首页|Singapore General Hospital Reports Findings in Pancreatectomy (Evaluating the ec onomic efficiency of open, laparoscopic, and robotic distal pancreatectomy: an u pdated systematic review and network meta-analysis)
Singapore General Hospital Reports Findings in Pancreatectomy (Evaluating the ec onomic efficiency of open, laparoscopic, and robotic distal pancreatectomy: an u pdated systematic review and network meta-analysis)
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By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News-New research on Surgery - Pancreatecto my is the subject of a report. According to news reporting out of Singapore, Sin gapore, by NewsRx editors, research stated, "This study compared the cost-effect iveness of open (ODP), laparoscopic (LDP), and robotic (RDP) distal pancreatecto my (DP). Studies reporting the costs of DP were included in a literature search until August 2023." Our news journalists obtained a quote from the research from Singapore General H ospital, "Bayesian network meta-analysis was conducted, and surface under cumula tive ranking area (SUCRA) values, mean difference (MD), odds ratio (OR), and 95% credible intervals (CrIs) were calculated for outcomes of interest. Cluster anal ysis was performed to examine the similarity and classification of DP approaches into homogeneous clusters. A decision model-based cost-utility analysis was con ducted for the cost-effectiveness analysis of DP strategies. Twenty-six studies with 29,164 patients were included in the analysis. Among the three groups, LDP had the lowest overall costs, while ODP had the highest overall costs (LDP vs. O DP: MD - 3521.36, 95% CrI - 6172.91 to - 1228.59). RDP had the hig hest procedural costs (ODP vs. RDP: MD - 4311.15, 95% CrI - 6005.4 0 to - 2599.16; LDP vs. RDP: MD - 3772.25, 95% CrI - 4989.50 to - 2535.16), but incurred the lowest hospitalization costs. Both LDP (MD - 3663.82, 95% CrI - 6906.52 to - 747.69) and RDP (MD - 6678.42, 95% CrI - 11,434.30 to - 2972.89) had significantly reduced hospitalization costs co mpared to ODP. LDP and RDP demonstrated a superior profile regarding costs-morbi dity, costs-mortality, costs-efficacy, and costs-utility compared to ODP. Compar ed to ODP, LDP and RDP cost $3110 and $817 less per pa tient, resulting in 0.03 and 0.05 additional quality-adjusted life years (QALYs) , respectively, with positive incremental net monetary benefit (NMB). RDP costs $2293 more than LDP with a negative incremental NMB but generates 0 .02 additional QALYs with improved postoperative morbidity and spleen preservati on. Probabilistic sensitivity analysis suggests that LDP and RDP are more cost-e ffective options compared to ODP at various willingness-to-pay thresholds."
SingaporeSingaporeAsiaDigestive Sy stem Surgical Pro-ceduresEmerging TechnologiesGastroenterologyHealth and Me dicineMachine LearningPancreatectomyRoboticsRobotsSurgery
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