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Outpatient robotic hysterectomy: clinical outcomes and financial analysis of initial experience
Author(s) -
Borahay Mostafa A.,
Patel Pooja R.,
Kilic Cemil Hakan,
Kilic Gokhan Sami
Publication year - 2014
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1565
Subject(s) - medicine , hysterectomy , retrospective cohort study , cohort , emergency medicine , outpatient visits , robotic surgery , outpatient clinic , general surgery , surgery , health care , economics , economic growth
Background Robotic surgery is associated with several advantages but also high costs. This study evaluates clinical outcomes and financial feasibility of outpatient robotic hysterectomy. Methods Retrospective cohort study (Class II‐2) of patients who underwent robotic hysterectomy for benign conditions by the same surgeon (M.A.B.) at the University of Texas Medical Branch, Galveston, TX, USA, during November 2010–February 2013. The study only included cases considered appropriate for outpatient management. Clinical outcomes and costs for patients discharged the same day (outpatients) were compared to those electively admitted (hospitalized). Results Twenty‐nine cases (14 outpatient and 15 hospitalized) were analysed. Demographic, pre‐, peri‐ and postoperative characteristics and payer types were not different among the groups ( p > 0.05). Outpatient hysterectomy was associated with $4968 hospital savings ( p < 0.001), $410 payer savings ( p = 0.775) and $4558 improvement in net profit/loss ( p = 0.01). Conclusions In well‐selected patients, adopting a well‐designed programme, outpatient robotic hysterectomy seems to be safe and financially feasible. Copyright © 2014 John Wiley & Sons, Ltd.