Kumar Mukherjee1, Khalid M Kamal2. 1. Department of Pharmacy Practice, Philadelphia College of Osteopathic Medicine, School of Pharmacy, Suwanee, GA, 30024, USA. 2. Duquesne University School of Pharmacy, Division of Pharmaceutical, Administrative & Social Sciences, Pittsburgh, PA, 15282, USA.
Abstract
AIM: To compare perioperative complications, inpatient cost and length of stay between robot-assisted radical prostatectomy (RARP) and open radical prostatectomy (ORP) using National Inpatient Sample data from 2010 to 2015. PATIENTS & METHODS: A total of 69,009 records with RARP or ORP were analyzed using multivariate logistic regression and generalized linear models. RESULTS: The RARP had superior perioperative outcomes at a higher cost (adjusted mean difference = 2956; 95% CI: $2822-$3090) and shorter length of stay (mean difference = 0.85; 95% CI: 0.81-0.89) compared with ORP. Mean cost of RARP was lowest in urban teaching, private invest-own, high volume and northeast region hospitals and highest for black men. CONCLUSION: Compared with ORP, RARP had significantly better perioperative outcomes at a higher cost.
AIM: To compare perioperative complications, inpatient cost and length of stay between robot-assisted radical prostatectomy (RARP) and open radical prostatectomy (ORP) using National Inpatient Sample data from 2010 to 2015. PATIENTS & METHODS: A total of 69,009 records with RARP or ORP were analyzed using multivariate logistic regression and generalized linear models. RESULTS: The RARP had superior perioperative outcomes at a higher cost (adjusted mean difference = 2956; 95% CI: $2822-$3090) and shorter length of stay (mean difference = 0.85; 95% CI: 0.81-0.89) compared with ORP. Mean cost of RARP was lowest in urban teaching, private invest-own, high volume and northeast region hospitals and highest for black men. CONCLUSION: Compared with ORP, RARP had significantly better perioperative outcomes at a higher cost.
Entities:
Keywords:
National Inpatient Sample; comparative effectiveness; cost disparity; costs; length of stay; open radical prostatectomy; operative outcomes; prostate cancer; robot-assisted prostatectomy; treatment cost
Authors: Sebastian Lenart; Ingrid Berger; Judith Böhler; Reinhard Böhm; Georg Gutjahr; Nikolaus Hartig; Daniel Koller; Michael Lamche; Stephan Madersbacher; Michael Stolzlechner; Claudia Elisa Wayand; Anton Ponholzer Journal: World J Urol Date: 2019-11-14 Impact factor: 4.226
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