ECONOMICAL ASPECTS ABOUT THE COSTS OF ROBOT-ASSISTED LAPAROSCOPIC PROSTATECTOMY (RALP)

Massimo Cecchi1, Carlo Alberto Sepich1, Simone Sannino1, Andrea Di Benedetto1, Daniele Summonti1, Silvia Pagliantini2
  • 1 Ospedale Versilia Usl Toscana nord ovest, U.O. Urologia (Lido di Camaiore)
  • 2 A.O.P Ospedale di Cisanello (Pisa)

Objective

The aim of this study to report the economic costs related to the RALP procedure in a robotic reference center.

Materials and Methods

A five years robotic activity is evaluated to determine the costs of RALP by engineers team. The evaluated items are: preoperative, operatory and post-operatory costs.

Results

The total amount pro patients is estimated 7852,06 euro:
-111,30 euro for preoperative assesment .
-5693.08 euro for operatory fase (800.86 for medical e paramedical equipe, 3781 euro for medical device and drugs, 1110.40 euro for operating room.

Discussions

 While potential benefits of robotic technology include decreased morbidity and improved recovery, some have suggested a prohibitively high cost. Because of the last governement resolution for Tuscany the financial balance about the robotic procedure is improved

Conclusion

Robotic technology did not significantly increase hospital costs. While the absolute cost for robotic surgery was higher than conventional techniques after taking into account the institutional cost of the robot, the major driver of cost for robotic procedures will likely continue to decrease. Furthermore we must consider due to the our last regional government resolution the robotic DRG refunded raised from 4234.00 to 9677.00 euro.
This variation leads to a positive balance varing from -3618.06 to +1824.94

Reference

non ci sono reference

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