دورية أكاديمية
أعرض في EDS

Robotic versus laparoscopic surgery for rectal cancer: a comparative cost-effectiveness study.

التفاصيل البيبلوغرافية
العنوان: Robotic versus laparoscopic surgery for rectal cancer: a comparative cost-effectiveness study.
المؤلفون: Quijano Y; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain., Nuñez-Alfonsel J; Instituto de Validación de La Eficiencia Clínica (IVEc), Fundación de Investigación HM Hospitales, Madrid, Spain. jnalfonsel@fundacionhm.com., Ielpo B; Department of General Surgery, Hospital HM Regla, HM Hospitales, León, Spain., Ferri V; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain., Caruso R; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain., Durán H; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain., Díaz E; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain., Malavé L; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain., Fabra I; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain., Pinna E; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain., Isernia R; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain., Hidalgo Á; Department of Economic Analysis and Finances, University of Castilla-La Mancha, Toledo, Spain., Vicente E; Department of General Surgery, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain.
المصدر: Techniques in coloproctology [Tech Coloproctol] 2020 Mar; Vol. 24 (3), pp. 247-254. Date of Electronic Publication: 2020 Feb 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 9613614 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1128-045X (Electronic) Linking ISSN: 11236337 NLM ISO Abbreviation: Tech Coloproctol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2001->: Milano, Italy : Springer-Verlag Italia
Original Publication: Rome : UCP Club,
مواضيع طبية MeSH: Laparoscopy* , Rectal Neoplasms*/surgery , Robotic Surgical Procedures*, Cost-Benefit Analysis ; Humans ; Prospective Studies
مستخلص: Background: The differences between the costs of robotic rectal resection and of the laparoscopic approach are still not well known. The aim of this study was to evaluate the cost-effectiveness of robotic versus laparoscopic surgery.
Methods: We conducted an observational, comparative, prospective, non-randomized study on patients having laparoscopic and robotic rectal resection between February 2014 and March 2018 at the Sanchinarro University Hospital, Madrid. 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 primary endpoint was to compare cost effectiveness in the robotic and laparoscopic surgery groups. A willingness-to-pay of 20,000€ and 30,000€ per QALY was used as a threshold to determine the most cost-effective treatment.
Results: A total of 81 RRR and 104 LRR were included. The mean operative costs were higher for RRR (4307.09€ versus 3834.58€; p = 0.04), although mean overall costs were similar (7272.03€ for RRR and 6968.63€ for the LLR; p = 0.44). Mean QALYs at 1 year for the RRR group (0.8482) was higher than that associated with LRR (0.6532) (p = 0.018). At a willingness-to-pay threshold of 20,000€ and 30,000€ there was a 95.54% and 97.18% probability, respectively, that RRR was more cost-effective than LRR.
Conclusions: Our data regarding the cost-effectiveness of RRR versus LRR shows a benefit for RRR.
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فهرسة مساهمة: Keywords: Cost–benefit analysis; Health care costs; Laparoscopy; Quality-adjusted life years; Rectal neoplasms; Robotic surgical procedures
تواريخ الأحداث: Date Created: 20200206 Date Completed: 20210427 Latest Revision: 20210427
رمز التحديث: 20221213
DOI: 10.1007/s10151-020-02151-7
PMID: 32020350
قاعدة البيانات: MEDLINE
الوصف
تدمد:1128-045X
DOI:10.1007/s10151-020-02151-7