Abstract
The aim of this study was to compare the short-term estimated hospital costs and charges for open, laparoscopic, and robot-assisted sacral colpopexy. The null hypothesis was that there would be no difference in costs and charges. Fifteen comparable cases were reviewed for demographics, surgical information, and estimated hospital charges and costs and then compared with analysis of variance. There were no differences in demographics and surgical variables among the three groups. For estimated hospital charges, minimally invasive sacral colpopexy was most expensive; open was the least expensive approach. The estimated direct costs were significantly higher for robot-assisted compared with open sacral colpopexy, but not different between robot-assisted and laparoscopic sacral colpopexy. Robot-assisted sacral colpopexy produces the highest estimated hospital charges and is more expensive than open sacral colpopexy. The least expensive surgical approach from the hospital costs perspective is open abdominal sacral colpopexy.
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Luber KM, Boero S, Choe JY (2001) The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol 184:1496–1503
Boyles SH, Weber AM, Meyn L (2003) Procedures for pelvic organ prolapse in the United States, 1979–1997. Am J Obstet Gynecol 188:108–115
Nygaard IE, McCreery R, Brubaker L, Connolly AM, Cundiff G, Weber AM, for the Pelvic Floor Disorders Network et al (2004) Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 104:805–823
Paraiso MF, Walters MD (2005) Laparoscopic surgery for stress urinary incontinence and pelvic organ prolapse. Clin Obstet Gynecol 48:724–736
Eisenberg JM (1989) Clinical economics: a guide to the economic analysis of clinical practices. JAMA 262:2879–2886
Meemskerk J, de Hoog DENM, van Gemert WG, Baeten CGMI, Greve JWM, Bouvy ND (2007) Robot-assisted versus conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time. Dis Colon Rectum 50:1825–1830
US Department of Labor, Bureau of Labor Statistics. CPI statistics—inflation calculator. Available at: http://www.bls.gov/cpi/. Retrieved December 12, 2007
Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, Shull BL, Smith AR (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17
Kikuchi I, Takeuchi H, Shimanuki H, Kitade M, Kumakiri J, Kuroda K et al (2008) Questionnaire analysis of recovery of activities of daily living after laparoscopic surgery. J Minimal Invasive Gynecol 15:16–19
Kluivers KB, Hendriks JC, Mol BWJ, Bongers MY, Bremer GL, de Vet HCW et al (2007) Quality of life and surgical outcomes after total laparoscopic hysterectomy versus total abdominal hysterectomy for benign disease: a randomized controlled trial. J Minimal Invasive Gynecol 14:145–152
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Patel, M., O’Sullivan, D. & Tulikangas, P.K. A comparison of costs for abdominal, laparoscopic, and robot-assisted sacral colpopexy. Int Urogynecol J 20, 223–228 (2009). https://doi.org/10.1007/s00192-008-0744-2
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DOI: https://doi.org/10.1007/s00192-008-0744-2