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A cost‐effectiveness analysis of robotic versus laparoscopic distal pancreatectomy

2020; Wiley; Volume: 16; Issue: 2 Linguagem: Inglês

10.1002/rcs.2080

1478-596X

Emilio Vicente, J. Nuñez Alfonsel, Benedetto Ielpo, Valentina Ferri, Riccardo Caruso, Hipólito Durán, Eduardo M. Diaz, Luis Malavé, Isabel Fabra, E. Pinna, R. Isernia, Álvaro Hidalgo‐Vega, Yolanda Quijano,

Cholangiocarcinoma and Gallbladder Cancer Studies

There is no study in the literature that evaluates the cost-effectiveness of robotic distal pancreatectomy (RDP) over laparoscopic distal pancreatectomy (LDP). We performed a comparative study of RDP and LDP with the aim of evaluating clinical and cost-effective outcomes.This is an observational, comparative prospective nonrandomized study. The primary end point was to compare the cost-effectiveness differences between both groups. A willingness to pay of €20 000 and €30 000 per quality-adjusted life year (QALY) was used as a threshold to recognize which treatment was most cost-effective.A total of 31 RDP and 28 LDP have been included. The overall mean total cost was similar in both groups (RDP: €9712.15 versus LDP: €9424.68; P > .5). Mean QALYs for RDP (0.652) was higher than that associated with LDP (0.59) (P > .5).This study seems to provide data of cost-effectiveness between RDP and LDP approaches, showing some benefits for RDP.