Is It the Load That Breaks You or the Way You Carry It: How Demanding Is Endourology?

Henderickx, M.M.E.L.; Hendriks, Nora; Baard, Joyce; Beerlage, Harrie P.; Boom, Daphne T; Bosschieter, Judith; Bouma-Houwert, A Carolien; Legemate, Jaap D.; Nieuwenhuijzen, Jakko A.; Postema, Arnoud W.; Rongen, Lieske H; Ronkes, Brechje; Scheltema, Matthijs J.; Sluis, Tim M. van der; Wagstaff, Peter G. K.; Kamphuis, Guido

doi:10.1089/end.2022.0817

Cited by 1 publication

(4 citation statements)

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“…Our research group recently assessed if the SURG-TLX questionnaire is applicable for endourological procedures and set a first point of reference for perceived workload for these procedures. They included data on URS and PNL, however none on ESWL [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Twenty-two ESWL procedures were performed at the Alrijne hospital, while 31 URS and 22 PNL procedures were performed at the Amsterdam UMC. The exact process of evaluation was previously described in detail by our research group [ 15 ]. The primary surgeon assessed workload using a 20-point visual scale, as illustrated in Figure 1 , after each procedure, scoring six dimensions.…”

Section: Methodsmentioning

confidence: 99%

“…The primary surgeon assessed workload using a 20-point visual scale, as illustrated in Figure 1 , after each procedure, scoring six dimensions. The second part of the SURG-TLX was omitted for this study, as research has shown that there is little to no additional value to the attribution of weight to the different dimensions, especially in the field of endourology [ 15 , 17 , 18 ]. However, the participants completed the second part of the SURG-TLX questionnaire during data collection and this data is available upon request.…”

Section: Methodsmentioning

confidence: 99%

“…This questionnaire was based on the widely used National Aeronautics and Space Administration Task Load Index (NASA-TLX) [ 13 ]. Previous studies in the field of endourology have used or recommended the SURG-TLX questionnaire, but none have compared the perceived workload between ESWL, URS and PNL [ 14 , 15 , 16 ]. Identifying the procedures and stressors causing the highest workload may enable the implementation of simple interventions to reduce the perceived workload for urologists in the future and consequently improve patient safety and treatment outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Heavy as a rock or light as dust: A comparison between the perceived workload for extracorporeal shockwave lithotripsy, ureterorenoscopy and percutaneous nephrolithotomy

2024

Cent Eur J Urol

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Introduction There are three common treatment options for kidney stones: extracorporeal shockwave lithotripsy (ESWL), ureterorenoscopy (URS) and percutaneous nephrolithotomy (PNL). The choice of treatment is based on stone- and patient-related characteristics. However, some stones are eligible for several approaches and the decision is made based on patient and urologist’s preferences. This study evaluates which approach has the highest workload. Material and methods Between March and August 2022, five members of the Amsterdam Endourology Research Group collected data from 22 ESWL, 31 URS and 22 PNL procedures. After each procedure, the SURG-TLX questionnaire was completed by the surgeon to evaluate workload. Six dimensions were scored for each procedure, including: mental demands, physical demands, temporal demands, task complexity, situational stress, and distractions. The total workload, and the median for each dimension, was calculated and compared for the three treatments. Results ESWL scored significantly lower than URS for mental demands, physical demands, temporal demands, situational stress, distraction and total workload. However, task complexity did not differ significantly between the two techniques. Compared with PNL, ESWL scored significantly lower for all dimensions. Finally, PNL received significantly higher scores for mental demands, physical demands, temporal demands, situational stress, distractions and total workload than URS. Only task complexity showed no significant difference between both groups. Conclusions Urologists perceive the highest workload during PNL, followed by URS and finally ESWL. A follow-up study is needed to identify stressors that increase perceived workload with the purpose to address these variables and as final objective to improve urologists’ workload, patient safety and treatment outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%