Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy

María A. Martínez-Maestre (), Lidia M. Melero-Cortés (), Pluvio J. Coronado (), Carmen González-Cejudo (), Nuria García-Agua (), Antonio J. García-Ruíz () and Francisco Jódar-Sánchez ()
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María A. Martínez-Maestre: Virgen del Rocio University Hospital
Lidia M. Melero-Cortés: Virgen del Rocio University Hospital
Pluvio J. Coronado: San Carlos Clinic Hospital
Carmen González-Cejudo: Virgen del Rocio University Hospital
Nuria García-Agua: University of Málaga
Antonio J. García-Ruíz: University of Málaga
Francisco Jódar-Sánchez: IBiS/Virgen del Rocío University Hospital / CSIC / University of Seville

Health Economics Review, 2019, vol. 9, issue 1, 1-10

Abstract: Abstract 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 five-year 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

Keywords: Economic evaluation; Hysterectomy; Laparoscopy; Robotic surgery (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1186/s13561-019-0236-8

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