Evidence map›Paper›PMID 39020117›Full record

ArticleSurgical endoscopy2024

Hospital charges for laparoscopic sleeve gastrectomy compared to robotic sleeve gastrectomy: a multicenter study.

Avery Brown, Alexander Hien Vu, Denston Carey, Damien Lazar, Brigitte Sullivan, Joshuha Ayres, Jean Schroder, Akash Gujral, Nilufar Tursunova, George S Ferzli and 2 more

Abstract readMulticenter StudyComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Surgical Strategies for the Management of Obesity.Methodist DeBakey cardiovascular journal · 2025
    Review
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

12 authors.

Avery Brown *Department of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA. avery.brown@nyulangone.org.ORCID 0000-0002-7607-9275
Alexander Hien Vu *Department of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
Denston CareyDepartment of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
Damien LazarDepartment of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
Brigitte SullivanDepartment of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
Joshuha AyresDepartment of Finance, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
Jean SchroderDepartment of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
Akash GujralDepartment of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
Nilufar TursunovaDepartment of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
George S FerzliDepartment of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
Fareed CheemaDepartment of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA.
Loic TchokouaniDepartment of General Surgery, New York University Langone Health, 550 1St Ave, NY, 10016, USA. loic.tchokouani@nyulangone.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleeve gastrectomy has become a gold standard in addressing medically refractory obesity. Robotic platforms are becoming more utilized, however, data on its cost-effectiveness compared to laparoscopy remain controversial (1-3). At NYU Langone Health, many of the bariatric surgeons adopted robotic surgery as part of their practices starting in 2021. We present a retrospective cost analysis of laparoscopic sleeve gastrectomy (LSG) vs. robotic sleeve gastrectomy (RSG) at New York University (NYU) Langone Health campuses.

methodsAll adult patients ages 18-65 who underwent LSG or RSG from 202 to 2023 at NYU Langone Health campuses (Manhattan, Long Island, and Brooklyn) were evaluated via electronic medical records and MBSAQIP 30-day follow-up data. Patients with prior bariatric surgery were excluded. Complication-related ICD-10/CPT codes are collected and readmission costs will be estimated from ICD codes using the lower limit of CMS transparent NYU standard charges (3). Direct charge data for surgery and length of stay cost data were also obtained. Statistical T-test and chi-squared analysis were used to compare groups.

resultsDirect operating cost data at NYU Health Campuses demonstrated RSG was associated with 4% higher total charges, due to higher OR charges, robotic-specific supplies, and more post-op ED visits.

conclusionsRSG was associated with higher overall hospital charges compared to LSG, though there are multiple contributing factors. More research is needed to identify cost saving measures. This study is retrospective in nature, and does not include indirect costs nor reimbursement. Direct operating costs, per contractual agreement with suppliers, are only given as percentages. Data are limited to 30-day follow-up.

Indexed as

GastrectomyHospital ChargesLaparoscopyObesity, MorbidRobotic Surgical ProceduresAdolescentAdultAgedBariatric SurgeryFemaleHumansLength of StayMaleMiddle AgedRetrospective StudiesYoung AdultCost analysisLaparoscopyRoboticsSleeve gastrectomy

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.