Evidence map›Paper›PMID 34232449›Full record

ArticleJournal of robotic surgery2022

Robotic hysterectomy compared with laparoscopic hysterectomy: is it still more costly to perform?

Ali Ghomi, William Nolan, Derrick J Sanderson, Rohnn Sanderson, Bjoern Schwander, Josh Feldstein

Abstract read
PubMed Publisher
In one paragraph

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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Risk Assessment Model for Complications in Minimally Invasive Hysterectomy: A Pilot Study.International journal of environmental research and public health · 2022
    Article
  9. 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.

Ali GhomiDepartment of Obstetrics and Gynecology, Sisters of Charity Hospital, 2157 Main St, Buffalo, NY, USA.
William NolanDepartment of Obstetrics and Gynecology, Sisters of Charity Hospital, 2157 Main St, Buffalo, NY, USA. w.a.nolan24@gmail.com.ORCID http://orcid.org/0000-0001-7056-8337
Derrick J SandersonDepartment of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, The Women's Hospital, Newburgh, IN, USA.ORCID http://orcid.org/0000-0001-5682-8999
Rohnn SandersonCharles Albert Reid School of Business, Brescia University, Owensboro, KY, USA.ORCID http://orcid.org/0000-0002-5730-289X
Bjoern SchwanderCAVA Robotics International, LLC, Amherst, Massachussetts, USA.ORCID http://orcid.org/0000-0002-3869-8016
Josh FeldsteinCAVA Robotics International, LLC, Amherst, Massachussetts, USA.ORCID http://orcid.org/0000-0001-8951-550X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To establish the economic value of simple robotic hysterectomy vs laparoscopic hysterectomy and assess the impact of surgeon's experience. Retrospective cohort study. University-affiliated US regional healthcare system. Reproductive and post-menopausal women undergoing hysterectomy for benign indications. Robotic or laparoscopic hysterectomy. Between January 2018 and December 2019, a total of 985 simple laparoscopic and robotic hysterectomies were performed by 47 different gynecologists. Overall, the mean payment, direct cost, and profit were comparable (p value > 0.05) among simple robotic and laparoscopic hysterectomy. However, the mean operative time was significantly shorter for robotic hysterectomy compared to laparoscopic hysterectomy (106 min vs 127 min, respectively, p < 0.05). Operative time decreased as a surgeon's annual robotic case volume increased. Per-minute profitability of robotic hysterectomy increased significantly when a surgeon performed greater than 45 cases annually (p = 0.04). This effect became most pronounced when a surgeon performed 60 or more cases per year (p = 0.01). Simple robotic hysterectomy has shorter operative time compared to laparoscopic hysterectomy, with direct costs being similar. Robotic hysterectomy has higher per-minute profit compared to laparoscopic hysterectomy when a surgeon performs > 45 cases per year.

Indexed as

LaparoscopyRobotic Surgical ProceduresFemaleHumansHysterectomyOperative TimeRetrospective StudiesCostHysterectomyLaparoscopyOperative timeRobotic

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.