Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/132742
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dc.contributor.authorGuerrero-Ortiz, María Alejandra-
dc.contributor.authorSánchez-Velazquez, Patricia-
dc.contributor.authorBurdío, Fernando-
dc.contributor.authorGimeno, Marta-
dc.contributor.authorPodda, Mauro-
dc.contributor.authorPellino, Gianluca-
dc.contributor.authorToledano, Miguel-
dc.contributor.authorNuñez, Javier-
dc.contributor.authorBellido, Juan-
dc.contributor.authorAcosta Mérida, María Asunción-
dc.contributor.authorVicente, Emilio-
dc.contributor.authorLopez-Ben, Santiago-
dc.contributor.authorPacheco, David-
dc.contributor.authorPando, Elizabeth-
dc.contributor.authorJorba, Rosa-
dc.contributor.authorTrujillo, Juan Pablo Arjona-
dc.contributor.authorAusania, Fabio-
dc.contributor.authorAlvarez, Mario-
dc.contributor.authorFernandes, Nair-
dc.contributor.authorCastro-Boix, Sandra-
dc.contributor.authorGantxegu, Amaia-
dc.contributor.authorCarré, Miquel Kraft-
dc.contributor.authorPinto-Fuentes, Pilar-
dc.contributor.authorBueno-Cañones, Alejandro-
dc.contributor.authorValdes-Hernandez, Javier-
dc.contributor.authorTresierra, Luis-
dc.contributor.authorCaruso, Riccardo-
dc.contributor.authorFerri, Valentina-
dc.contributor.authorTio, Berta-
dc.contributor.authorBabiloni-Simon, Sonia-
dc.contributor.authorLacasa-Martin, David-
dc.contributor.authorGonzález-Abós, Carolina-
dc.contributor.authorGuevara-Martinez, Jenny-
dc.contributor.authorGutierrez-Iscar, Eduardo-
dc.contributor.authorSanchez-Santos, Raquel-
dc.contributor.authorCano-Valderrama, Oscar-
dc.contributor.authorNogueira-Sixto, Manuel-
dc.contributor.authorAlvarez-Garrido, Nicolas-
dc.contributor.authorMartinez-Cortijo, Sagrario-
dc.contributor.authorLasaia, Manuel Alberto-
dc.contributor.authorLinacero, Santiago-
dc.contributor.authorMorante, Ana Pilar-
dc.contributor.authorRotellar, Fernando-
dc.contributor.authorArredondo, Jorge-
dc.contributor.authorMarti, Pablo-
dc.contributor.authorSabatella, Lucas-
dc.contributor.authorZozaya, Gabriel-
dc.contributor.authorIelpo, Benedetto-
dc.date.accessioned2024-08-26T12:14:53Z-
dc.date.available2024-08-26T12:14:53Z-
dc.date.issued2024-
dc.identifier.issn0930-2794-
dc.identifier.otherScopus-
dc.identifier.otherWoS-
dc.identifier.urihttp://hdl.handle.net/10553/132742-
dc.description.abstractIntroduction: Although several studies report that the robotic approach is more costly than laparoscopy, the cost-effectiveness of robotic distal pancreatectomy (RDP) over laparoscopic distal pancreatectomy (LDP) is still an issue. This study evaluates the cost-effectiveness of the RDP and LDP approaches across several Spanish centres. Methods: This study is an observational, multicenter, national prospective study (ROBOCOSTES). For one year from 2022, all consecutive patients undergoing minimally invasive distal pancreatectomy were included, and clinical, QALY, and cost data were prospectively collected. The primary aim was to analyze the cost-effectiveness between RDP and LDP. Results: During the study period, 80 procedures from 14 Spanish centres were analyzed. LDP had a shorter operative time than the RDP approach (192.2 min vs 241.3 min, p = 0.004). RDP showed a lower conversion rate (19.5% vs 2.5%, p = 0.006) and a lower splenectomy rate (60% vs 26.5%, p = 0.004). A statistically significant difference was reported for the Comprehensive Complication Index between the two study groups, favouring the robotic approach (12.7 vs 6.1, p = 0.022). RDP was associated with increased operative costs of 1600 euros (p < 0.031), while overall cost expenses resulted in being 1070.92 Euros higher than the LDP but without a statistically significant difference (p = 0.064). The mean QALYs at 90 days after surgery for RDP (0.9534) were higher than those of LDP (0.8882) (p = 0.030). At a willingness-to-pay threshold of 20,000 and 30,000 euros, there was a 62.64% and 71.30% probability that RDP was more cost-effective than LDP, respectively. Conclusions: The RDP procedure in the Spanish healthcare system appears more cost-effective than the LDP.-
dc.languageeng-
dc.relation.ispartofSurgical Endoscopy-
dc.sourceSurgical Endoscopy [ISSN 0930-2794], (Enero 2024).-
dc.subject321301 Cirugía abdominal-
dc.subject.otherCost-Effectiveness Analysis-
dc.subject.otherLaparoscopic Distal Pancreatectomy-
dc.subject.otherMinimally Invasive Surgery-
dc.subject.otherQuality Of Life Analysis-
dc.subject.otherRobotic Distal Pancreatectomy-
dc.titleCost-effectiveness of robotic vs laparoscopic distal pancreatectomy. Results from the national prospective trial ROBOCOSTES-
dc.typeinfo:eu-repo/semantics/Article-
dc.typeArticle-
dc.identifier.doi10.1007/s00464-024-11109-x-
dc.identifier.scopus85201236443-
dc.identifier.isi001290971500006-
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dc.identifier.eissn1432-2218-
dc.investigacionCiencias de la Salud-
dc.type2Artículo-
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dc.description.numberofpages12-
dc.utils.revision-
dc.contributor.wosstandardWOS:Guerrero-Ortiz, MA-
dc.contributor.wosstandardWOS:Sánchez-Velazquez, P-
dc.contributor.wosstandardWOS:Burdío, F-
dc.contributor.wosstandardWOS:Gimeno, M-
dc.contributor.wosstandardWOS:Podda, M-
dc.contributor.wosstandardWOS:Pellino, G-
dc.contributor.wosstandardWOS:Toledano, M-
dc.contributor.wosstandardWOS:Nunez, J-
dc.contributor.wosstandardWOS:Bellido, J-
dc.contributor.wosstandardWOS:Acosta-Mérida, MA-
dc.contributor.wosstandardWOS:Vicente, E-
dc.contributor.wosstandardWOS:Lopez-Ben, S-
dc.contributor.wosstandardWOS:Pacheco, D-
dc.contributor.wosstandardWOS:Pando, E-
dc.contributor.wosstandardWOS:Jorba, R-
dc.contributor.wosstandardWOS:Trujillo, JPA-
dc.contributor.wosstandardWOS:Ausania, F-
dc.contributor.wosstandardWOS:Alvarez, M-
dc.contributor.wosstandardWOS:Fernandes, N-
dc.contributor.wosstandardWOS:Castro-Boix, S-
dc.contributor.wosstandardWOS:Gantxegu, A-
dc.contributor.wosstandardWOS:Carre, MK-
dc.contributor.wosstandardWOS:Pinto-Fuentes, P-
dc.contributor.wosstandardWOS:Bueno-Cañones, A-
dc.contributor.wosstandardWOS:Valdes-Hernandez, J-
dc.contributor.wosstandardWOS:Tresierra, L-
dc.contributor.wosstandardWOS:Caruso, R-
dc.contributor.wosstandardWOS:Ferri, V-
dc.contributor.wosstandardWOS:Tio, B-
dc.contributor.wosstandardWOS:Babiloni-Simon, S-
dc.contributor.wosstandardWOS:Lacasa-Martin, D-
dc.contributor.wosstandardWOS:González-Abós, C-
dc.contributor.wosstandardWOS:Guevara-Martinez, J-
dc.contributor.wosstandardWOS:Gutierrez-Iscar, E-
dc.contributor.wosstandardWOS:Sanchez-Santos, R-
dc.contributor.wosstandardWOS:Cano-Valderrama, O-
dc.contributor.wosstandardWOS:Nogueira-Sixto, M-
dc.contributor.wosstandardWOS:Alvarez-Garrido, N-
dc.contributor.wosstandardWOS:Martinez-Cortijo, S-
dc.contributor.wosstandardWOS:Lasaia, MA-
dc.contributor.wosstandardWOS:Linacero, S-
dc.contributor.wosstandardWOS:Morante, AP-
dc.contributor.wosstandardWOS:Rotellar, F-
dc.contributor.wosstandardWOS:Arredondo, J-
dc.contributor.wosstandardWOS:Marti, P-
dc.contributor.wosstandardWOS:Sabatella, L-
dc.contributor.wosstandardWOS:Zozaya, G-
dc.contributor.wosstandardWOS:Ielpo, B-
dc.date.coverdateEnero 2024-
dc.identifier.ulpgc-
dc.contributor.buulpgcBU-MED-
dc.description.sjr1,12-
dc.description.jcr3,1-
dc.description.sjrqQ1-
dc.description.jcrqQ1-
dc.description.scieSCIE-
dc.description.miaricds11,0-
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.fullNameAcosta Mérida, María Asunción-
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