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A cost‐effectiveness analysis of robotic versus laparoscopic distal pancreatectomy
Author(s) -
Vicente Emilio,
NúñezAlfonsel Javier,
Ielpo Benedetto,
Ferri Valentina,
Caruso Riccardo,
Duran Hipolito,
Diaz Eduardo,
Malave Luis,
Fabra Isabel,
Pinna Eva,
Isernia Roberta,
Hidalgo Alvaro,
Quijano Yolanda
Publication year - 2020
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.2080
Subject(s) - distal pancreatectomy , medicine , observational study , cost effectiveness , surgery , resection , risk analysis (engineering)
Aim There is no study in the literature that evaluates the cost‐effectiveness of robotic distal pancreatectomy (RDP) over laparoscopic distal pancreatectomy (LDP). We performed a comparative study of RDP and LDP with the aim of evaluating clinical and cost‐effective outcomes. Material and Methods This is an observational, comparative prospective nonrandomized study. The primary end point was to compare the cost‐effectiveness differences between both groups. A willingness to pay of €20 000 and €30 000 per quality‐adjusted life year (QALY) was used as a threshold to recognize which treatment was most cost‐effective. Results A total of 31 RDP and 28 LDP have been included. The overall mean total cost was similar in both groups (RDP: €9712.15 versus LDP: €9424.68; P > .5). Mean QALYs for RDP (0.652) was higher than that associated with LDP (0.59) ( P > .5). Conclusion This study seems to provide data of cost‐effectiveness between RDP and LDP approaches, showing some benefits for RDP.