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Utilization of and charges for robotic versus laparoscopic versus open surgery for endometrial cancer
Xinhua Yu1, Deirdre Lum, Tuyen K Kiet
1Department of Epidemiology and Biostatistics, School of Public Health, University of Memphis, Memphis, TN, USA.
Background And Objectives:
To analyze the utilization and hospital charges associated with robotic (RS) versus laparoscopic (LS) versus open surgery (OS) in endometrial cancer patients.
Methods:
Hospital discharge data were extracted from Florida Agency for Health Care Administration between October 2008 and December 2009.
Results:
Of 2,247 patients (median age: 64 years), 29% had RS, 10% had LS, and 61% had OS. The mean length of hospital stay was 1.6, 1.8, and 3.9 days for RS, LS, and OS, respectively (P < 0.001). The median hospital charge was $51,569, $37,202, and $36,492, for RS, LS, and OS (P < 0.001), with operating room charges ($22,600, $13,684, and $11,272) accounting for the major difference. Robotic surgery utilization increased by 11% (23-34%) over time.
Conclusions:
In this statewide analysis of endometrial cancer patients, the utilization of robotic surgery increased and is associated with higher hospital charges compared to laparoscopic and open procedures.
