RT Journal Article
T1 Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy.
A1 Martinez-Maestre, Maria A
A1 Melero-Cortes, Lidia M
A1 Coronado, Pluvio J
A1 Gonzalez-Cejudo, Carmen
A1 Garcia-Agua, Nuria
A1 Garcia-Ruiz, Antonio J
A1 Jodar-Sanchez, Francisco
K1 Economic evaluation
K1 Hysterectomy
K1 Laparoscopy
K1 Robotic surgery
AB 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. Cost-minimization analysis based on an analytic observational study of prospective cohorts with a five-year 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. 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  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.
PB BMC
SN 2191-1991
YR 2019
FD 2019-06-06
LK http://hdl.handle.net/10668/14138
UL http://hdl.handle.net/10668/14138
LA en
NO Martínez-Maestre MA, Melero-Cortés LM, Coronado PJ, González-Cejudo C, García-Agua N, García-Ruíz AJ, et al. Long term COST-minimization analysis of robot-assisted hysterectomy versus conventional laparoscopic hysterectomy. Health Econ Rev. 2019 Jun 18;9(1):18
DS RISalud
RD Apr 10, 2025