Utilization of and charges for robotic versus laparoscopic versus open surgery for endometrial cancer

Xinhua Yu, Deirdre Lum, Tuyen K. Kiet, Katherine C. Fuh, James Orr, Rebecca A. Brooks, Stefanie M. Ueda, Lee May Chen, Daniel S. Kapp, John K. Chan

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)653-658
Number of pages6
JournalJournal of Surgical Oncology
Volume107
Issue number6
DOIs
StatePublished - May 2013
Externally publishedYes

Keywords

  • hysterectomy
  • laparoscopic surgery
  • laparotomy
  • minimally invasive surgical procedures
  • robotic surgery

ASJC Scopus subject areas

  • Surgery
  • Oncology

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