Advancing paediatric robotic surgery: building the foundation with databases

This study explores implementation of robotic surgery in children emphasising the critical role of data informatics. Development of purpose-built multi-centre databases and collaborative prospective studies will facilitate ongoing expansion, establishment of a robust evidence-base, and ultimately enhance surgical outcomes.This study explores implementation of robotic surgery in children emphasising the critical role of data informatics. Development of purpose-built multi-centre databases and collaborative prospective studies will facilitate ongoing expansion, establishment of a robust evidence-base, and ultimately enhance surgical outcomes. To explore the integration of evidence-based medicine (EBM) in guiding the expansion of paediatric robotic surgery and the establishment of robust clinical databases for informed practice. We conducted interviews with leading experts in paediatric robotic surgery-Prof. Thomas Blanc, Prof. Mohan Gundeti, and Prof. Craig Peters. Their insights were synthesised to develop a database framework, which will serve dual purposes: quality assurance and facilitating research initiatives. Various data management platforms were evaluated, including Microsoft Excel, Research Electronic Data Capture (REDCap), as well as custom-built solutions, each demonstrating distinct advantages in usability, accessibility, security, and cost-effectiveness. Data points were identified through review of extensive clinical experience, collaborative brainstorming sessions and forward-thinking strategies. Based on expert consultation, a suggested REDCap database was developed for future use. The interviewed experts unanimously emphasised the importance of dedicated personnel and shared objectives in ensuring the future-proofing, sustainability and overall effectiveness of clinical research databases. This study highlights the imperative for interdisciplinary collaboration and institution of data informatics at the point of establishment of paediatric robotic programs.