Patterns-of-care and health economic analysis of robot-assisted radical prostatectomy in the Australian public health system

BJU International
Marnique BastoDeclan G Murphy

Abstract

To compare patterns of care and peri-operative outcomes of robot-assisted radical prostatectomy (RARP) with other surgical approaches, and to create an economic model to assess the viability of RARP in the public case-mix funding system. We retrospectively reviewed all radical prostatectomies (RPs) performed for localized prostate cancer in Victoria, Australia, from the Victorian Admitted Episode Dataset, a large administrative database that records all hospital inpatient episodes in Victoria. The first database, covering the period from July 2010 to April 2013 (n = 5 130), was used to compare length of hospital stay (LOS) and blood transfusion rates between surgical approaches. This was subsequently integrated into an economic model. A second database (n = 5 581) was extracted to cover the period between July 2010 and June 2013, three full financial years, to depict patterns of care and make future predictions for the 2014-2015 financial year, and to perform a hospital volume analysis. We then created an economic model to evaluate the incremental cost of RARP vs open RP (ORP) and laparoscopic RP (LRP), incorporating the cost-offset from differences in LOS and blood transfusion rate. The economic model constructs estimates of t...Continue Reading

References

Mar 4, 2008·Urology·Peter L SteinbergJohn D Seigne
Mar 15, 2008·BMJ : British Medical Journal·John GrahamUNKNOWN Guideline Development Group
Oct 14, 2011·Surgical Endoscopy·Giuseppe TurchettiAlfred Cuschieri
Nov 15, 2011·BJU International·Hashim U AhmedUNKNOWN Transatlantic Consensus Group on Active Surveillance and Focal Therapy for Prostate Cancer (appendix)
Mar 1, 2012·JACC. Cardiovascular Interventions·Shiran EliyahuRafael Beyar
Aug 14, 2012·International Journal of Clinical Oncology·Yoshikatsu NojiriTomonori Hasegawa
Sep 18, 2012·European Urology·Christian BolenzJim C Hu
Feb 5, 2013·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·B D Schoub
Feb 8, 2013·ANZ Journal of Surgery·Rohan Matthew HallGeoff Coughlin
May 15, 2013·European Urology·Quoc-Dien TrinhAndrew J Vickers
Jun 4, 2013·The Medical Journal of Australia·Sue M EvansJohn J McNeil
Nov 13, 2013·European Urology·Robert A GardinerSuzanne K Chambers
Apr 16, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Giorgio GandagliaQuoc-Dien Trinh

❮ Previous
Next ❯

Citations

Mar 10, 2016·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Emma BirchDeclan G Murphy
Sep 30, 2015·Pediatric Surgery International·Thomas P CundyAra Darzi
Aug 24, 2016·Prostate Cancer and Prostatic Diseases·C GroebenJ Huber
Feb 21, 2018·World Journal of Urology·Fernando P SecinHugo Dávila Barrios
Dec 31, 2017·Journal of Robotic Surgery·P MeignanAurélien Binet
Nov 30, 2019·World Journal of Urology·Iulia AndrasAlexandre Mottrie
Jul 14, 2017·The Medical Journal of Australia·Katrina HutchisonJane Johnson
Jan 24, 2018·Anaesthesia and Intensive Care·S Pathirana, Pca Kam
Feb 16, 2016·Current Urology Reports·Giorgio GandagliaAlexandre Mottrie
Sep 19, 2017·ANZ Journal of Surgery·Niranjan J SathianathenDaniel A Moon
Jan 9, 2021·Journal of Robotic Surgery·Renato Almeida Rosa de OliveiraStenio de Cassio Zequi
Jan 14, 2021·ANZ Journal of Surgery·José Tomás LarachAlexander G Heriot
Jul 11, 2020·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·J GasUNKNOWN Commission Ambu-RAAC du CPP-AFU
Jun 19, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Melanie M A LindenbergWim W H van Harten
Jul 13, 2021·ANZ Journal of Surgery·Edward YoungChristopher Richard McDonald
Aug 3, 2021·Urologia·Murugu Kalai Selvan MasilamaniChandrashekar Rangaswamy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.