{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T12:05:12Z","timestamp":1780920312182,"version":"3.54.1"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess whether hybrid cone\u2010beam computed tomography (CBCT)\u2010percutaneous nephrolithotomy (PCNL) reduces overall staff demands compared to standard PCNL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>We performed a retrospective study of a randomised controlled trial conducted in a tertiary Dutch urolithiasis centre. A total of 160 patients were randomised 1:1 to CBCT\u2010PCNL or standard PCNL. Staff time was estimated from preoperative assessment through 18\u2009months of follow\u2010up, including both elective and unplanned care delivered by nurses, urologists, anaesthesiologists, intensivists, radiologists, and technical staff. Time estimates were derived from literature, standard times, and bottom\u2010up and top\u2010down calculations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Hybrid CBCT\u2010PCNL required 36.3 staff hours per patient vs 43.1\u2009h for standard PCNL (19% reduction), largely driven by a 47% decrease in unplanned care due to fewer complications and stone\u2010related events. Most care was attributable to nurses (61% in the CBCT\u2010PCNL group; 63% in the standard PCNL group), with time concentrated in hospital days (43%; 42%) and surgery (46%; 38%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hybrid CBCT\u2010PCNL can improve clinical efficiency and reduce labour demand, freeing staff for other care needs. These findings highlight how innovative urological technologies can enhance care efficiency, which is especially important amid growing workforce pressures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70265","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T16:24:18Z","timestamp":1774974258000},"page":"116-124","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of staff workload between percutaneous nephrolithotomy with and without intraoperative cone\u2010beam\n                    <scp>CT<\/scp>\n                    : an 18\u2010month postoperative analysis"],"prefix":"10.1111","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0715-2376","authenticated-orcid":false,"given":"Chris A.","family":"Suijker","sequence":"first","affiliation":[{"name":"Department of Urology University Medical Center Groningen, University of Groningen  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosanne","family":"van Ee","sequence":"additional","affiliation":[{"name":"Department of Urology University Medical Center Groningen, University of Groningen  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoinette D. 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