Robotic versus Conventional Laparoscopic Surgery for Rectal Cancer: A Cost Analysis from A Single Institute in Korea

Baek, Se Jin; Kim, Seon Hahn; Cho, Jae Sung; Shin, Jae Won; Kim, Jin

doi:10.1007/s00268-012-1728-4

Cited by 158 publications

(133 citation statements)

References 27 publications

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“…Second, this meta analysis did not analyze the cost between the two techniques due to insufficient data, it is no doubt that the cost in RG is higher than in LG (Eom et al, 2012). The cost in robotic surgery is significant higher than that of laparoscopic surgery for treating rectal cancer (Baek et al, 2012). Third, the follow-up time was relatively short, only one reported 5-years follow up.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Liao

Xie²,

Li³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Section: Discussionmentioning

confidence: 99%

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Liao

Xie²,

Li³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…Estudos recentes indicam que cerca de 50% das cirurgias passaram a usar robôs depois de apenas um ano da sua introdução nos hospitais (Nakib et al, 2013). O mesmo se observa no tratamento do câncer, o que reforça a necessidade de estudos a respeito da viabilidade econômica e da segurança dos pacientes (Baek et al, 2012).…”

Section: Robótica Na Saúdeunclassified

A Cirurgia Robótica nas Organizações Públicas de Saúde: O Caso do Instituto Nacional do Câncer (INCA)

Pitassi

Gonçalves

Barbosa

et al. 2016

Adm. Púb. e Gest. Social

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Resumo: O objetivo deste artigo é analisar o processo de implantação da cirurgia assistida por robótica no Sistema Único de Saúde (SUS) por meio de um estudo de caso realizado no Instituto Nacional de Câncer (INCA). Trata-se de um estudo teórico empírico com abordagem qualitativa, cujos dados foram coletados por meio de observação participante, documentos internos e entrevistas semiestruturadas. As evidências obtidas indicam a relevância do caso INCA para a incorporação definitiva da cirurgia robótica no SUS. Por um lado, relatos da área clínica não deixaram dúvidas dos benefícios da tecnologia para a qualidade de vida dos pacientes. Por outro, colheram-se indícios da falta de um consenso mais amplo sobre a relação custo-efetividade da robótica em hospitais públicos de países com o perfil social, econômico e demográfico brasileiro. Também há indícios de que o processo de adoção pelo SUS de tecnologias médicas de ponta não é uma decisão com critérios claramente definidos. Assim sendo, a inclusão dos procedimentos na tabela de remuneração revelou-se o grande desafio no processo de difusão da cirurgia robótica no SUS. Palavras-chave: gestão em saúde; inovação; difusão; tecnologia; cirurgia robótica. Abstract:The purpose of this article is to analyze the process of diffusion of surgery assisted by robotics in the Unified Health System (SUS) through a case study conducted at the National Cancer Institute of Brazil (INCA). This is a theoretical, empirical and qualitative study, whose data were collected through participant observation, internal documents and semi-structured interviews. The evidence collected indicates the relevance of INCA for the definitive incorporation of robotic surgery in SUS. Reports from the clinical area left no doubt of the benefits of robotic surgery to the quality of life of patients. However, indications were collected demonstrating the lack of consensus on the cost-effectiveness of robotic in public hospitals in countries with Brazilian social, economic and demographic profile. There are also indications that the process of adoption by SUS of state of the art medical technologies is not a decision with clearly defined criteria. Thus, the inclusion of procedures in the compensation table proved to be the major challenge in the diffusion process of robotic surgery into the SUS.

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“…Niezmiennie jednym z głównych argumentów przeciwko zastosowaniu robota w chirurgii onkologicznej pozostają wysokie koszty operacji robotowych. Pobyt w szpitalu pacjenta operowanego z zastosowaniem robota jest o 20-30% droższy niż pacjenta operowanego metodą laparoskopową [23][24][25]. Wynika to głównie z wysokiej ceny systemu da Vinci oraz kosztów jego eksploatacji.…”

Section: Chirurgia Onkologicznaunclassified

Chirurgia robotowa: nowa jakość i przełom w leczeniu czy kosztowny gadżet?

Witkiewicz¹

2013

Nowotwory. Journal of Oncology

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Robotic versus Conventional Laparoscopic Surgery for Rectal Cancer: A Cost Analysis from A Single Institute in Korea

Cited by 158 publications

References 27 publications

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

A Cirurgia Robótica nas Organizações Públicas de Saúde: O Caso do Instituto Nacional do Câncer (INCA)

Chirurgia robotowa: nowa jakość i przełom w leczeniu czy kosztowny gadżet?

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