Sanchez Alexis, Teixeira Andre, Ghanem Muhammad, Herrera Luis
Orlando Health Advanced Robotic Surgery Program, Orlando, FL, USA.
Orlando Health Weight Loss and Bariatric Surgery Institute, Orlando, FL, USA.
J Robot Surg. 2025 Jun 7;19(1):273. doi: 10.1007/s11701-025-02436-9.
This study describes and evaluates the implementation of a composite performance score, an integrated metric designed to enhance performance in robotic surgery by focusing on three domains: operational efficiency, cost control, and clinical outcomes. Quarterly feedback meetings to discuss the evaluations based on the score and individualized reports fostered active surgeon engagement in cost-reduction strategies. The project compared two cohorts: an intervention group where surgeons adopted the score and a control group where it was not implemented. Two periods, pre-implementation (Q1 2024) and post-implementation (Q4 2024), were analyzed to assess the financial impact of the score. The findings showed a 7.5% cost reduction per procedure in the intervention group, while the control group experienced an increase in costs. No differences were observed in operative time, length of stay, or readmission rates, confirming that cost optimization did not compromise the quality of care. This approach highlights the value of the composite performance score as a tool for promoting cost-efficient resource management in robotic procedures, demonstrating that with appropriate data, surgeons can effectively participate in initiatives aimed at lowering costs in robotic surgery.
本研究描述并评估了一种综合绩效评分的实施情况，这是一种综合指标，旨在通过关注三个领域来提高机器人手术的绩效：运营效率、成本控制和临床结果。基于该评分和个性化报告的季度反馈会议促进了外科医生积极参与成本降低策略。该项目比较了两个队列：一个是外科医生采用该评分的干预组，另一个是未实施该评分的对照组。分析了两个时期，即实施前（2024年第一季度）和实施后（2024年第四季度），以评估该评分的财务影响。研究结果显示，干预组每例手术成本降低了7.5%，而对照组成本有所增加。在手术时间、住院时间或再入院率方面未观察到差异，这证实了成本优化并未损害护理质量。这种方法突出了综合绩效评分作为促进机器人手术中成本效益高的资源管理工具的价值，表明通过适当的数据，外科医生可以有效地参与旨在降低机器人手术成本的举措。
