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To develop an internationally validated, structured robot\u2010assisted radical nephroureterectomy (RARNU) training programme through expert consensus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A RARNU\u2010specific questionnaire was developed\/adapted from previously published, validated questionnaires for robot\u2010assisted urological procedures. This included five key domains and 11 surgical steps. In all, 30 upper tract urothelial carcinoma experts were invited to participate. A two\u2010stage modified Delphi approach was employed. Consensus was defined as \u226580% agreement. Modifications and additional statements were proposed during the second round following qualitative\/quantitative feedback from the initial round.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Response rates for the first and second Delphi rounds were 80% (24\/30) and 92% (22\/24), respectively. All agreed that adoption of a standardised training curriculum can improve clinical outcomes during the RARNU learning curve. There was \u226592% agreement on all proposed RARNU steps. Five RARNU clinical modules of increasing complexity were defined using individual step difficulty and number of prior RARNU cases required, with \u226596% agreement among respondents. Respondents unanimously agreed that the final assessment should be based on a procedure\u2010specific scale focusing on the hilar dissection, ureteric dissection, and bladder cuff excision steps. No consensus was reached for the annual minimum RARNU volume required for eligibility as a RARNU curriculum host centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first structured training curriculum for RARNU using international expert consensus. This will help guide surgical educators and trainees toward independent completion of a full RARNU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70000","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T12:32:31Z","timestamp":1758112351000},"page":"1114-1120","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A structured training curriculum for robot\u2010assisted radical nephroureterectomy: a Delphi consensus study"],"prefix":"10.1111","volume":"136","author":[{"given":"Farshad Sheybaee","family":"Moghaddam","sequence":"first","affiliation":[{"name":"Institute of Urology, Norris Comprehensive Cancer Center University of Southern California  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alireza","family":"Ghoreifi","sequence":"additional","affiliation":[{"name":"Institute of Urology, Norris Comprehensive Cancer Center University of Southern California  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2133-569X","authenticated-orcid":false,"given":"Rashid K.","family":"Sayyid","sequence":"additional","affiliation":[{"name":"Institute of Urology, Norris Comprehensive Cancer Center University of Southern California  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6487-5207","authenticated-orcid":false,"given":"Zhenjie","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Urology, Changhai Hospital Naval Medical University  Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1298-8231","authenticated-orcid":false,"given":"Firas","family":"Abdollah","sequence":"additional","affiliation":[{"name":"Vattikuti Urology Institute Henry Ford Hospital  Detroit MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7455-8803","authenticated-orcid":false,"given":"Alessandro","family":"Antonelli","sequence":"additional","affiliation":[{"name":"Department of Urology University of Verona  Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel D.","family":"Eun","sequence":"additional","affiliation":[{"name":"Department of Urology, Lewis Katz School of Medicine Temple University  Philadelphia PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shengjie","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Urology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine Sun Yat\u2010sen University Cancer Center  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Hung","sequence":"additional","affiliation":[{"name":"Department of Urology Cedars\u2010Sinai Medical Center  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2928-4866","authenticated-orcid":false,"given":"Lulin","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Urology Peking University Third Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5837-4561","authenticated-orcid":false,"given":"Vitaly","family":"Margulis","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas Southwestern Medical Center  Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1638-1445","authenticated-orcid":false,"given":"Surena F.","family":"Matin","sequence":"additional","affiliation":[{"name":"Department of Urology University of Texas MD Anderson Cancer Center  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Mehrazin","sequence":"additional","affiliation":[{"name":"Department of Urology Icahn School of Medicine at Mount Sinai  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Porter","sequence":"additional","affiliation":[{"name":"Swedish Medical Group  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron","family":"Potretzke","sequence":"additional","affiliation":[{"name":"Department of Urology Mayo Clinic  Rochester MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Pradere","sequence":"additional","affiliation":[{"name":"Department of Urology La Croix du Sud Hospital  Quint Fonsegrives France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgan","family":"Roupret","sequence":"additional","affiliation":[{"name":"GRC 5 Predictive Onco\u2010Uro, Department of Urology, AP\u2010HP, Pitie\u2010Salpetriere Hospital Sorbonne University  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Seisen","sequence":"additional","affiliation":[{"name":"Urology, GRC 5 Predictive Onco\u2010Uro, AP\u2010HP, Pitie\u2010Salpetriere Hospital Sorbonne University  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahrokh F.","family":"Shariat","sequence":"additional","affiliation":[{"name":"Department of Urology, Comprehensive Cancer Center Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4868-9025","authenticated-orcid":false,"given":"Giuseppe","family":"Simone","sequence":"additional","affiliation":[{"name":"Department of Urology IRCCS \u201cRegina Elena\u201d National Cancer Institute  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Stein","sequence":"additional","affiliation":[{"name":"Glickman Urological &amp; Kidney Institute Cleveland Clinic  Cleveland OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4583-2428","authenticated-orcid":false,"given":"Long","family":"Wang","sequence":"additional","affiliation":[{"name":"The Third Xiangya Hospital Central South University  Changsha China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitao","family":"Wu","sequence":"additional","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University  Yantai Shandong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evanguelos","family":"Xylinas","sequence":"additional","affiliation":[{"name":"Bichat Claude Bernard Hospital, Public Assistance of Paris Hospitals  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Yao","sequence":"additional","affiliation":[{"name":"Peking University First Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Homayoun","family":"Zargar","sequence":"additional","affiliation":[{"name":"Department of Urology Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7045-7725","authenticated-orcid":false,"given":"Riccardo","family":"Autorino","sequence":"additional","affiliation":[{"name":"Department of Urology Rush University  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni E.","family":"Cacciamani","sequence":"additional","affiliation":[{"name":"Institute of Urology, Norris Comprehensive Cancer Center University of Southern California  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1984-3556","authenticated-orcid":false,"given":"Hooman","family":"Djaladat","sequence":"additional","affiliation":[{"name":"Institute of Urology, Norris Comprehensive Cancer Center University of Southern California  Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2010.81"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.11.005"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31822c5b9a"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09643-7"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13706"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.10.048"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.10.025"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2020.12.015"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.02.031"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000003480"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0496"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2013.06.015"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14640"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2019.02.008"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003220"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-07243-6"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/13611260500069947"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.16537"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.70000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T16:18:01Z","timestamp":1767975481000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.70000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,17]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/bju.70000"],"URL":"https:\/\/doi.org\/10.1111\/bju.70000","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,17]]},"assertion":[{"value":"2025-09-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}