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Association of demographic, clinical, and hospital‐related factors with use of robotic hysterectomy for benign indications: A national database study
Author(s) -
Smith Anna Jo B.,
AlAshqar Abdelrahman,
Chaves Kate F.,
Borahay Mostafa A.
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.2107
Subject(s) - hysterectomy , medicine , medical diagnosis , obstetrics , general surgery , surgery , pathology
Background We examined the association of patient factors, gynecologic diagnoses, and hospital characteristics with utilization of the robotic approach for benign hysterectomy. Methods We performed cross‐sectional study of women (n = 725 050) undergoing hysterectomies in the 2012 to 2014 National Inpatient Sample. Results A total of 725 050 women underwent inpatient hysterectomy for benign indications: 70345 (10%) were performed robotically. Women were more likely to receive robotic hysterectomy at teaching hospitals (RR 1.60 [95% CI 1.54‐1.66]) after adjustment for other patient factors, gynecologic diagnoses, and hospital characteristics. They were more likely to undergo robotic hysterectomy at large (RR 1.34 [95% CI 1.29‐1.39]) and for‐profit hospitals (RR 1.16 [95% CI 1.11‐1.22]). Women were less likely to undergo robotic hysterectomy if they were rural (RR 0.68 [95% CI 0.64‐0.72]), African‐American (RR 0.78 [95% CI 0.74‐0.82]), or publicly insured or uninsured (RR 0.55 [95% CI 0.53‐0.57]) women. Conclusion Significant geographic and hospital‐level disparities exist in access to robotic hysterectomy in the United States.