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

Author

Listed:
  • 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
    Institute of Biomedical Research in Malaga (IBIMA))

  • Antonio J. García-Ruíz

    (University of Málaga
    Institute of Biomedical Research in Malaga (IBIMA))

  • Francisco Jódar-Sánchez

    (IBiS/Virgen del Rocío University Hospital / CSIC / University of Seville)

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

Suggested Citation

  • María A. Martínez-Maestre & Lidia M. Melero-Cortés & Pluvio J. Coronado & Carmen González-Cejudo & Nuria García-Agua & Antonio J. García-Ruíz & Francisco Jódar-Sánchez, 2019. "Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy," Health Economics Review, Springer, vol. 9(1), pages 1-10, December.
    • Handle: RePEc:spr:hecrev:v:9:y:2019:i:1:d:10.1186_s13561-019-0236-8
    DOI: 10.1186/s13561-019-0236-8
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    References listed on IDEAS

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    1. Zafer Tandogdu & Luke Vale & Cynthia Fraser & Craig Ramsay, 2015. "A Systematic Review of Economic Evaluations of the Use of Robotic Assisted Laparoscopy in Surgery Compared with Open or Laparoscopic Surgery," Applied Health Economics and Health Policy, Springer, vol. 13(5), pages 457-467, October.
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