Robotic-assisted gastrectomy compared with open resection: a comparative study of clinical outcomes and cost-effectiveness analysis.
J Robot Surg
; 14(4): 627-632, 2020 Aug.
Article
en En
| MEDLINE
| ID: mdl-31620970
ABSTRACT
In the last decade, there have clearly been important changes in the surgical approach of gastric cancer treatment due to an increased interest in the minimally invasive surgical approach (MIS). The higher cost of robotic surgery procedures remains an important issue of debate. The objective of the study is to compare the main operative and clinical outcomes and to assess the incremental cost-effectiveness ratios (ICERs) of the two techniques. This is a prospective cost-effectiveness and clinical study when comparing the robotic gastrectomy (RG) technique with open gastrectomy (OG) in gastric cancer. Outcome parameters included surgical and post-operative costs, quality-adjusted life years (QALY) and incremental cost per QALY gained or the incremental cost-effectiveness ratio (ICER). The incremental utility was 0.038 QALYs and the estimated ICER for patients was dominated by robotic approach. The probability that the robotic approach was cost effective was 94.04% and 94.20%, respectively, at a WTP threshold of 20,000 and 30,000 per QALY gained. RG for gastric cancer represents a cost-effective procedure compared with the standard OG.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_financiamento_saude
Asunto principal:
Neoplasias Gástricas
/
Análisis Costo-Beneficio
/
Procedimientos Quirúrgicos Mínimamente Invasivos
/
Procedimientos Quirúrgicos Robotizados
/
Gastrectomía
Tipo de estudio:
Health_economic_evaluation
/
Observational_studies
Aspecto:
Patient_preference
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Robot Surg
Año:
2020
Tipo del documento:
Article
País de afiliación:
España