Academic Journal
Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy.
| العنوان: | Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy. |
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| المؤلفون: | Martínez-Maestre, María A., Melero-Cortés, Lidia M, Coronado, Pluvio J., González-Cejudo, Carmen, García-Agua-Soler, Nuria, García-Ruiz, Antonio J., Jódar-Sánchez, Francisco |
| بيانات النشر: | BMC |
| سنة النشر: | 2024 |
| المجموعة: | RIUMA - Repositorio Institucional de la Universidad de Málaga |
| مصطلحات موضوعية: | Útero - Técnicas quirúrgicas, Laparoscopia, Economic evaluation, Laparoscopy, Hysterectomy, Robotic surgery |
| الوصف: | Background: The aim of this study is to carry out the economic evaluation, in term of a cost-minimization analysis that considers healthcare costs and indirect costs, of robot-assisted hysterectomy (RAH) compared with conventional laparoscopic hysterectomy (CLH) in female adults scheduled for total laparoscopic hysterectomy for benign conditions. Methods: Cost-minimization analysis based on an analytic observational study of prospective cohorts with a fiveyear time horizon. Eligible participants were all female adults scheduled for total laparoscopic hysterectomy for benign conditions at tertiary hospital. The economic evaluation was conducted from a Spanish National Health Service and societal perspective, including healthcare costs and indirect costs. The costs are expressed in Euros from the year 2015. Results: One hundred sixty nine patients were analyzed, 68 in the RAH group and 101 in the CLH group. Average cost for the RAH group was €8982.42 compared to €8015.14 for the CLH group (incremental cost €967.27; p = 0.054). Healthcare cost is the most important component of total cost and represents 86.4% for the RAH group and 82.3% for the CLH group. The difference of €1169 (p = 0.01) in the average healthcare cost is mainly due to the cost of purchasing and maintaining the equipment (difference of €1206.39 in favor of RAH; p < 0.005). With regard to indirect costs, for patients in the RAH group the costs associated with loss of productivity were lower (difference of €203.42; p = 0.17), while the cost of trips to the hospital was higher (difference of €1.98; p = 0.66) in respect to CLH. Conclusions: Our findings reveal similar effectiveness between RAH and CLH, although CLH is the more efficient option from the point of view of an economic analysis based on cost-minimization. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | Martínez-Maestre, M.A., Melero-Cortés, L.M., Coronado, P.J. et al. Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy. Health Econ Rev 9, 18 (2019).; https://hdl.handle.net/10630/30259 |
| DOI: | 10.1186/s13561-019-0236-8 |
| الاتاحة: | https://hdl.handle.net/10630/30259 https://doi.org/10.1186/s13561-019-0236-8 |
| Rights: | info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0/ ; Atribución 4.0 Internacional |
| رقم الانضمام: | edsbas.4816ADB8 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s13561-019-0236-8 |
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