Evidence map›Paper›PMID 40834224›Full record

Trial reportRevista do Colegio Brasileiro de Cirurgioes2025

A comparative cost analysis study of pulmonary robotic and video-assisted lobectomy: results of a randomized controlled trial (BRAVO Study).

Ricardo Mingarini Terra, Juliana Rocha Mol Trindade, Pedro Henrique Xavier Nabuco DE Araujo, Leticia Leone Lauricella, Evelise Pelegrinelli Zaidan, Paulo Manuel Pêgo Fernandesa

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Revista do Colegio Brasileiro de Cirurgioes, 2025. 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. Review
  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.

Ricardo Mingarini Terra- Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo, Departamento de Cirurgia Torácica - São Paulo - SP - Brasil.ORCID http://orcid.org/0000-0001-8577-8708
Juliana Rocha Mol Trindade- Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo, Departamento de Cirurgia Torácica - São Paulo - SP - Brasil.ORCID http://orcid.org/0000-0002-8190-8410
Pedro Henrique Xavier Nabuco DE Araujo- Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo, Departamento de Cirurgia Torácica - São Paulo - SP - Brasil.ORCID http://orcid.org/0000-0003-0817-8180
Leticia Leone Lauricella- Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo, Departamento de Cirurgia Torácica - São Paulo - SP - Brasil.ORCID http://orcid.org/0000-0002-8378-7704
Evelise Pelegrinelli Zaidan- Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo, Departamento de Cirurgia Torácica - São Paulo - SP - Brasil.ORCID http://orcid.org/0000-0002-9726-3274
Paulo Manuel Pêgo Fernandesa- Universidade de São Paulo Instituto do Coração, Departamento de Cirurgia Torácica - São Paulo - SP - Brasil.ORCID http://orcid.org/0000-0001-7243-5343

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRobotic thoracic surgery has potential benefits, but the cost is still considered a limiting factor for its wide dissemination in most countries.

methodsWe compared the costs of robotic-assisted (RATS) and video-assisted thoracic surgery (VATS) in the treatment of lung cancer or pulmonary metastasis. Cost analysis was based on micro-costing and individual cost analysis during surgical admission and frequency of services (emergency service, clinic visits, imaging exams, chemotherapy and radiotherapy, reoperation or additional procedures, rehospitalization, and ICU stay) during postoperative 90-day follow-up.

resultsA total of 76 patients were included in this cost analysis (RATS=37, VATS=39). Groups were equivalent in terms of age, gender, comorbidities, and pre-operative status. Total costs of pulmonary lobectomy did not differ between the RATS and VATS groups when considering cost of surgical hospitalization and follow-up of up to 90 days. Mean individual cost per patient in the RATS group was R$35,590.41 (±12,514.97) and R$41,066.98 (±25,891.04) in the VATS group, p=0.564.

conclusionRobotic and video-assisted thoracic surgery had similar costs, but longer follow-up studies could be important to demonstrate RATS and VATS costs differences.

Indexed as

Lung NeoplasmsPneumonectomyRobotic Surgical ProceduresThoracic Surgery, Video-AssistedAgedCosts and Cost AnalysisFemaleHumansMaleMiddle Aged

Identifiers

PMID40834224
PMCPMC12401107

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Registered trials

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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.