Evidence map›Paper›PMID 33997917›Full record

ArticleJournal of robotic surgery2022

A cost analysis of two- versus three-instrument robotic-assisted inguinal hernia repair with mesh: time is money.

Omar Bellorin, James C Senturk, Mariana Vigiola Cruz, Rachel Alt, Gregory Dakin, Cheguevara Afaneh

Abstract read
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Article in Journal of robotic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Omar BellorinDepartment of Surgery, New York Presbyterian Hospital- Weill Cornell Medicine, 525 East 68th Street, New York, NY, 10065, USA.
James C SenturkDepartment of Surgery, New York Presbyterian Hospital- Weill Cornell Medicine, 525 East 68th Street, New York, NY, 10065, USA. jcs9026@med.cornell.edu.ORCID http://orcid.org/0000-0002-6356-575X
Mariana Vigiola CruzDepartment of Surgery, New York Presbyterian Hospital- Weill Cornell Medicine, 525 East 68th Street, New York, NY, 10065, USA.
Rachel AltDepartment of Surgery, Valley Medical Group, Ridgewood, NJ, 07450, USA.
Gregory DakinDepartment of Surgery, New York Presbyterian Hospital- Weill Cornell Medicine, 525 East 68th Street, New York, NY, 10065, USA.
Cheguevara AfanehDepartment of Surgery, New York Presbyterian Hospital- Weill Cornell Medicine, 525 East 68th Street, New York, NY, 10065, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Equipment expenses and operating times can lead to higher costs with robotic surgery. We compared the cost-effectiveness of 2- vs. 3-instrument (2i vs. 3i) approach to robotic transabdominal preperitoneal inguinal hernia repair. We conducted a retrospective study of 172 patients, with 86 patients in each group. Procedure cost, operative time, morbidity, length of stay, readmission rate, and hernia recurrence at 90 days were compared. Statistical significance was assigned to p < 0.05. No significant differences in preoperative variables nor in postoperative outcomes were identified. Mean operative time was 6 min longer in the 2i group and this approach cost $300 less. The 2i approach was cost-effective for operating room (OR) costs of less than $50 per minute. Surgeon efficiency and OR dollar-per-minute value influence the potential for cost savings with fewer instruments in robotic herniorrhaphy. There is no difference in outcomes when fewer instruments are used.

Indexed as

Hernia, InguinalLaparoscopyRobotic Surgical ProceduresCost-Benefit AnalysisHerniorrhaphyHumansOperative TimeRetrospective StudiesSurgical MeshGeneral surgeryHealthcare cost and valueHerniaRobotic surgery

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.