Evidence map›Paper›PMID 35226288›Full record

ArticleJournal of robotic surgery2022

Is robotic lobectomy cheaper? A micro-cost analysis.

Ben Shanahan, Usha S Kreaden, Jan Sorensen, Steven Stamenkovic, Karen C Redmond

Open access · hybridAbstract read
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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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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

5 authors at 4 institutions in 3 countries.

Ben ShanahanProfessor Eoin O'Malley National Thoracic and Transplant Centre, Mater Misericordiae University Hospital, Eccles St., Dublin, D07R2WY, Ireland. ben.shanahan@ucdconnect.ie.ORCID http://orcid.org/0000-0001-6890-5007
Usha S KreadenFellow, Biostatistics & Global Access Value & Economics, Intuitive Surgical Inc., Sunnyvale, CA, USA.
Jan SorensenHealthcare Outcomes Research Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Steven StamenkovicThe Thorax Centre, Barts Health NHS Trust, London, UK.
Karen C RedmondProfessor Eoin O'Malley National Thoracic and Transplant Centre, Mater Misericordiae University Hospital, Eccles St., Dublin, D07R2WY, Ireland.
Barts Health NHS Trust · GBIntuitive Surgical (United States) · USRoyal College of Surgeons in Ireland · IEUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Higher capital costs and operating room costs associated with Lobectomy via Robot Assisted Thoracic Surgery (RATS) have previously been suggested as the principal contributors to the elevated overall cost. This study uses a micro-costing approach to a previous analysis of clinical outcomes of RATS, Video-Assisted Thoracic Surgery (VATS) and Open Lobectomy to evaluate the most significant cost drivers for the higher cost of robot-assisted lobectomy. A micro-costing model was developed to reflect the pathway of patients from day of surgery through the first 30 days following lobectomy. Costs were provided for RATS, VATS and Open approaches. Sensitivity analysis was performed specifically in the area of staff costs. A threshold sensitivity analysis of the overall cost components was also performed. Total cost per case for the RATS approach was €13,321 for the VATS approach €11,567, and for the Open approach €12,582. The overall cost differences were driven primarily by the elevated consumable costs associated with RATS Lobectomy. Capital costs account for a relatively small proportion of the per-case cost difference. This study presents a detailed analysis of the cost drivers for lobectomy, modelled for the three primary surgical approaches. We believe this is a useful tool for surgeons, hospital management, and service commissioning agencies to accurately and comprehensively determine where cost savings can be applied in their programme to improve the cost-effectiveness of RATS lobectomy.

Indexed as

RoboticsRobotic Surgical ProceduresCost-Benefit AnalysisHumansPneumonectomyRetrospective StudiesThoracic Surgery, Video-AssistedCost analysisHealthcare economicsLobectomyRobotic surgeryThoracic surgery

Identifiers

PMID35226288
PMCPMC9606087
OpenAlexW4214615460

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.