Evidence map›Paper›PMID 38214790›Full record

ArticleJournal of robotic surgery2024

Comparative study of operative expenses: robotic vs. laparoscopic vs. open liver resections at a university hospital in the UK.

Mohamed Elshaer, Alan Askari, Adithya Pathanki, Jaimini Rajani, Jawad Ahmad

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pioneering the future of robotic liver surgery.Hepatobiliary surgery and nutrition · 2024
    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

5 authors at 1 institution in 1 country.

Mohamed ElshaerDepartment of Hepatobiliary and Pancreatic Surgery, University Hospitals Coventry, and Warwickshire (UHCW), Clifford Bridge Road, Coventry, CV2 2DX, UK. mohamedelshaer_1@hotmail.com.
Alan AskariDepartment of Upper GI Surgery, Bedfordshire Hospitals NHS Trust, Luton, UK.
Adithya PathankiDepartment of Hepatobiliary and Pancreatic Surgery, University Hospitals Coventry, and Warwickshire (UHCW), Clifford Bridge Road, Coventry, CV2 2DX, UK.
Jaimini RajaniUniversity Hospitals Coventry, and Warwickshire (UHCW), Coventry, UK.
Jawad AhmadDepartment of Hepatobiliary and Pancreatic Surgery, University Hospitals Coventry, and Warwickshire (UHCW), Clifford Bridge Road, Coventry, CV2 2DX, UK.
University Hospitals Coventry and Warwickshire NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic liver resections (RLR) are increasingly being performed and has previously been considered more costly. The aim is to explore the cost of RLR compared with laparoscopic and open liver resection in a single National Health Service (NHS) hospital. A retrospective review of patients who underwent RLR, LLR, and OLR from April 2014 to December 2022 was conducted. The primary outcomes were the cost of consumables and median income, and the secondary outcomes were the overall length of stay and mortality at 90 days. Overall, 332 patients underwent liver resections. There were 204 males (61.4%) and 128 females (38.6%), with a median age of 62 years (IQR: 51-77 years). Of these, 60 patients (18.1%) underwent RLR, 21 patients (6.3%) underwent LLR, and 251 patients (75.6%) underwent OLR. Median consumables cost per case was £3863 (IQR: £3458-£5061) for RLR, £4326 (IQR: £4273-£4473) for LLR, and £4,084 (IQR: £3799-£5549) for the OLR cohort (p = 0.140). Median income per case was £7999 (IQR: £4509-£10,777) for RLR, £7497 (IQR: £2407-£14,576) for LLR, and £7493 (IQR: £2542-£14,121) for OLR. The median length of stay (LOS) for RLR was 3 days (IQR: 2-4.7 days) compared to 5 days for LLR (IQR: 4.5-7 days) and 6 days for OLR (IQR: 5-8 days, p < 0.001). Within the NHS, RLR has consumable costs comparable to OLR and LLR. It is also linked with a shorter LOS and generates similar income for patients undergoing OLR and LLR.

Indexed as

Carcinoma, HepatocellularLaparoscopyLiver NeoplasmsRobotic Surgical ProceduresAgedFemaleHepatectomyHospitalsHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesState MedicineUnited KingdomCost effectivenessLiver resectionsRobotic surgery

Identifiers

PMID38214790
OpenAlexW4390792837

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.