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- Title
Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy.
- Authors
Martínez-Maestre, María A.; Melero-Cortés, Lidia M.; Coronado, Pluvio J.; González-Cejudo, Carmen; García-Agua, Nuria; García-Ruíz, Antonio J.; Jódar-Sánchez, Francisco
- 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 < 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.
- Subjects
HYSTERECTOMY; OVERHEAD costs; NATIONAL health services; DIRECT costing
- Publication
Health Economics Review, 2019, Vol 9, Issue 1, pN.PAG
- ISSN
2191-1991
- Publication type
Article
- DOI
10.1186/s13561-019-0236-8