Cost-effectiveness Evaluation of Laparoscopic Versus Robotic Minimally Invasive Colectomy.

Annals of Surgery
Vlad V SimianuChristine C Jensen

Abstract

Evaluate the cost-effectiveness of open, laparoscopic, and robotic colectomy. The use of robotic-assisted colon surgery is increasing. Robotic technology is more expensive and whether a robotically assisted approach is cost-effective remains to be determined. A decision-analytic model was constructed to evaluate the 1-year costs and quality-adjusted time between robotic, laparoscopic, and open colectomy. Model inputs were derived from available literature for costs, quality of life (QOL), and outcomes. Results are presented as incremental cost-effectiveness ratios (ICERs), defined as incremental costs per quality-adjusted life year (QALY) gained. One-way and probabilistic sensitivity analyses were performed to test the effect of clinically reasonable variations in the inputs on our results. Open colectomy cost more and achieved lower QOL than robotic and laparoscopic approaches. From the societal perspective, robotic colectomy costs $745 more per case than laparoscopy, resulting in an ICER of $2,322,715/QALY because of minimal differences in QOL. From the healthcare sector perspective, robotics cost $1339 more per case with an ICER of $4,174,849/QALY. In both models, laparoscopic colectomy was more frequently cost-effective acr...Continue Reading

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Citations

Jul 22, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kota SaharaTimothy M Pawlik
May 13, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Vlad V SimianuChristine C Jensen
Jan 14, 2021·ANZ Journal of Surgery·José Tomás LarachAlexander G Heriot
Jan 23, 2021·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Dali ChenQunyou Tan
Nov 19, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kenley R UnruhVlad V Simianu

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