Predictors of costs for robotic-assisted laparoscopic radical prostatectomy

Christian Bolenz, Amit Gupta, Claus Roehrborn, Yair Lotan

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objectives: Information on the association of perioperative parameters with costs for robotic-assisted laparoscopic radical prostatectomy (RALP) is lacking. Understanding factors that impact cost may allow reduction in cost of prostate cancer care. We identified factors associated with higher costs in a contemporary series of RALP. Materials and methods: Total direct cost and clinicopathologic data were available for 264 patients who underwent RALP at our institution between May 2005 and April 2008. We performed linear regression analyses to identify predictors of direct cost using preoperative, intraoperative, and postoperative variables. Results: On univariable analyses, operating room (OR) time, placement of a pelvic drain (both P < 0.001), complications during surgery (P = 0.002) or hospitalization, blood transfusion, and length of stay (all P < 0.001) were associated with higher direct costs. On multivariable analysis, none of the preoperative features were found to predict direct costs. Of the intraoperative factors, OR time (P < 0.001) and pelvic drain placement (P = 0.006) were associated with higher direct costs. A longer OR time, length of stay, and usage of transfusions (all P < 0.001) during the postoperative course were independently associated with higher direct costs. Conclusions: Of factors that are available preoperatively, none seems to be useful to predict added costs for individual patients undergoing RALP. Higher costs for RALP are driven by events occurring during the procedure or postoperative hospital stay.

Original languageEnglish (US)
Pages (from-to)325-329
Number of pages5
JournalUrologic Oncology: Seminars and Original Investigations
Volume29
Issue number3
DOIs
StatePublished - May 2011

Fingerprint

Robotics
Prostatectomy
Costs and Cost Analysis
Operating Rooms
Length of Stay
Postoperative Care
Blood Transfusion
Linear Models
Prostatic Neoplasms
Hospitalization
Regression Analysis

Keywords

  • Cost analysis
  • Economics
  • Laparoscopy
  • Prostate cancer
  • Prostatectomy
  • Robotics

ASJC Scopus subject areas

  • Oncology
  • Urology

Cite this

Predictors of costs for robotic-assisted laparoscopic radical prostatectomy. / Bolenz, Christian; Gupta, Amit; Roehrborn, Claus; Lotan, Yair.

In: Urologic Oncology: Seminars and Original Investigations, Vol. 29, No. 3, 05.2011, p. 325-329.

Research output: Contribution to journalArticle

@article{e3132f27ebd14c798fae58fa0db8d2d7,
title = "Predictors of costs for robotic-assisted laparoscopic radical prostatectomy",
abstract = "Objectives: Information on the association of perioperative parameters with costs for robotic-assisted laparoscopic radical prostatectomy (RALP) is lacking. Understanding factors that impact cost may allow reduction in cost of prostate cancer care. We identified factors associated with higher costs in a contemporary series of RALP. Materials and methods: Total direct cost and clinicopathologic data were available for 264 patients who underwent RALP at our institution between May 2005 and April 2008. We performed linear regression analyses to identify predictors of direct cost using preoperative, intraoperative, and postoperative variables. Results: On univariable analyses, operating room (OR) time, placement of a pelvic drain (both P < 0.001), complications during surgery (P = 0.002) or hospitalization, blood transfusion, and length of stay (all P < 0.001) were associated with higher direct costs. On multivariable analysis, none of the preoperative features were found to predict direct costs. Of the intraoperative factors, OR time (P < 0.001) and pelvic drain placement (P = 0.006) were associated with higher direct costs. A longer OR time, length of stay, and usage of transfusions (all P < 0.001) during the postoperative course were independently associated with higher direct costs. Conclusions: Of factors that are available preoperatively, none seems to be useful to predict added costs for individual patients undergoing RALP. Higher costs for RALP are driven by events occurring during the procedure or postoperative hospital stay.",
keywords = "Cost analysis, Economics, Laparoscopy, Prostate cancer, Prostatectomy, Robotics",
author = "Christian Bolenz and Amit Gupta and Claus Roehrborn and Yair Lotan",
year = "2011",
month = "5",
doi = "10.1016/j.urolonc.2011.01.016",
language = "English (US)",
volume = "29",
pages = "325--329",
journal = "Urologic Oncology: Seminars and Original Investigations",
issn = "1078-1439",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - Predictors of costs for robotic-assisted laparoscopic radical prostatectomy

AU - Bolenz, Christian

AU - Gupta, Amit

AU - Roehrborn, Claus

AU - Lotan, Yair

PY - 2011/5

Y1 - 2011/5

N2 - Objectives: Information on the association of perioperative parameters with costs for robotic-assisted laparoscopic radical prostatectomy (RALP) is lacking. Understanding factors that impact cost may allow reduction in cost of prostate cancer care. We identified factors associated with higher costs in a contemporary series of RALP. Materials and methods: Total direct cost and clinicopathologic data were available for 264 patients who underwent RALP at our institution between May 2005 and April 2008. We performed linear regression analyses to identify predictors of direct cost using preoperative, intraoperative, and postoperative variables. Results: On univariable analyses, operating room (OR) time, placement of a pelvic drain (both P < 0.001), complications during surgery (P = 0.002) or hospitalization, blood transfusion, and length of stay (all P < 0.001) were associated with higher direct costs. On multivariable analysis, none of the preoperative features were found to predict direct costs. Of the intraoperative factors, OR time (P < 0.001) and pelvic drain placement (P = 0.006) were associated with higher direct costs. A longer OR time, length of stay, and usage of transfusions (all P < 0.001) during the postoperative course were independently associated with higher direct costs. Conclusions: Of factors that are available preoperatively, none seems to be useful to predict added costs for individual patients undergoing RALP. Higher costs for RALP are driven by events occurring during the procedure or postoperative hospital stay.

AB - Objectives: Information on the association of perioperative parameters with costs for robotic-assisted laparoscopic radical prostatectomy (RALP) is lacking. Understanding factors that impact cost may allow reduction in cost of prostate cancer care. We identified factors associated with higher costs in a contemporary series of RALP. Materials and methods: Total direct cost and clinicopathologic data were available for 264 patients who underwent RALP at our institution between May 2005 and April 2008. We performed linear regression analyses to identify predictors of direct cost using preoperative, intraoperative, and postoperative variables. Results: On univariable analyses, operating room (OR) time, placement of a pelvic drain (both P < 0.001), complications during surgery (P = 0.002) or hospitalization, blood transfusion, and length of stay (all P < 0.001) were associated with higher direct costs. On multivariable analysis, none of the preoperative features were found to predict direct costs. Of the intraoperative factors, OR time (P < 0.001) and pelvic drain placement (P = 0.006) were associated with higher direct costs. A longer OR time, length of stay, and usage of transfusions (all P < 0.001) during the postoperative course were independently associated with higher direct costs. Conclusions: Of factors that are available preoperatively, none seems to be useful to predict added costs for individual patients undergoing RALP. Higher costs for RALP are driven by events occurring during the procedure or postoperative hospital stay.

KW - Cost analysis

KW - Economics

KW - Laparoscopy

KW - Prostate cancer

KW - Prostatectomy

KW - Robotics

UR - http://www.scopus.com/inward/record.url?scp=79955737344&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955737344&partnerID=8YFLogxK

U2 - 10.1016/j.urolonc.2011.01.016

DO - 10.1016/j.urolonc.2011.01.016

M3 - Article

C2 - 21555102

AN - SCOPUS:79955737344

VL - 29

SP - 325

EP - 329

JO - Urologic Oncology: Seminars and Original Investigations

JF - Urologic Oncology: Seminars and Original Investigations

SN - 1078-1439

IS - 3

ER -