Title

Variation in Prostate Surgery Costs and Outcomes in the USA: Robot-Assisted Versus Open Radical Prostatectomy

Document Type

Article

Publication Date

2-1-2019

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.

Publication Title

Journal of Comparative Effectiveness Resesearch

Volume

8

Issue

3

First Page

143

Last Page

155

PubMed ID

30620207

Comments

This article was published in Journal of Comparative Effectiveness Research, Volume 8, Issue 3, pages 143-155.

The published version is available at https://doi.org/10.2217/cer-2018-0109.

Copyright © 2019 Future Medicine Ltd.

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