2026-05-31T18:57:41Zhttps://riuma.uma.es/rest/oai/request

oai:riuma.uma.es:10630/302592026-02-03T11:14:32Zcom_10630_2254col_10630_37953

Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy. Martínez-Maestre, María A. Melero-Cortés, Lidia María Coronado, Pluvio J. González-Cejudo, Carmen García-Agua-Soler, Nuria García-Ruiz, Antonio J. Jódar-Sánchez, Francisco Útero - Técnicas quirúrgicas Laparoscopia Background: The aim of this study is to carry out the economic evaluation, in term of a cost-minimization analysis that considers healthcare costs and indirect costs, of robot-assisted hysterectomy (RAH) compared with conventional laparoscopic hysterectomy (CLH) in female adults scheduled for total laparoscopic hysterectomy for benign conditions. Methods: Cost-minimization analysis based on an analytic observational study of prospective cohorts with a fiveyear time horizon. Eligible participants were all female adults scheduled for total laparoscopic hysterectomy for benign conditions at tertiary hospital. The economic evaluation was conducted from a Spanish National Health Service and societal perspective, including healthcare costs and indirect costs. The costs are expressed in Euros from the year 2015. Results: One hundred sixty nine patients were analyzed, 68 in the RAH group and 101 in the CLH group. Average cost for the RAH group was €8982.42 compared to €8015.14 for the CLH group (incremental cost €967.27; p = 0.054). Healthcare cost is the most important component of total cost and represents 86.4% for the RAH group and 82.3% for the CLH group. The difference of €1169 (p = 0.01) in the average healthcare cost is mainly due to the cost of purchasing and maintaining the equipment (difference of €1206.39 in favor of RAH; p < 0.005). With regard to indirect costs, for patients in the RAH group the costs associated with loss of productivity were lower (difference of €203.42; p = 0.17), while the cost of trips to the hospital was higher (difference of €1.98; p = 0.66) in respect to CLH. Conclusions: Our findings reveal similar effectiveness between RAH and CLH, although CLH is the more efficient option from the point of view of an economic analysis based on cost-minimization. 2024-02-09T10:15:08Z 2024-02-09T10:15:08Z 2024-02-09T10:15:08Z 2019-06-18 journal article Martínez-Maestre, M.A., Melero-Cortés, L.M., Coronado, P.J. et al. Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy. Health Econ Rev 9, 18 (2019). https://hdl.handle.net/10630/30259 10.1186/s13561-019-0236-8 eng http://creativecommons.org/licenses/by/4.0/ open access Atribución 4.0 Internacional BMC