Variation in prostate surgery costs and outcomes in the USA: robot-assisted versus open radical prostatectomy
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.
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© 2019 Future Medicine Ltd.
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Received: 10 October 2018
Accepted: 23 November 2018
Published online: 8 January 2019
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Variation in prostate surgery costs and outcomes in the USA: robot-assisted versus open radical prostatectomy. (2019) Journal of Comparative Effectiveness Research. DOI: 10.2217/cer-2018-0109
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