Health Economic Analysis of Open and Robot-assisted Laparoscopic Surgery for Prostate Cancer Within the Prospective Multicentre LAPPRO Trial

European Urology
Annabelle ForsmarkEva Haglind

Abstract

The rapid adoption of robot-assisted laparoscopy in radical prostatectomy has preceded data regarding associated costs. Qualitative evidence regarding cost outcomes is lacking. This study assessed how costs were affected by robot-assisted laparoscopic prostatectomy (RALP) compared with open surgery. Cost analysis was based on the dataset of the LAPPRO (Laparoscopic Prostatectomy Robot Open) clinical trial, which is a prospective controlled, nonrandomised trial of patients who underwent prostatectomy at 14 centres in Sweden between September 2008 and November 2011. Currently, data are available from a follow-up period of 24 mo. In the LAPPRO trial, RALP was compared with radical retropubic prostatectomy (RRP). Costs per surgical technique were assessed based on resource variable data from the LAPPRO database. The calculation of average costs was based on mean values; Swedish currency was converted to purchasing power parity US dollar (PPP$). All tests were two-tailed and conducted at α=0.05 significance level. The cost analysis comprised 2638 men. Based on the LAPPRO trial data, RALP was associated with an increased cost/procedure of PPP$ 3837 (95% confidence interval: 2747-4928) compared with RRP. The result was sensitive to va...Continue Reading

Citations

Aug 31, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Evelyn Serreyn LundinPreben Kjölhede
Jan 25, 2020·Journal of Endourology·Zaeem LoneKhurshid A Guru
Sep 19, 2019·Der Urologe. Ausg. A·M SaarM Stöckle
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Jul 17, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Yves Melo Rodrigues MartinsFernando Augusto de Vasconcellos Santos
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Jan 29, 2022·Journal of Robotic Surgery·Marcio Covas MoschovasVipul Patel

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