TY - JOUR
T1 - Utilization of and charges for robotic versus laparoscopic versus open surgery for endometrial cancer
AU - Yu, Xinhua
AU - Lum, Deirdre
AU - Kiet, Tuyen K.
AU - Fuh, Katherine C.
AU - Orr, James
AU - Brooks, Rebecca A.
AU - Ueda, Stefanie M.
AU - Chen, Lee May
AU - Kapp, Daniel S.
AU - Chan, John K.
PY - 2013/5
Y1 - 2013/5
N2 - 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.
AB - 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.
KW - hysterectomy
KW - laparoscopic surgery
KW - laparotomy
KW - minimally invasive surgical procedures
KW - robotic surgery
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U2 - 10.1002/jso.23275
DO - 10.1002/jso.23275
M3 - Article
C2 - 23129514
AN - SCOPUS:84876386935
VL - 107
SP - 653
EP - 658
JO - Journal of Surgical Oncology
JF - Journal of Surgical Oncology
SN - 0022-4790
IS - 6
ER -