ROBOT PROSTATECTOMY – HIGHER COSTS, NOT SAFER, NOT BETTER
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Lawrenceville, NJ (Dr Simone) – Robot-Assisted Radical Prostatectomy is not safer than Open Radical Prostatectomy and is much more costly. 6310 patients were studied: 59% had Robot Assisted surgery while 41% had Open Radical Prostatectomy. Both groups had the same rates of complications, re-admissions, and additional cancer therapies (J Clin Oncol 2014; 32:1419-1426)
From 2004 to 2010, the use of Robot-Assisted Radical Prostatectomy increased from 8% of prostatectomies to 67%. The rapid dissemination of Robot-Assisted Radical Prostatectomy has been driven by reimbursement dollars and not evidence-based.
Would you pay for a higher cost procedure that was not safer, and not better?
(c) 2015 Charles B. Simone, M.MS, M.D.