Indah Puspitasari, Sigit Mulyono, Dwi Nurviyandari Kusumawati
The Effect of Interactive Education with 3-Dimensional Puzzles on the Injury-Prevention Behaviours of School-Age Children
Comprehensive child and adolescent nursing
robotic surgery become increasingly prevalent general surgery practice previous studies shown safety efficacy robotic assistance laparoscopic general surgery procedures studies evaluated temporal regional trends implementation retrospective populationbased study aim evaluate national trends robotic surgery national inpatient database nis 20092014 used identify adults underwent robotic assisted surgery icd 9 codes 1741 1749 robotic procedures related seven abdominal organ systems compared trends urology gynaecologic orthopedic robotic procedures discharge weights applied calculate national temporal trends separated hospital size teaching status us geographic region 894163 patients received robotic assisted procedure 2009 2014 64 increase utilization largest percent change witnessed biliary robotic procedures 2984 change utilization followed hernia 1376 lowest percent change witnessed esophageal procedures 114 increase medium sized hospitals largest change robotic utilization 41 large institutions seeing 18 decrease gastric procedures common robotic procedure performed small institutions 7917 total cases 316 large institutions saw overall decrease gastric 47 esophageal 17 small large intestinal 16 hepatic 7 robotic procedures rural nonteaching hospitals saw largest increase robotic surgery 274 urban nonteaching hospitals saw decrease 29 urban teaching institutions saw 20 6 increase gynecological urological procedures overall decrease seen esophageal 10 gastric 12 intestinal 11 hepatic 17 biliary 10 pancreatic 11 hernia procedures 14 biliary procedures saw largest increase rural institutions 740 cases 392 followed hernia 144 increase south region nation largest increase robotic procedures 23 change seen use robotic surgery northeast region midwest west seeing overall decrease 4 22 respectively study highlights increase use robotics general specialty surgery increase utilization time increased incidence robotic surgery smaller rural institutions overall decrease larger urban teaching hospitals suggests increasing comfort robotic surgery community setting studies necessary evaluate factors associated increased utilization smaller institutions