Evaluation of cost-effectiveness among open, laparoscopic and robotic distal pancreatectomy: A systematic review and meta-analysis.
Cost-Benefit Analysis
Humans
Laparoscopy
/ adverse effects
Length of Stay
/ economics
Pancreatectomy
/ adverse effects
Patient Readmission
/ statistics & numerical data
Prospective Studies
Publication Bias
Randomized Controlled Trials as Topic
Retrospective Studies
Robotic Surgical Procedures
/ adverse effects
Cost-effectiveness
Distal pancreatectomy
Laparoscopic
Pancreas
Robotic
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
14
02
2021
revised:
20
03
2021
accepted:
30
03
2021
pubmed:
16
4
2021
medline:
10
9
2021
entrez:
15
4
2021
Statut:
ppublish
Résumé
The cost-effectiveness of minimally invasive distal pancreatectomy (MIDP) is still a matter of debate. This study compares the cost-effectiveness of open (ODP), laparoscopic (LDP) and robotic distal pancreatectomy (RDP). Pubmed, Web of Science and Cochrane Library databases were searched. Studies comparing cost-effectiveness of ODP and MIDP were included. A total of 1052 titles were screened and 16 articles were included in the study, 2431 patients in total. LDP resulted the most cost-efficient procedure, with a mean total cost of 14,682 ± 5665 € and the lowest readmission rates. ODP had lower surgical procedure costs, 3867 ± 768 €. RDP was the safest approach regarding hospital stay costs (5239 ± 1741 €), length of hospital stay, morbidity, clinically relevant pancreatic fistula and reoperations. In this meta-analysis MIDP resulted as the most cost-effective approach. LDP seems to be protective against high costs, but RDP seems to be safer.
Sections du résumé
BACKGROUND
BACKGROUND
The cost-effectiveness of minimally invasive distal pancreatectomy (MIDP) is still a matter of debate. This study compares the cost-effectiveness of open (ODP), laparoscopic (LDP) and robotic distal pancreatectomy (RDP).
METHODS
METHODS
Pubmed, Web of Science and Cochrane Library databases were searched. Studies comparing cost-effectiveness of ODP and MIDP were included.
RESULTS
RESULTS
A total of 1052 titles were screened and 16 articles were included in the study, 2431 patients in total. LDP resulted the most cost-efficient procedure, with a mean total cost of 14,682 ± 5665 € and the lowest readmission rates. ODP had lower surgical procedure costs, 3867 ± 768 €. RDP was the safest approach regarding hospital stay costs (5239 ± 1741 €), length of hospital stay, morbidity, clinically relevant pancreatic fistula and reoperations.
CONCLUSION
CONCLUSIONS
In this meta-analysis MIDP resulted as the most cost-effective approach. LDP seems to be protective against high costs, but RDP seems to be safer.
Identifiants
pubmed: 33853724
pii: S0002-9610(21)00227-0
doi: 10.1016/j.amjsurg.2021.03.066
pii:
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
513-520Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.