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Finding
Finding
adverse
Robotic sacrocolpopexy had significantly higher initial day of surgery hospital costs ($19,616 vs $11,573, p<0.001) and 6-week hospital costs ($20,898 vs $12,170, p<0.001) compared with laparoscopic sacrocolpopexy, but when robot purchase and maintenance costs were excluded, no significant cost difference was detected ($12,586 vs $11,573, p=0.160).
| Effect size | $19,616 vs $11,573 |
| Follow-up | 6 weeks |
| Comparator | Laparoscopic sacrocolpopexy (standard laparoscopic technique with same mesh and suture protocol) |
| Effect summary | adverse; $19,616 vs $11,573 |
| Effect modifiers | [{"modifier": "concomitant hysterectomy", "interaction_p": "", "direction": "null", "stratum_details": "Without hysterectomy (N=33): $18,169 vs $10,087 (p<0.001) with robot; $11,138 vs $10,087 (p=0.281) without. With hysterectomy (N=45): $20,485 vs $12,910 (p<0.001) with robot; $13,454 vs $12,910 (p=0.552) without.", "plain_language": "Whether or not patients had a hysterectomy at the same time, the pattern was the same: robotic cost more only because of the robot itself, not the surgical costs.", "annotation_notes": "Stratified analysis. Pattern consistent: robot costs drive the difference regardless of concomitant procedures."}] |
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Source
PMC4266590
Robotic Compared With Laparoscopic Sacrocolpopexy: A Randomized Controlled Trial