The clinical and financial impact of introducing robotic-assisted hysterectomy in a tertiary referral centre: A direct cost analysis of consecutive hysterectomies during a decade.
Int J Med Robot
; 18(1): e2343, 2022 Feb.
Article
en En
| MEDLINE
| ID: mdl-34655461
ABSTRACT
BACKGROUND:
Economic data and the clinical impact of introducing robotic-assisted hysterectomy in a European setting are scarce with conflicting findings.METHODS:
In this retrospective cohort study, the cost and complication rate of the different approaches of hysterectomy are investigated, both benign and (pre)malignant indications were included.RESULTS:
844 patients were included 323 (38.3%) patients underwent robotic-assisted hysterectomy (RAH), 317 (37.5%) total abdominal hysterectomy (TAH), and 204 (24.2%) total laparoscopic hysterectomy (TLH). TAH dropped from 67.2% to 25.5% of procedures, whilst RAH rose to 41.8% of cases. The total hospitalisation cost was for RAH 5208.39 (±916.91), for TAH 5846.61 (±4464.37) and for TLH 3790.06 (±1267.05). The postoperative complication rate of TAH (9.1%) was significantly higher in comparison with TLH and RAH (5.4% and 3.1%, respectively, p = 0.005).CONCLUSIONS:
RAH has replaced TAH in most cases, especially for large uteri, early-stage endometrial cancer and in selected endometriosis cases, resulting in reduced morbidity with lower hospitalisation costs. The indications for TLH remained, including menorrhagia, adenomyosis and persistent cervical dysplasia.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:
Laparoscopía
/
Procedimientos Quirúrgicos Robotizados
Tipo de estudio:
Health_economic_evaluation
/
Observational_studies
Límite:
Female
/
Humans
Idioma:
En
Revista:
Int J Med Robot
Año:
2022
Tipo del documento:
Article
País de afiliación:
Bélgica