Economics of Robotic Surgery. Does It Make Sense and for Whom?

Urologic Clinics of North America

Volumn 41, Issue 4, 2014, Pages 591-596

  Williams, Stephen B ^a   Prado, Kris ^b   Hu, Jim C ^b  

^a UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Costs; Robotic; Surgery; Treatments; Utilization

Indexed keywords

ADVERSE OUTCOME; ARTICLE; COST BENEFIT ANALYSIS; COST EFFECTIVENESS ANALYSIS; HEALTH CARE COST; HEALTH CARE UTILIZATION; HUMAN; INTERMETHOD COMPARISON; LENGTH OF STAY; MINIMALLY INVASIVE SURGERY; PROSTATECTOMY; ROBOTIC SURGERY; SURGICAL APPROACH; SURGICAL RISK; SURGICAL TECHNIQUE; ECONOMICS; LAPAROSCOPY; PROCEDURES; ROBOTIC SURGICAL PROCEDURE;

COST-BENEFIT ANALYSIS; HUMANS; LAPAROSCOPY; PROSTATECTOMY; ROBOTIC SURGICAL PROCEDURES;

EID: 84908399208     PISSN: 00940143     EISSN: 1558318X     Source Type: Journal    
DOI: 10.1016/j.ucl.2014.07.013     Document Type: Review

References (57)

1. Yu H.Y., Hevelone N.D., Lipsitz S.R., et al. Use, costs and comparative effectiveness of robotic assisted, laparoscopic and open urological surgery. JUrol 2012, 187:1392-1398.
2. Sanchez B.R., Mohr C.J., Morton J.M., et al. Comparison of totally robotic laparoscopic Roux-en-Y gastric bypass and traditional laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2005, 1:549-554.
3. Lim P.C., Kang E., Park do H. Learning curve and surgical outcome for robotic-assisted hysterectomy with lymphadenectomy: case-matched controlled comparison with laparoscopy and laparotomy for treatment of endometrial cancer. JMinim Invasive Gynecol 2010, 17:739-748.
4. Smith J.A., Herrell S.D. Robotic-assisted laparoscopic prostatectomy: do minimally invasive approaches offer significant advantages?. JClin Oncol 2005, 23:8170-8175.
5. Rudich S.M., Marcovich R., Magee J.C., et al. Hand-assisted laparoscopic donor nephrectomy: comparable donor/recipient outcomes, costs, and decreased convalescence as compared to open donor nephrectomy. Transplant Proc 2001, 33:1106-1107.
6. Menon M., Tewari A., Baize B., et al. Prospective comparison of radical retropubic prostatectomy and robot-assisted anatomic prostatectomy: the Vattikuti Urology Institute experience. Urology 2002, 60:864-868.
7. Schaeffer E.M., Loeb S., Walsh P.C. The case for open radical prostatectomy. Urol Clin North Am 2010, 37:49-55. Tableof Contents.
8. Swanson S.J., Miller D.L., McKenna R.J., et al. Comparing robot-assisted thoracic surgical lobectomy with conventional video-assisted thoracic surgical lobectomy and wedge resection: results from a multihospital database (Premier). JThorac Cardiovasc Surg 2014, 147(3):929-937.
9. Barbash G.I., Glied S.A. New technology and health care costs-the case of robot-assisted surgery. NEngl J Med 2010, 363:701-704.
10. Hu J.C., Wang Q., Pashos C.L., et al. Utilization and outcomes of minimally invasive radical prostatectomy. JClin Oncol 2008, 26:2278-2284.
11. Mulhall J.P., Rojaz-Cruz C., Muller A. An analysis of sexual health information on radical prostatectomy websites. BJU Int 2010, 105:68-72.
12. Schroeck F.R., Krupski T.L., Sun L., et al. Satisfaction and regret after open retropubic or robot-assisted laparoscopic radical prostatectomy. Eur Urol 2008, 54:785-793.
13. Prasad M.M., Prasad S.M., Hevelone N.D., et al. Utilization of pharmacotherapy for erectile dysfunction following treatment for prostate cancer. JSex Med 2010, 7:1062-1073.
14. Hu J.C., Gandaglia G., Karakiewicz P.I., et al. Comparative effectiveness of robotic-assisted versus open radical prostatectomy cancer control. Eur Urol 2014, [Epub ahead of print].
15. Pappas T.N., Jacobs D.O. Laparoscopic resection for colon cancer-the end of the beginning?. NEngl J Med 2004, 350:2091-2092.
16. Strasberg S.M., Hertl M., Soper N.J. An analysis of the problem of biliary injury during laparoscopic cholecystectomy. JAm Coll Surg 1995, 180:101-125.
17. Ficarra V., Novara G., Artibani W., et al. Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. Eur Urol 2009, 55:1037-1063.
18. Breeden J.T. Statement on robotic surgery 2013, vol. 2013. American College of Obstetricians and Gynecologists, Available at:, Accessed on December 15, 2013. http://www.acog.org/About-ACOG/News-Room/News-Releases/2013/Statement-on-Robotic-Surgery.
19. Nguyen P.L., Gu X., Lipsitz S.R., et al. Cost implications of the rapid adoption of newer technologies for treating prostate cancer. JClin Oncol 2011, 29(12):1517-1524.
20. Hu J.C., Gu X., Lipsitz S.R., et al. Comparative effectiveness of minimally invasive vs open radical prostatectomy. JAMA 2009, 302:1557-1564.
21. Bolenz C., Gupta A., Hotze T., et al. Cost comparison of robotic, laparoscopic, and open radical prostatectomy for prostate cancer. Eur Urol 2010, 57:453-458.
22. Orvieto M.A., DeCastro G.J., Trinh Q.D., et al. Oncological and functional outcomes after robot-assisted radical cystectomy: critical review of current status. Urology 2011, 78:977-984.
23. Gill I.S., Kavoussi L.R., Lane B.R., et al. Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. JUrol 2007, 178:41-46.
24. Benway B.M., Bhayani S.B., Rogers C.G., et al. Robot assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal tumors: a multi-institutional analysis of perioperative outcomes. JUrol 2009, 182:866-872.
25. Jacobs B.L., Zhang Y., Skolarus T.A., et al. Certificate of need legislation and the dissemination of robotic surgery for prostate cancer. JUrol 2013, 189:80-85.
26. Khanna A., Hu J.C., Gu X., et al. Certificate of need programs, intensity modulated radiation therapy use and the cost of prostate cancer care. JUrol 2013, 189:75-79.
27. Mir S.A., Cadeddu J.A., Sleeper J.P., et al. Cost comparison of robotic, laparoscopic, and open partial nephrectomy. JEndourol 2011, 25:447-453.
28. Yu H.Y., Hevelone N.D., Lipsitz S.R., et al. Comparative analysis of outcomes and costs following open radical cystectomy versus robot-assisted laparoscopic radical cystectomy: results from the US Nationwide Inpatient Sample. Eur Urol 2012, 61:1239-1244.
29. Leow J.J., Reese S.W., Jiang W., et al. Propensity-matched comparison of morbidity and costs of open and robot-assisted radical cystectomies: a contemporary population-based analysis in the United States. Eur Urol 2014, 16(3):569-576.
30. Budaus L., Abdollah F., Sun M., et al. The impact of surgical experience on total hospital charges for minimally invasive prostatectomy: a population-based study. BJU Int 2011, 108:888-893.
31. Garber A.M., Sox H.C. The role of costs in comparative effectiveness research. Health Aff (Millwood) 2010, 29:1805-1811.
32. Maxwell S., Zuckerman S., Berenson R.A. Use of physicians' services under Medicare's resource-based payments. NEngl J Med 2007, 356:1853-1861.
33. Pearson S.D., Bach P.B. How Medicare could use comparative effectiveness research in deciding on new coverage and reimbursement. Health Aff (Millwood) 2010, 29:1796-1804.
34. Birkmeyer J.D., Finlayson S.R., Tosteson A.N., et al. Effect of hospital volume on in-hospital mortality with pancreaticoduodenectomy. Surgery 1999, 125:250-256.
35. Patti M.G., Corvera C.U., Glasgow R.E., et al. Ahospital's annual rate of esophagectomy influences the operative mortality rate. JGastrointest Surg 1998, 2:186-192.
36. Schrag D., Cramer L.D., Bach P.B., et al. Influence of hospital procedure volume on outcomes following surgery for colon cancer. JAMA 2000, 284:3028-3035.
37. Roohan P.J., Bickell N.A., Baptiste M.S., et al. Hospital volume differences and five-year survival from breast cancer. Am J Public Health 1998, 88:454-457.
38. Ellison L.M., Heaney J.A., Birkmeyer J.D. The effect of hospital volume on mortality and resource use after radical prostatectomy. JUrol 2000, 163:867-869.
39. Hu J.C., Gold K.F., Pashos C.L., et al. Role of surgeon volume in radical prostatectomy outcomes. JClin Oncol 2003, 21:401-405.
40. Hu J.C., Gold K.F., Pashos C.L., et al. Temporal trends in radical prostatectomy complications from 1991 to 1998. JUrol 2003, 169:1443-1448.
41. Wilt T.J., Shamliyan T.A., Taylor B.C., et al. Association between hospital and surgeon radical prostatectomy volume and patient outcomes: a systematic review. JUrol 2008, 180:820-828. [discussion: 828-9].
42. Barocas D.A., Mitchell R., Chang S.S., et al. Impact of surgeon and hospital volume on outcomes of radical prostatectomy. Urol Oncol 2010, 28:243-250.
43. Savage C.J., Vickers A.J. Low annual caseloads of United States surgeons conducting radical prostatectomy. JUrol 2009, 182:2677-2679.
44. Williams S.B., Amarasekera C.A., Gu X., et al. Influence of surgeon and hospital volume on radical prostatectomy costs. JUrol 2012, 188:2198-2202.
45. Nowroozi M.R., Pisters L.L. The current status of gene therapy for prostate cancer. Cancer Control 1998, 5:522-531.
46. Ramirez A., Benayoun S., Briganti A., et al. High radical prostatectomy surgical volume is related to lower radical prostatectomy total hospital charges. Eur Urol 2006, 50:58-62. [discussion: 62-3].
47. Begg C.B., Riedel E.R., Bach P.B., et al. Variations in morbidity after radical prostatectomy. NEngl J Med 2002, 346:1138-1144.
48. Taheri P.A., Butz D.A., Dechert R., et al. How DRGs hurt academic health systems. JAm Coll Surg 2001, 193:1-8. [discussion: 8-11].
49. Mouraviev V., Nosnik I., Sun L., et al. Financial comparative analysis of minimally invasive surgery to open surgery for localized prostate cancer: a single-institution experience. Urology 2007, 69:311-314.
50. Hohwu L., Borre M., Ehlers L., et al. Ashort-term cost-effectiveness study comparing robot-assisted laparoscopic and open retropubic radical prostatectomy. JMed Econ 2011, 14:403-409.
51. Rebuck D.A., Zhao L.C., Helfand B.T., et al. Simple modifications in operating room processes to reduce the times and costs associated with robot-assisted laparoscopic radical prostatectomy. JEndourol 2011, 25:955-960.
52. Bolenz C., Freedland S.J., Hollenbeck B.K., et al. Costs of radical prostatectomy for prostate cancer: a systematic review. Eur Urol 2014, 65(2):316-324.
53. Lotan Y., Cadeddu J.A., Gettman M.T. The new economics of radical prostatectomy: cost comparison of open, laparoscopic and robot assisted techniques. JUrol 2004, 172:1431-1435.
54. Makarov D.V., Loeb S., Landman A.B., et al. Regional variation in total cost per radical prostatectomy in the healthcare cost and utilization project nationwide inpatient sample database. JUrol 2010, 183:1504-1509.
55. Scales C.D., Jones P.J., Eisenstein E.L., et al. Local cost structures and the economics of robot assisted radical prostatectomy. JUrol 2005, 174:2323-2329.
56. Hohwu L., Akre O., Pedersen K.V., et al. Open retropubic prostatectomy versus robot-assisted laparoscopic prostatectomy: a comparison of length of sick leave. Scand J Urol Nephrol 2009, 43:259-264.
57. Huang A.C., Kowalczyk K.J., Hevelone N.D., et al. The impact of prostate size, median lobe, and prior benign prostatic hyperplasia intervention on robot-assisted laparoscopic prostatectomy: technique and outcomes. Eur Urol 2011, 59:595-603.