Cost-analysis of robotic-assisted laparoscopic hysterectomy versus total abdominal hysterectomy for women with endometrial cancer and atypical complex hyperplasia

被引:33
|
作者
Herling, Suzanne F. [1 ]
Palle, Connie [2 ]
Moller, Ann M. [1 ]
Thomsen, Thordis [3 ]
Sorensen, Jan [4 ]
机构
[1] Copenhagen Univ Hosp, Dept Anesthesiol, Res Unit, Herlev, Denmark
[2] Copenhagen Univ Hosp, Dept Gynecol, Herlev, Denmark
[3] Rigshosp, Copenhagen Univ Hosp, Abdominal Ctr, Copenhagen, Denmark
[4] Univ Southern Denmark, Dept Publ Hlth, Ctr Hlth Econ Res COHERE, Odense, Denmark
关键词
Robotics; hysterectomy; costs and cost analysis; postoperative complications; endometrial neoplasms; economics; medical; HEALTH ECONOMIC-EVALUATION; SURGERY; LAPAROTOMY; OUTCOMES;
D O I
10.1111/aogs.12820
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
IntroductionThe aim of this study was to analyse the hospital cost of treatment with robotic-assisted laparoscopic hysterectomy and total abdominal hysterectomy for women with endometrial cancer or atypical complex hyperplasia and to identify differences in resource use and cost. Material and methodsThis cost analysis was based on two cohorts: women treated with robotic-assisted laparoscopic hysterectomy (n=202) or with total abdominal hysterectomy (n=158) at Copenhagen University Hospital, Herlev, Denmark. We conducted an activity-based cost analysis including consumables and healthcare professionals' salaries. As cost-drivers we included severe complications, duration of surgery, anesthesia and stay at the post-anesthetic care unit, as well as number of hospital bed-days. Ordinary least-squares regression was used to explore the cost variation. The primary outcome was cost difference in Danish kroner between total abdominal hysterectomy and robotic-assisted laparoscopic hysterectomy. ResultsThe average cost of consumables was 12642 Danish kroner more expensive per patient for robotic-assisted laparoscopic hysterectomy than for total abdominal hysterectomy (2014 price level: 1Euro=7.50 Danish kroner). When including all cost-drivers, the analysis showed that the robotic-assisted laparoscopic hysterectomy procedure was 9386 Danish kroner (17%) cheaper than the total abdominal hysterectomy (p=0.003). When the robot investment was included, the cost difference reduced to 4053 Danish kroner (robotic-assisted laparoscopic hysterectomy was 7% cheaper than total abdominal hysterectomy) (p=0.20). Increasing age and Type 2 diabetes appeared to influence the overall costs. ConclusionFor women with endometrial cancer or atypical complex hyperplasia, robotic-assisted laparoscopic hysterectomy was cheaper than total abdominal hysterectomy, mostly due to fewer complications and shorter length of hospital stay.
引用
收藏
页码:299 / 308
页数:10
相关论文
共 50 条
  • [1] Robotic-assisted laparoscopic hysterectomy for women with endometrial cancer
    Herling, Suzanne Forsyth
    Moller, Ann M.
    Palle, Connie
    Grynnerup, Anja
    Thomsen, Thordis
    DANISH MEDICAL JOURNAL, 2017, 64 (03):
  • [2] OUTCOMES OF ROBOTIC-ASSISTED LAPAROSCOPIC TOTAL HYSTERECTOMY VERSUS TOTAL ABDOMINAL HYSTERECTOMY STRATIFIED BY AGE GROUP FOR PATIENTS WITH ENDOMETRIAL CANCER
    Javadian, P.
    Anderson, P.
    INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2018, 28 : 525 - 525
  • [3] Robotic-Assisted Total Laparoscopic Hysterectomy Versus Conventional Total Laparoscopic Hysterectomy
    Shashoua, Abraham R.
    Gill, Diana
    Locher, Stephen R.
    JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 2009, 13 (03) : 364 - 369
  • [4] Robotic-assisted versus conventional laparoscopic hysterectomy for endometrial cancer
    Johansson, Cherynne Yuin Mun
    Chan, Felix Kwok Hee
    EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY-X, 2020, 8
  • [5] Analyses of factors associated with the performance of total abdominal versus robotic-assisted laparoscopic hysterectomy for endometrial cancer
    Holloway, R.
    Ahmad, S.
    Bigsby, G.
    Peterson, L.
    Ghurani, G.
    Lester, M.
    Finkler, N.
    GYNECOLOGIC ONCOLOGY, 2010, 116 (03) : S83 - S84
  • [6] Total laparoscopic hysterectomy versus total abdominal hysterectomy for obese women with endometrial cancer
    Obermair, A
    Manolitsas, TP
    Leung, Y
    Hammond, IG
    McCartney, AJ
    INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2005, 15 (02) : 319 - 324
  • [7] Cost comparison of robotic-assisted laparoscopic hysterectomy versus standard laparoscopic hysterectomy
    Winter M.L.
    Leu S.-Y.
    Lagrew D.C.
    Jr.
    Bustillo G.
    Journal of Robotic Surgery, 2015, 9 (4) : 269 - 275
  • [8] Robotically assisted laparoscopic hysterectomy versus total abdominal hysterectomy and lymphadenectomy for endometrial cancer
    DeNardis, Sara A.
    Holloway, Robert W.
    Bigsby, Glenn E.
    Pikaart, Dirk P.
    Ahmad, Sarfraz
    Finkler, Neil J.
    GYNECOLOGIC ONCOLOGY, 2008, 111 (03) : 412 - 417
  • [9] Robotically assisted laparoscopic hysterectomy versus total abdominal hysterectomy and lymphadenectomy for endometrial cancer
    DeNardis, S. A.
    Holloway, R. W.
    Bigsby, G. E.
    Pikaart, D. P.
    Ahmad, S.
    Finkler, N. J.
    GYNECOLOGIC ONCOLOGY, 2008, 108 (03) : S109 - S109
  • [10] Robotic-assisted hysterectomy versus laparoscopic hysterectomy: Is it worth it?
    Oleksik, Tomasz
    Januszewski, Marcin
    Ziuzia-Januszewska, Laura
    Kudan, Michal
    Jakimiuk, Artur J.
    EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2024, 293 : 253 - 253