Utilization of and charges for robotic versus laparoscopic versus open surgery for endometrial cancer

Utilization of and charges for robotic versus laparoscopic versus open surgery for endometrial cancer JOURNAL OF SURGICAL ONCOLOGY Yu, X., Lum, D., Kiet, T. K., Fuh, K. C., Orr, J., Brooks, R. A., Ueda, S. M., Chen, L., Kapp, D. S., Chan, J. K. 2013; 107 (6): 653-658

Abstract

To analyze the utilization and hospital charges associated with robotic (RS) versus laparoscopic (LS) versus open surgery (OS) in endometrial cancer patients.Hospital discharge data were extracted from Florida Agency for Health Care Administration between October 2008 and December 2009.Of 2,247 patients (median age: 64 years), 29% had RS, 10% had LS, and 61% had OS. The mean length of hospital stay was 1.6, 1.8, and 3.9 days for RS, LS, and OS, respectively (P < 0.001). The median hospital charge was $51,569, $37,202, and $36,492, for RS, LS, and OS (P < 0.001), with operating room charges ($22,600, $13,684, and $11,272) accounting for the major difference. Robotic surgery utilization increased by 11% (23-34%) over time.In this statewide analysis of endometrial cancer patients, the utilization of robotic surgery increased and is associated with higher hospital charges compared to laparoscopic and open procedures.

View details for DOI 10.1002/jso.23275

View details for Web of Science ID 000317939400017

View details for PubMedID 23129514