ArticleInternational journal of health policy and management2022
Understanding the Costs of Surgery: A Bottom-Up Cost Analysis of Both a Hybrid Operating Room and Conventional Operating Room.
Article in International journal of health policy and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 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
35 citing papers in PubMed, 46 citations in OpenAlex.
- Comparison of staff workload between percutaneous nephrolithotomy with and without intraoperative cone-beam CT: an 18-month postoperative analysis.BJU international · 2026Trial
- Endoscopic Ultrasonography-Guided Gastroenterostomy Is More Cost Effective Than Surgical Gastrojejunostomy: A Health-Economic Evaluation Alongside a Randomized Trial.United European gastroenterology journal · 2026Trial
- Feasibility and Efficacy of Mobile Three-Dimensional c-Arm Systems for Single-Stage Localization and Resection of Small Pulmonary Nodules: A Pilot Clinical Trial.Interdisciplinary cardiovascular and thoracic surgery · 2026Trial
- Real Robotic 3-arm, 3-port versus laparoscopic Roux-en-Y gastric bypass: a prospective single-center comparative study of operative time, costs and short-term outcomes.Journal of robotic surgery · 2026Article
- Cost-analysis of Implementing Robot-assisted Versus Open Pancreatoduodenectomy.Annals of surgery · 2026Article
- Hybrid Operating Room Applications in Otolaryngology: A Seven-Year Single-Center Experience with Image-Guided and Multidisciplinary Procedures.Diagnostics (Basel, Switzerland) · 2026Article
- From procurement to disposal: a framework for an activity-based cost analysis of reusable and disposable trocars in laparoscopic cholecystectomy.Surgical endoscopy · 2026Article
- Preoperative and Intraoperative Localization of Small Pulmonary Nodules for Sublobar Resection: Practical Insights into Percutaneous, Bronchoscopic/Robotic, RFID (SuReFInD), and Hybrid-OR CT Workflows.Diseases (Basel, Switzerland) · 2026Review
- [Self-driving, fully motorized C-arm in spinal surgery: a comparative study].Orthopadie (Heidelberg, Germany) · 2026Article
- Time distribution and intraoperative workflow in complex midline incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Healing Beyond the Operating Room: Bedside Strategies for Necrotizing Fasciitis.The American journal of case reports · 2026Article
- Cost Comparison of Percutaneous Nephrolithotomy With and Without Intraoperative Cone-beam Computed Tomography: 18-month Postoperative Analysis.European urology open science · 2026Article
- Cost analysis of intrauterine balloon tamponade versus uterine artery embolization in the management of persistent postpartum hemorrhage.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- In vitro renal artery stenting using a steerable guide wire navigated by a mobile electromagnetic field.Journal of vascular surgery cases and innovative techniques · 2025Article
- Innovative Approaches to Improve the Success of Pituitary Surgery in Cushing's Disease: A Cost-Effectiveness Perspective.Clinical endocrinology · 2025Article
- Exploring barriers and facilitators for implementation of novel image-guided minimally invasive procedures: nationwide experiences on navigation bronchoscopy.BMJ open respiratory research · 2025Article
- Scoring the Clinical Application of a Novel Scale in a Hybrid Operating Room for Neurosurgery.Current medical science · 2025Article
- A Review of Needle Navigation Technologies in Minimally Invasive Cardiovascular Surgeries-Toward a More Effective and Easy-to-Apply Process.Diagnostics (Basel, Switzerland) · 2025Review
- Direct medical costs of congenital heart surgery for isolated lesions in Rwanda.PLOS global public health · 2025Article
- Resource use and in-hospital costs after aneurysmal subarachnoid hemorrhage in the Netherlands.Brain & spine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver the past decade, many hospitals have adopted hybrid operating rooms (ORs). As resources are limited, these ORs have to prove themselves in adding value. Current estimations on standard OR costs show great variety, while cost analyses of hybrid ORs are lacking. Therefore, this study aims to identify the cost drivers of a conventional and hybrid OR and take a first step in evaluating the added value of the hybrid OR.
methodsA comprehensive bottom-up cost analysis was conducted in five Dutch hospitals taking into account: construction, inventory, personnel and overhead costs by means of interviews and hospital specific data. The costs per minute for both ORs were calculated using the utilization rates of the ORs. Cost drivers were identified by sensitivity analyses.
resultsThe costs per minute for the conventional OR and the hybrid OR were €9.45 (€8.60-€10.23) and €19.88 (€16.10- €23.07), respectively. Total personnel and total inventory costs had most impact on the conventional OR costs. For the hybrid OR the costs were mostly driven by utilization rate, total inventory and construction costs. The results were incorporated in an open access calculation model to enable adjustment of the input parameters to a specific hospital or country setting.
conclusionThis study estimated a cost of €9.45 (€8.60-€10.23) and €19.88 (€16.10-€23.07) for the conventional and hybrid OR, respectively. The main factors influencing the OR costs are: total inventory costs, total construction costs, utilization rate, and total personnel costs. Our analysis can be used as a basis for future research focusing on evaluating value for money of this promising innovative OR. Furthermore, our results can inform surgeons, and decision and policy-makers in hospitals on the adoption and optimal utilization of new (hybrid) ORs.
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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.