SynthesisInternational journal of colorectal disease2012
Has laparoscopic colorectal surgery become more cost-effective over time?
Synthesis in International journal of colorectal disease, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed.
- Early post-operative outcomes in adults undergoing minimally invasive versus open emergency colorectal surgery: A retrospective cohort study of the ACS-NSQIP 2016-2022.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Regional variations and deprivation are linked to poorer access to laparoscopic and robotic colorectal surgery: a national study in England.Techniques in coloproctology · 2023Article
- Robotic versus laparoscopic proctectomy: a comparative study of short-term economic and clinical outcomes.International journal of colorectal disease · 2023Article
- [Impact of the Nursing Personnel Strengthening Act on minimally invasive surgery exemplified by right-sided hemicolectomy from an economic perspective].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022Article
- Education and Training in Transanal Endoscopic Surgery and Transanal Total Mesorectal Excision.Clinics in colon and rectal surgery · 2021Review
- A National study on the adoption of laparoscopic colorectal surgery in the elderly population: current state and value proposition.Techniques in coloproctology · 2019Article
- A new perspective on the value of minimally invasive colorectal surgery-payer, provider, and patient benefits.Surgical endoscopy · 2017Article
- Real-world cost-effectiveness of laparoscopy versus open colectomy for colon cancer: a nationwide population-based study.Surgical endoscopy · 2017Article
- A national evaluation of clinical and economic outcomes in open versus laparoscopic colorectal surgery.Surgical endoscopy · 2016Article
- The current status of emergent laparoscopic colectomy: a population-based study of clinical and financial outcomes.Surgical endoscopy · 2016Article
- Robotic colorectal surgery: summary of the current evidence.International journal of colorectal disease · 2014Review
- Optimizing cost and short-term outcomes for elderly patients in laparoscopic colonic surgery.Surgical endoscopy · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral studies have confirmed that laparoscopic colorectal surgery (LCS) has superior short-term outcomes when compared to open colorectal surgery. However, the evidence for cost-effectiveness of LCS is less clear.
aimThe aim of this study is to explore the cost-effectiveness of LCS over time since it was first developed in 1991.
methodsSystematic review of the literature was conducted. Electronic databases (PubMed, ScienceDirect and Google Scholar) were searched for studies from 1991 to 2010 using the keywords "laparoscopic, colorectal surgery cost, economic evaluation".
resultsFifteen economic evaluations met the inclusion criteria. The percentage cost difference between open and laparoscopic surgery varied widely between different studies. The general trend when observing all the included economic evaluations is that there is a moderate negative correlation between progression of time and the size of the cost gap between laparoscopic and open surgery (R-value=-0.44). This correlation is even stronger (R-value=-0.64, P=0.046) if the studies are subdivided by the country where the surgery was carried out in. Western healthcare systems, even though they had a heterogeneous set of results (SD=27%), showed a decline in costs of laparoscopic surgery with time.
conclusionFrom the current trends, it is projected that the results of future economic evaluations will unequivocally show that laparoscopic surgery is cheaper than open surgery. The initial higher costs of laparoscopic surgery training may be worth the savings made in the long term if it is practised in settings where postoperative care is expensive.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.