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肺部机器人和视频辅助切除术的比较成本分析研究:随机对照试验的结果 (BRAVO研究)
Ricardo Mingarini Terra1, Juliana Rocha Mol Trindade1, Pedro Henrique Xavier Nabuco DE Araujo1
1- Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo, Departamento de Cirurgia Torácica - São Paulo - SP - Brasil.
机器人胸部手术 (RATS) 和视频辅助胸部手术 (VATS) 显示在90天内治疗肺癌的成本相似. 需要进一步的研究来确定RATS和VATS之间的长期成本差异.
科学领域:
- 胸部手术
- 外科瘤学
- 健康经济学
背景情况:
- 机器人胸部手术具有潜在的好处, 但面临的成本限制阻碍了广泛采用.
- 对于机器人辅助胸部手术的全球传播,成本仍然是一个重要障碍.
研究的目的:
- 为了比较机器人辅助胸部手术 (RATS) 与视频辅助胸部手术 (VATS) 治疗肺癌或肺转移的成本.
- 分析RATS和VATS的经济影响,考虑手术入院和90天的术后后续费用.
主要方法:
- 对76名患者 (37名RATS,39名VATS) 进行了微成本分析和个人成本跟踪.
- 费用包括手术入院,急诊服务,诊所访问,成像,化疗,放射治疗,重复手术,再住院,以及术后90天的重症监护室住院.
主要成果:
- 在90天的随访期内,RATS和VATS组之间没有发现肺叶切除术总成本的显著差异.
- 平均个人成本为RATS的R$35,590.41 (±12,514.97) 和VATS的R$41,066.98 (±25,891.04) (p=0.564).
- 在年龄,性别,并发症和手术前状态方面,患者群体相似.
结论:
- 机器人辅助胸部手术和视频辅助胸部手术在短期内具有相似的成本.
- 建议进行长期后续研究,以充分阐明RATS和VATS之间的潜在成本差异.
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