Journal article
Cost-Benefit Analysis of Robotic versus Nonrobotic Minimally Invasive Mitral Valve Surgery
Innovations (Philadelphia, Pa.), Vol.10(2), pp.90-95
03/2015
DOI: 10.1097/imi.0000000000000136
PMID: 25811708
Abstract
Objective To date, a direct comparison of minimally invasive mitral valve repair or replacement (mini-MVR) versus robotic MVR is lacking; therefore, the purpose of this study was to address this deficit and compare mini-MVR with robotic MVR from a cost-benefit perspective. Methods From a total of 759 literature citations, 21 studies were included for statistical comparisons of benefit outcomes, whereas 3 studies and our institutional experience were used to compare costs. Results The total cost per case exceeding that of conventional MVR is approximately $2063.90 for robotic MVR and $271 for mini-MVR. Mean 30-day mortality rates for mini-MVR and robotic MVR groups were 1.24% and 0.55%, respectively [106/8548 vs 6/1089; odds ratio (OR), 2.27; P = 0.052]. The conversion rate to conventional MVR was 0.77% in mini-MVR and 1.83% in robotic MVR (35/5092 vs 22/1046; OR, 0.32; P < 0.001). The rate of neurologic events was 1.32% in mini-MVR and 2.37% in robotic MVR (109/8257 vs 20/845; OR, 0.55; P = 0.02). Postoperative atrial fibrillation was seen in 11.42% of mini-MVR patients and in 19.67% of robotic MVR patients (371/3249 vs 203/1032; OR, 0.53, P < 0.001). Mean cardiopulmonary bypass time was longer in mini-MVR (137.4 vs 130.4 minutes), whereas cross-clamp time was shorter (82.2 vs 96.7 minutes). Conclusions Our comparative analysis provides insights into the clinical benefits versus variable costs relationship related to mini-MVR and robotic MVR.
Details
- Title: Subtitle
- Cost-Benefit Analysis of Robotic versus Nonrobotic Minimally Invasive Mitral Valve Surgery
- Creators
- Mohammed Hassan - Division of Cardiothoracic Surgery, Department of Surgery, University of New Mexico, Albuquerque, NM USAYongjie Miao - Center for Cardiovascular and Pulmonary Research, Nationwide Children's Hospital Research Institute, Department of Pediatrics, The Ohio State University, Columbus, OH USAJoy Lincoln - Center for Cardiovascular and Pulmonary Research, Nationwide Children's Hospital Research Institute, Department of Pediatrics, The Ohio State University, Columbus, OH USAMarco Ricci - Division of Cardiothoracic Surgery, Department of Surgery, University of New Mexico, Albuquerque, NM USA
- Resource Type
- Journal article
- Publication Details
- Innovations (Philadelphia, Pa.), Vol.10(2), pp.90-95
- DOI
- 10.1097/imi.0000000000000136
- PMID
- 25811708
- ISSN
- 1556-9845
- eISSN
- 1559-0879
- Language
- English
- Date published
- 03/2015
- Academic Unit
- Surgery; Cardiothoracic Surgery
- Record Identifier
- 9984051786102771
Metrics
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