Abstract
To perform a cost-minimization analysis comparing robotic-assisted, laparoscopic, and abdominal sacrocolpopexy. Cost-minimization analysis using a micro-costing approach (Canadian Task Force classification III). A decision model was developed to compare the costs (2008 US dollars) of robotic, laparoscopic, and abdominal sacrocolpopexy. Our model included operative time, risk of conversion, risk of transfusion, and length of stay (LOS) for each method. Respective baseline estimates for robotic, laparoscopic, and abdominal sacrocolpopexy procedures included operative time (328, 269, and 170 minutes), conversion (1.4%, 1.8%, and 0%), transfusion (1.4%, 1.8%, 3.8%), and LOS (1.0, 1.8, and 2.7 days). Two models were used, the Robot Existing model, that is, current hospital ownership of a robotic system, and the Robot Purchase model, that is, initial hospital purchase of a robotic system, with purchase and maintenance costs amortized and distributed across robotic procedures. Sensitivity analyses were performed to assess the effect of varying each parameter through its range. For the Robot Existing robot model, robotic sacrocolpopexy was the most expensive, $8508 per procedure compared with laparoscopic sacrocolpopexy at $7353 and ab...Continue Reading
References
Apr 1, 1997·Obstetrics and Gynecology·A L OlsenA L Clark
Apr 1, 1997·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A S DetskyD A Redelmeier
Apr 1, 1997·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A S DetskyD Naimark
Apr 1, 1997·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M D KrahnA S Detsky
Jan 28, 2003·American Journal of Obstetrics and Gynecology·Sarah Hamilton BoylesLeslie Meyn
Oct 2, 2004·Obstetrics and Gynecology·Ingrid E NygaardUNKNOWN Pelvic Floor Disorders Network
Jan 22, 2005·European Urology·Francois RozetGuy Vallancien
May 20, 2005·American Journal of Obstetrics and Gynecology·Marie Fidela R ParaisoCathy Hugney
Jul 4, 2006·The Journal of Urology·Daniel S ElliottGeorge K Chow
Sep 18, 2007·Journal of Endourology·Kenneth C HsiaoKathleen C Kobashi
Jul 2, 2008·Obstetrics and Gynecology·Linda BrubakerMorton B Brown
Oct 17, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Minita PatelPaul K Tulikangas
Nov 19, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Jennifer L KlauschieAndrew W McBride
Nov 28, 2008·Obstetrics and Gynecology·Elizabeth J GellerAnthony G Visco
Jan 28, 2009·Surgical Endoscopy·Mohamed N AklPaul M Magtibay
Citations
Apr 25, 2012·Der Urologe. Ausg. A·C HampelF Roos
Jan 28, 2012·International Urogynecology Journal·Catherine A Matthews
Jan 28, 2012·International Urogynecology Journal·Michael Heit
May 29, 2012·International Urogynecology Journal·O E O'Sullivan, B A O'Reilly
Oct 22, 2013·International Urogynecology Journal·Cecilia Cheon, Christopher Maher
Jul 19, 2012·Surgical Endoscopy·A GermainL Bresler
Jan 9, 2013·Current Urology Reports·Brian J Linder, Daniel S Elliott
Mar 12, 2013·Current Urology Reports·Christopher F Tenggardjaja, Howard B Goldman
May 23, 2012·Current Opinion in Obstetrics & Gynecology·Fikret Fatih Onol, Sinasi Yavuz Onol
Aug 23, 2011·Clinical Obstetrics and Gynecology·Brent A Parnell, Catherine A Matthews
Aug 23, 2011·Clinical Obstetrics and Gynecology·Thomas N Payne, Michael C Pitter
Oct 22, 2010·Current Opinion in Urology·Kimberly Swan, Arnold P Advincula
May 9, 2012·Southern Medical Journal·Catherine A MatthewsEdward J Gill
Jan 21, 2012·Obstetrics and Gynecology International·Keith T Downing
Mar 15, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Kelly N WrightJon I Einarsson
Mar 15, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Volker R Jacobs, Thorsten Fischer
Nov 16, 2013·Surgical Endoscopy·Jeroen HeemskerkCor G M I Baeten
May 23, 2014·International Urogynecology Journal·Jan DeprestJan-Paul Roovers
Aug 7, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Teresa L DanforthDavid A Ginsberg
Oct 13, 2014·The Urologic Clinics of North America·Wesley M WhiteFarzeen Firoozi
Sep 5, 2012·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·E S MooreJ E Sumners
Dec 4, 2013·Journal of Minimally Invasive Gynecology·Rajiv B GalaUNKNOWN Society of Gynecologic Surgeons Systematic Review Group
May 27, 2016·Gynecological Surgery·Geertje CallewaertJan Deprest
Oct 1, 2013·AORN Journal·Mohammed NayeemuddinPamela Ellsworth
Jan 26, 2016·American Journal of Surgery·A HawasliS Szpunar
Jan 15, 2013·Journal of Minimally Invasive Gynecology·UNKNOWN AAGL Advancing Minimally Invasive Gynecology Worldwide
Aug 11, 2012·The Urologic Clinics of North America·Kimberly L Burgess, Daniel S Elliott
Mar 6, 2012·Urology·Elizabeth J GellerGena C Dunivan
Dec 20, 2011·The Journal of Urology·Christopher S ElliottBertha Chen
Jan 19, 2012·Gynécologie, obstétrique & fertilité·T DennisF Narducci
Mar 1, 2012·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·T SeisenM Rouprêt
May 4, 2013·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Francis A BuzadThomas N Payne
Dec 14, 2011·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Luiz CarvalhoTommaso Falcone
Jul 19, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Hyun Hwan SungKyu Sung Lee
Feb 6, 2015·Journal of Endourology·Chandra K FlackCharles R Powell
Mar 29, 2013·American Journal of Obstetrics and Gynecology·Elizabeth J Geller, Catherine A Matthews
Jan 18, 2014·European Urology·Richard K LeeDavid Waltregny
Mar 25, 2015·Nature Reviews. Urology·Kamran P Sajadi, Howard B Goldman
Sep 7, 2016·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L WagnerL Le Normand
Sep 16, 2016·International Urogynecology Journal·Louise-Helene GagnonErin Brennand
Sep 12, 2016·Actas urologicas españolas·D CarracedoF J Burgos
Jan 24, 2015·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Luciano A Nunez BragayracRene Sotelo
Oct 22, 2016·International Urogynecology Journal·Robert MooreJohn Miklos
Jun 9, 2017·Current Opinion in Obstetrics & Gynecology·Omar ZwainDavid Eisenstein
Feb 25, 2011·Urologia Internationalis·Jesús Moreno SierraJ Alvarez Fernandez-Represa
Oct 8, 2011·Obstetrics and Gynecology·Marie Fidela R ParaisoMatthew D Barber
May 21, 2016·Obstetrics & Gynecology Science·Seul Gi BakJu Hyang Lee
Oct 16, 2018·Minerva ginecologica·Andrea GianniniTommaso Simoncini
Sep 16, 2011·BJU International·Kimberly Swan, Arnold P Advincula
Sep 17, 2019·Clinical Obstetrics and Gynecology·Aaron VargheseAmanda N Fader