%0 Journal Article
%T ＆Robosurgeons vs. robosceptics＊: can we afford robotic technology or can we afford not to?
%A Jasmesh Sandhu
%J Journal of Clinical Urology
%@ 2051-4166
%D 2019
%R 10.1177/2051415818812300
%X To investigate the clinical effectiveness and cost-effectiveness of robotic technology in robotic-assisted radical prostatectomy in comparison with laparoscopic radical prostatectomy and open radical prostatectomy. Cochrane, Medline and Embase databases were searched for randomised controlled trials to date on robotic-assisted radical prostatectomy versus laparoscopic radical prostatectomy and robotic-assisted radical prostatectomy versus open radical prostatectomy to assess clinical effectiveness. The British Association of Urology Surgeons database (2014每2016) and Cancer Research UK (2012每2014) were accessed in conjunction with media; keywords included: ＆Da Vinci＊, ＆first robotic prostatectomy＊, ＆hospital＊ to estimate the cost-effectiveness of robotic-assisted radical prostatectomy in the National Health Service. Functional outcome rates improved with robotic-assisted radical prostatectomy; this benefits the National Health Service financially although the clinical effectiveness may not meet the threshold of clinical importance. Regarding cost-effectiveness, approximately 12/43 (27.9%) centres achieved 150 robotic-assisted radical prostatectomies per year while 26/43 (60.4%) centres have managed to meet 100 robotic-assisted radical prostatectomies per year in 2014每2016. A national mean of 120每130 robotic-assisted radical prostatectomies per year for 2014每2016 was estimated. The cost of robotic-assisted radical prostatectomy is adequately justified if a high volume of surgeries (>150) are performed in high volume centres by high volume experienced surgeons per year. This can be achieved by subsidising the cost of robotic technology, centralisation and establishing robotic training centres
%K Oncology (prostate)
%K prostate cancer
%K robotics
%K laparoscopy
%K training
%U https://journals.sagepub.com/doi/full/10.1177/2051415818812300