Is robotic hepatectomy cost-effective? In view of patient-reported outcomes
Summary: Background: Robotic hepatectomy has been accepted as an alternative for patients needing surgery. However, few reports addressed the patient-reported outcomes and long-term quality of life (QoL) of patients having undergone robotic liver surgery. Methods: This study presented the QoL and c...
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doaj-66d01f9099234295b476c70033655e202020-11-25T00:01:32ZengElsevierAsian Journal of Surgery1015-95842019-04-01424543550Is robotic hepatectomy cost-effective? In view of patient-reported outcomesChao-Ying Wu0Po-Da Chen1Wei-Han Chou2Jin-Tung Liang3Chiun-Sheng Huang4Yao-Ming Wu5Department of Surgery, National Taiwan University Hospital, Yunlin Branch, TaiwanDepartment of Surgery, National Taiwan University Hospital, TaiwanDepartment of Anesthesia, National Taiwan University Hospital, TaiwanDepartment of Surgery, National Taiwan University Hospital, TaiwanDepartment of Surgery, National Taiwan University Hospital, TaiwanDepartment of Surgery, National Taiwan University Hospital, Taiwan; Corresponding author. Department of Surgery, National Taiwan University Hospital, No 7, Chung-Shan South Road, Taipei, 100, Taiwan. Fax: +886 2 33223476.Summary: Background: Robotic hepatectomy has been accepted as an alternative for patients needing surgery. However, few reports addressed the patient-reported outcomes and long-term quality of life (QoL) of patients having undergone robotic liver surgery. Methods: This study presented the QoL and cost-effectiveness associated with robotic and open hepatectomy by performing a comparative survey using two standardized questionnaires (Short Form-36 and Gastrointestinal Quality of Life Index). Results: One hundred patients completed the study. The robotic group tended to experienced longer operation time but shorter length of hospital stay compared to open group. Moreover, the robotic group had faster return to daily activities, less need of patient-controlled anesthesia, and less wound-related complaints in long-term follow-up. The robotic group incurred higher peri-operative expenses; however, the cost of inpatient care was lower. Conclusions: Our study suggested that robotic hepatectomy provided good post-operative QoL and recovery of daily activity. However, efforts for lowering the financial burden of medical care by reducing the cost of robotic surgery is necessary for further application. Keywords: Robotic hepatectomy, Patient-reported outcome, Quality of life, Cost-effectivenesshttp://www.sciencedirect.com/science/article/pii/S1015958418307656 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chao-Ying Wu Po-Da Chen Wei-Han Chou Jin-Tung Liang Chiun-Sheng Huang Yao-Ming Wu |
spellingShingle |
Chao-Ying Wu Po-Da Chen Wei-Han Chou Jin-Tung Liang Chiun-Sheng Huang Yao-Ming Wu Is robotic hepatectomy cost-effective? In view of patient-reported outcomes Asian Journal of Surgery |
author_facet |
Chao-Ying Wu Po-Da Chen Wei-Han Chou Jin-Tung Liang Chiun-Sheng Huang Yao-Ming Wu |
author_sort |
Chao-Ying Wu |
title |
Is robotic hepatectomy cost-effective? In view of patient-reported outcomes |
title_short |
Is robotic hepatectomy cost-effective? In view of patient-reported outcomes |
title_full |
Is robotic hepatectomy cost-effective? In view of patient-reported outcomes |
title_fullStr |
Is robotic hepatectomy cost-effective? In view of patient-reported outcomes |
title_full_unstemmed |
Is robotic hepatectomy cost-effective? In view of patient-reported outcomes |
title_sort |
is robotic hepatectomy cost-effective? in view of patient-reported outcomes |
publisher |
Elsevier |
series |
Asian Journal of Surgery |
issn |
1015-9584 |
publishDate |
2019-04-01 |
description |
Summary: Background: Robotic hepatectomy has been accepted as an alternative for patients needing surgery. However, few reports addressed the patient-reported outcomes and long-term quality of life (QoL) of patients having undergone robotic liver surgery. Methods: This study presented the QoL and cost-effectiveness associated with robotic and open hepatectomy by performing a comparative survey using two standardized questionnaires (Short Form-36 and Gastrointestinal Quality of Life Index). Results: One hundred patients completed the study. The robotic group tended to experienced longer operation time but shorter length of hospital stay compared to open group. Moreover, the robotic group had faster return to daily activities, less need of patient-controlled anesthesia, and less wound-related complaints in long-term follow-up. The robotic group incurred higher peri-operative expenses; however, the cost of inpatient care was lower. Conclusions: Our study suggested that robotic hepatectomy provided good post-operative QoL and recovery of daily activity. However, efforts for lowering the financial burden of medical care by reducing the cost of robotic surgery is necessary for further application. Keywords: Robotic hepatectomy, Patient-reported outcome, Quality of life, Cost-effectiveness |
url |
http://www.sciencedirect.com/science/article/pii/S1015958418307656 |
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