Department of Pharmacy Practice, Philadelphia College of Osteopathic Medicine, School of Pharmacy, Suwanee, GA, 30024, USA.
Duquesne University School of Pharmacy, Division of Pharmaceutical, Administrative & Social Sciences, Pittsburgh, PA, 15282, USA.
J Comp Eff Res. 2019 Feb;8(3):143-155. doi: 10.2217/cer-2018-0109. Epub 2019 Jan 8.
To compare perioperative complications, inpatient cost and length of stay between robot-assisted radical prostatectomy (RARP) and open radical prostatectomy (ORP) using National Inpatient Sample data from 2010 to 2015.
PATIENTS & METHODS: A total of 69,009 records with RARP or ORP were analyzed using multivariate logistic regression and generalized linear models.
The RARP had superior perioperative outcomes at a higher cost (adjusted mean difference = 2956; 95% CI: $2822-$3090) and shorter length of stay (mean difference = 0.85; 95% CI: 0.81-0.89) compared with ORP. Mean cost of RARP was lowest in urban teaching, private invest-own, high volume and northeast region hospitals and highest for black men.
Compared with ORP, RARP had significantly better perioperative outcomes at a higher cost.
利用 2010 年至 2015 年国家住院患者样本数据，比较机器人辅助根治性前列腺切除术（RARP）与开放性根治性前列腺切除术（ORP）的围手术期并发症、住院费用和住院时间。
使用多变量逻辑回归和广义线性模型对 69009 例接受 RARP 或 ORP 治疗的患者记录进行分析。
与 ORP 相比，RARP 具有更好的围手术期结局，但费用更高（调整后平均差值为 2956 美元；95%置信区间：2822 美元至 3090 美元），且住院时间更短（平均差值为 0.85；95%置信区间：0.81 美元至 0.89 美元）。RARP 的平均费用在城市教学医院、私立自有投资医院、高容量医院和东北地区医院最低，在黑人男性中最高。
与 ORP 相比，RARP 的围手术期结局显著改善，但费用更高。
