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Utilization of and charges for robotic versus laparoscopic versus open surgery for endometrial cancer
Author(s) -
Yu Xinhua,
Lum Deirdre,
Kiet Tuyen K.,
Fuh Katherine C.,
Orr James,
Brooks Rebecca A.,
Ueda Stefanie M.,
Chen Leemay,
Kapp Daniel S.,
Chan John K.
Publication year - 2012
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.23275
Subject(s) - medicine , endometrial cancer , robotic surgery , open surgery , laparoscopic surgery , cancer , surgery , laparoscopy , general surgery
Background and Objectives To analyze the utilization and hospital charges associated with robotic (RS) versus laparoscopic (LS) versus open surgery (OS) in endometrial cancer patients. Methods Hospital discharge data were extracted from Florida Agency for Health Care Administration between October 2008 and December 2009. Results 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. Conclusions 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. J. Surg. Oncol. 2013;107:653–658. © 2012 Wiley Periodicals, Inc.