SynthesisFrontiers in public health2025
Cost-effectiveness analysis of robotic surgery in healthcare for older individuals: a systematic review based on randomized controlled trials.
Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Time-series and thematic analyses of clinical utilities and operational issues in early clinical studies of the da Vinci surgical system.Journal of robotic surgery · 2026Pooled it
- Oncologic, functional, and economic outcomes of transoral robotic surgery for HPV-associated oropharyngeal squamous cell carcinoma: a systematic review and meta-analysis of pathology and treatment strategies.Journal of robotic surgery · 2026Pooled it
- Comparative outcomes of da Vinci SP versus da Vinci Xi platforms in robotic cholecystectomy: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Robot-Assisted Therapy for Upper Limb Rehabilitation After Stroke: Umbrella Review.Journal of medical Internet research · 2026Pooled it
- Robot-assisted and embolization-assisted partial nephrectomy versus laparoscopic partial nephrectomy for renal angiomyolipoma: a systematic review and meta-analysis.Journal of robotic surgery · 2025Pooled it
- Aortic robotic surgery in Ireland: infrastructure without implementation - Is now the time to act?Irish journal of medical science · 2026Review
- Making robotic surgery viable and training general surgeons in the Brazilian public healthcare.Journal of robotic surgery · 2026Article
- Beyond the console: surgeon's perceptions & attitudes towards robotic surgery in Saudi Arabia: a nationwide cross- sectional survey.Journal of robotic surgery · 2026Article
- Mapping the scientific landscape of robotic hernia repair: a bibliometric and topic modeling analysis of thematic transitions.Journal of robotic surgery · 2026Article
- Robot-Assisted Extravesical Ureteral Reimplantation (RALUR-EV) in Children: Initial Single-Center Experience at a Public Tertiary-Care Hospital in Ecuador.Journal of clinical medicine · 2025Article
- Comment on 'Impact of non-surgical OR time on efficiency and costs with Hugo™ RAS': methodological and operational considerations.Journal of robotic surgery · 2025Article
- RERAS-robotic colorectal resections and ERAS® in older adults: optimizing recovery or adding complexity?Frontiers in surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: The objective of this research is to assess the economic viability of robotic interventions in the management of healthcare for the aging demographic by conducting a Systematic Review and Meta-Analysis (SR/MA) of Randomized Controlled Trials (RCTs). Methods: We conducted a SR/MA following the PRISMA guidelines and the Cochrane Collaboration recommendations. Studies of interest were pinpointed within various databases, encompassing PubMed, Web of Science, and the Cochrane Library, up until the cutoff date of November 2024. Inclusion criteria were based on the PICOS framework, focusing on older patients (≥60 years old), robotic or robot-assisted interventions, cost-related outcomes, and RCTs. The data were subjected to statistical evaluation via Stata 17 software, wherein mean discrepancies (MD) and standardized mean discrepancies (SMD) were computed, accompanied by 95% confidence intervals (CI) for precision. Sensitivity analyses were conducted to address heterogeneity. Results: Five RCTs involving 666 patients were included. The findings revealed that robotic surgery incurred higher total costs compared to traditional surgical approaches (MD = 1316.38, 95% CI 10.68-2622.08; Conclusion: Robotic surgery demonstrate potential cost-effectiveness in older individuals, particularly by improving QALY and reducing long-term healthcare costs. However, the high initial investment remains a significant barrier to adoption. Future research should focus on standardizing economic evaluations, exploring specific applications of robotic therapies, and addressing long-term cost and clinical outcomes to better inform healthcare policy and practice.
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Registered trials
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.