A comparison of clinical outcomes and costs between robotic and open ventral hernia repair

Kudsi O. Y., Kaoukabani G., Bou-Ayash N., Friedman A., Vallar K., Crawford A. S., ...Daha Fazla

American Journal of Surgery, cilt.226, sa.1, ss.87-92, 2023 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 226 Sayı: 1
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.amjsurg.2023.01.031
  • Dergi Adı: American Journal of Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Biotechnology Research Abstracts, CAB Abstracts, CINAHL, EMBASE
  • Sayfa Sayıları: ss.87-92
  • Anahtar Kelimeler: Clinical outcomes, Costs, Open, Robotic, Ventral hernia
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Background: As robotic ventral hernia repair(VHR) adoption increases, real-world evidence is needed to ensure appropriate utilization. Methods: Data for open and robotic VHR(OVHR, RVHR) was retrospectively analyzed. Outcomes and costs were compared via inverse probability treatment weighting using propensity scores to estimate the average treatment effect on the treated for RVHR. Results: 675 open and 609 robotic ventral hernia repairs were included. Demographics and hernia characteristics were comparable. Complications rates were lower in RVHR(p < 0.001). Clavien-Dindo grade-III complications were lower in RVHR(13.2% vs. 4.9%, p < 0.001). RVHR resulted in fewer surgical site events(21.5% vs. 12.2%, p < 0.001). Recurrence rates were greater in OVHR(8.9% vs. 2.8%, p < 0.001). The higher RVHR hospital costs (Δ = $2456, p = 0.005) were balanced by the lower post-discharge costs, compared to OVHR(Δ = $799, p = 0.023). Total costs did not differ(Δ = $1656 p = 0.081). Conclusion: Although hospital costs were higher, post-discharge expenses favored RVHR due to the lower postoperative complications, which lead to comparable total costs to OVHR.