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Cost comparison among robotic, laparoscopic, and open hysterectomy for endometrial cancer.

Publication ,  Journal Article
Barnett, JC; Judd, JP; Wu, JM; Scales, CD; Myers, ER; Havrilesky, LJ
Published in: Obstet Gynecol
September 2010

OBJECTIVE: To use decision modeling to compare the costs associated with robotic, laparoscopic, and open hysterectomy for the treatment of endometrial cancer. METHODS: Three separate models were used, each with sensitivity analysis: 1) a societal perspective model, which included inpatient hospital costs, robotic expenses, and lost wages and caregiver costs; 2) a hospital perspective plus robot costs model, which was identical to the societal perspective model but excluded lost wages and caregiver costs; and 3) a hospital perspective without robot costs model, which was identical to the hospital perspective plus robot costs model except that it excluded initial cost of the robot. RESULTS: The societal perspective model predicted laparoscopy ($10,128) as the least expensive approach followed by robotic and ($11,476) and open hysterectomy ($12,847). Societal perspective model sensitivity analyses predicted robotic hysterectomy to be least expensive when robotic disposable equipment cost less than $1,046 per case (baseline cost $2,394). In the hospital perspective plus robot costs model, laparoscopy was least expensive ($6,581) followed by open ($7,009) and robotic hysterectomy ($8,770); however, if hospital stay after open surgery was less than 2.9 days, open hysterectomy was least expensive. In the hospital perspective without robot costs model, laparoscopy remained least expensive, but robotic surgery became least expensive if the cost of robotic disposable equipment was reduced to less than $1,496 per case. CONCLUSION: Laparoscopy is the least expensive surgical approach for the treatment of endometrial cancer. Robotic is less costly than abdominal hysterectomy when the societal costs associated with recovery time are accounted for and is most economically attractive if disposable equipment costs can be minimized. LEVEL OF EVIDENCE: III.

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Published In

Obstet Gynecol

DOI

EISSN

1873-233X

Publication Date

September 2010

Volume

116

Issue

3

Start / End Page

685 / 693

Location

United States

Related Subject Headings

  • Robotics
  • Obstetrics & Reproductive Medicine
  • Models, Economic
  • Laparoscopy
  • Hysterectomy
  • Humans
  • Female
  • Endometrial Neoplasms
  • Decision Support Techniques
  • 3215 Reproductive medicine
 

Citation

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Barnett, J. C., Judd, J. P., Wu, J. M., Scales, C. D., Myers, E. R., & Havrilesky, L. J. (2010). Cost comparison among robotic, laparoscopic, and open hysterectomy for endometrial cancer. Obstet Gynecol, 116(3), 685–693. https://doi.org/10.1097/AOG.0b013e3181ee6e4d
Barnett, Jason C., John P. Judd, Jennifer M. Wu, Charles D. Scales, Evan R. Myers, and Laura J. Havrilesky. “Cost comparison among robotic, laparoscopic, and open hysterectomy for endometrial cancer.Obstet Gynecol 116, no. 3 (September 2010): 685–93. https://doi.org/10.1097/AOG.0b013e3181ee6e4d.
Barnett JC, Judd JP, Wu JM, Scales CD, Myers ER, Havrilesky LJ. Cost comparison among robotic, laparoscopic, and open hysterectomy for endometrial cancer. Obstet Gynecol. 2010 Sep;116(3):685–93.
Barnett, Jason C., et al. “Cost comparison among robotic, laparoscopic, and open hysterectomy for endometrial cancer.Obstet Gynecol, vol. 116, no. 3, Sept. 2010, pp. 685–93. Pubmed, doi:10.1097/AOG.0b013e3181ee6e4d.
Barnett JC, Judd JP, Wu JM, Scales CD, Myers ER, Havrilesky LJ. Cost comparison among robotic, laparoscopic, and open hysterectomy for endometrial cancer. Obstet Gynecol. 2010 Sep;116(3):685–693.

Published In

Obstet Gynecol

DOI

EISSN

1873-233X

Publication Date

September 2010

Volume

116

Issue

3

Start / End Page

685 / 693

Location

United States

Related Subject Headings

  • Robotics
  • Obstetrics & Reproductive Medicine
  • Models, Economic
  • Laparoscopy
  • Hysterectomy
  • Humans
  • Female
  • Endometrial Neoplasms
  • Decision Support Techniques
  • 3215 Reproductive medicine