Cost-effectiveness of robotic-assisted surgery vs open surgery in the context of partial nephrectomy for small kidney tumors.
J Robot Surg
; 17(4): 1571-1578, 2023 Aug.
Article
in En
| MEDLINE
| ID: mdl-36918464
ABSTRACT
To evaluate the cost-effectiveness of robotic-assisted surgery compared to open surgery in the context of partial nephrectomy for small kidney tumor management. This is a retrospective study using data from 395 patients operated on by either robot-assisted surgery (RAPN) or by open partial nephrectomy (OPN); one hospital performed RAPN exclusively and the second hospital, OPN exclusively. Cost-effectiveness analysis was conducted from the perspective of the National Health Insurance System (NHIS) by considering the costs of the initial hospital stay and the cost of complications. Clinical outcome was defined by the avoidance of major complications during the 12 months postoperatively. Major complications were absent in 82% of patients in the OPN group and 93% of patients in the RAPN group, with 11% in favor of robotic assistance (p < 0.001). The average cost per patient, including the costs of complications, were, respectively, 9637 and 8305 for the OPN and RAPN groups. Robotic assistance was associated with a 1332 lower cost (p < 0.001). The incremental cost-effectiveness ratio (ICER) is estimated at - 12,039 . From the perspective of the public payer, robotic assistance was associated with a lower rate of postoperative complications and a lower average cost per patient. Robotic-assisted surgery was an efficient alternative to open surgery in partial nephrectomy. Trial registration number NCT05089006 (October 22, 2021).
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Robotic Surgical Procedures
/
Kidney Neoplasms
Type of study:
Health_economic_evaluation
/
Observational_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
J Robot Surg
Year:
2023
Document type:
Article
Affiliation country:
Francia