The Cost of Learning Robotic-Assisted Prostatectomy

Steinberg, Peter L.; Merguerian, Paul A.; Bihrle, William; Seigne, John D.

doi:10.1016/j.urology.2007.11.118

Cited by 101 publications

(39 citation statements)

References 17 publications

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“…Three publications were identified that reported cost comparisons between robotic and open radical prostatectomy, [164][165][166] five publications reported cost comparisons between laparoscopic and open radical prostatectomy 121,167-170 and three publications reported cost comparisons between robotic and laparoscopic surgery. [171][172][173] The publications by Bolenz and colleagues 171 and Lotan and colleagues 172 estimated the procedure costs of robotic and laparoscopic prostatectomy for a USA setting based on a retrospective patient cohort and a hypothetical costing exercise respectively. In both cases, excluding the capital cost of the robotic system, robotic prostatectomy was $500-700 more expensive per case than laparoscopic surgery.…”

Section: Systematic Review Of Previous Economic Evaluationsmentioning

confidence: 99%

“…Bolenz and colleagues 171 reported that the additional purchase and maintenance costs of a single robotic da Vinci system were $340,000 per year, while Lotan and colleagues 172 reported that, assuming 300 cases per year, the cost of purchase plus maintenance costs were an additional $857 per case. Following a financial appraisal, again conducted in a USA setting, Steinberg and colleagues 173 concluded that robotic prostatectomy was not financially viable in low-volume centres performing fewer than approximately 80 procedures per year under current tariffs. Although the method used to establish procedure costs in these three papers was clear, none considered costs beyond the hospital period and none attempted to compare procedures in terms of both costs and outcomes.…”

Section: Systematic Review Of Previous Economic Evaluationsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic review and economic modelling of the relative clinical benefit and cost-effectiveness of laparoscopic surgery and robotic surgery for removal of the prostate in men with localised prostate cancer.

Ramsay

Pickard²,

Robertson³

et al. 2012

Health Technol Assess

171

166

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projec...

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Section: Systematic Review Of Previous Economic Evaluationsmentioning

confidence: 99%

Section: Systematic Review Of Previous Economic Evaluationsmentioning

confidence: 99%

Systematic review and economic modelling of the relative clinical benefit and cost-effectiveness of laparoscopic surgery and robotic surgery for removal of the prostate in men with localised prostate cancer.

Ramsay

Pickard²,

Robertson³

et al. 2012

Health Technol Assess

171

166

View full text Add to dashboard Cite

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“…1,2 Longer operative times for surgeons with less experience increase surgical costs by reducing operating room efficiency and reducing surgical volume. 3 Because of the learning curve associated with gaining proficiency in robotic surgery, emphasis has been placed on the benefit of virtual reality (VR) simulation in advancing robotic surgical skills and reducing the risk to patients by providing an effective and efficient alternative to the intraoperative learning experience. The Fundamentals of Laparoscopic Surgery (FLS) curriculum is endorsed by the American College of Surgeons and is widely implemented in laparoscopic surgery to certify surgeon competency in performance metrics required for laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Surgical suturing training with virtual reality simulation versus dry lab practice: an evaluation of performance improvement, content, and face validity

et al. 2014

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“…Cost-analyses from a urological perspective have focused exclusively on the robot-assisted laparoscopic prostatectomy model. [95][96][97][98][99][100] However, some extrapolations are still possible. When Computer Motion, Inc., initially merged with Intuitive Surgical, Inc., in 2003, the cost of the da Vinci system was slightly higher than US$1 000 000.…”

Section: The Futurementioning

confidence: 99%

Robotic renal surgery: The future or a passing curiosity?

Warren

Silva

Caumartin

et al. 2013

CUAJ

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The development, advancement and clinical integration of robotic technology in surgery continue at a staggering pace. In no other discipline has this rapid evolution occurred to a greater degree than in urology. Although radical prostatectomy has grown to become the prototypical application for the robot, the role of the robot in renal surgery remains controversial. Herein we review the literature on robotic renal surgery. A comprehensive PubMed literature search was performed to identify all published reports relating to robotic renal surgery. All clinically related articles involving human participants were critically appraised in this review. Fifty-one clinical articles were included, encompassing robot-assisted pyeloplasty, nephrectomy, nephroureterectomy, living-donor nephrectomy and partial nephrectomy. Feasibility has been shown for each of these procedures. Robot-assisted techniques have been described for almost all renal-related procedures. However, the intersect between feasibility and necessity as it pertains to robotic renal surgery has yet to be defined. Also, the high cost of surgical robotic technology mandates critical appraisal before adoption, especially in a publicly funded health care system, such as the one present in Canada. RésuméLe développement, le perfectionnement et l'intégration en milieu clinique de la technologie robotique en contexte opératoire se poursuit à un rythme stupéfiant. Aucune autre discipline n'a vu cette évolution rapide à un niveau aussi élevé que l'urologie. Alors que la prostatectomie radicale en est devenue l'application prototype, le rôle de la robotique en chirurgie rénale demeure controversé. Dans l'article qui suit, nous passons en revue la littérature portant sur l'emploi de la robotique en chirurgie rénale. Une recherche exhaustive dans la base de données PubMed a été effectuée afin de cerner les rapports sur le sujet. Tous les rapports cliniques portant sur des sujets humains ont été évalués. Cinquante et un articles cliniques ont été inclus dans notre analyse, incluant des cas, tous assistés par robot, de pyéloplas-tie, de néphrectomie, de néphro-urétérectomie, de néphrectomie chez des donneurs vivants et de néphrectomie partielle. Pour chacune de ces interventions, la faisabilité a été démontrée. Des techniques assistées par robot ont été décrites pour pratiquement tous

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The Cost of Learning Robotic-Assisted Prostatectomy

Cited by 101 publications

References 17 publications

Systematic review and economic modelling of the relative clinical benefit and cost-effectiveness of laparoscopic surgery and robotic surgery for removal of the prostate in men with localised prostate cancer.

Systematic review and economic modelling of the relative clinical benefit and cost-effectiveness of laparoscopic surgery and robotic surgery for removal of the prostate in men with localised prostate cancer.

Surgical suturing training with virtual reality simulation versus dry lab practice: an evaluation of performance improvement, content, and face validity

Robotic renal surgery: The future or a passing curiosity?

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