Cargando…

Trends in the diffusion of robotic surgery: A retrospective observational study

BACKGROUND: Recent studies have suggested that the use of robotic surgery for prostatectomy has been increasing, but characterization of the diffusion of robotic surgery in other procedures has not been available. METHODS: Data were analysed for the years 2006–2014 using hospital episode statistics...

Descripción completa

Detalles Bibliográficos
Autores principales: Marcus, Hani J., Hughes‐Hallett, Archie, Payne, Christopher J., Cundy, Thomas P., Nandi, Dipankar, Yang, Guang‐Zhong, Darzi, Ara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725725/
https://www.ncbi.nlm.nih.gov/pubmed/29105982
http://dx.doi.org/10.1002/rcs.1870
_version_ 1783285591660560384
author Marcus, Hani J.
Hughes‐Hallett, Archie
Payne, Christopher J.
Cundy, Thomas P.
Nandi, Dipankar
Yang, Guang‐Zhong
Darzi, Ara
author_facet Marcus, Hani J.
Hughes‐Hallett, Archie
Payne, Christopher J.
Cundy, Thomas P.
Nandi, Dipankar
Yang, Guang‐Zhong
Darzi, Ara
author_sort Marcus, Hani J.
collection PubMed
description BACKGROUND: Recent studies have suggested that the use of robotic surgery for prostatectomy has been increasing, but characterization of the diffusion of robotic surgery in other procedures has not been available. METHODS: Data were analysed for the years 2006–2014 using hospital episode statistics (HES), a database of all admissions to National Health Service (NHS) hospitals in England. OPCS codes were used to determine the annual number of prostatectomy, partial nephrectomy, and total abdominal hysterectomy procedures. Concurrent OPCS codes were then used to identify whether these procedures were robotic, conventional laparoscopic or open surgery. RESULTS: The proportion of robotic cases varied depending on the surgical procedure. Diffusion of robotic surgery was relatively rapid in prostatectomy, moderate in partial nephrectomy, and slow in total abdominal hysterectomy. CONCLUSIONS: Although high institutional cost might explain the earliest delays in diffusion, this barrier does not fully account for the different rates of diffusion among surgical procedures.
format Online
Article
Text
id pubmed-5725725
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-57257252017-12-18 Trends in the diffusion of robotic surgery: A retrospective observational study Marcus, Hani J. Hughes‐Hallett, Archie Payne, Christopher J. Cundy, Thomas P. Nandi, Dipankar Yang, Guang‐Zhong Darzi, Ara Int J Med Robot Original Articles BACKGROUND: Recent studies have suggested that the use of robotic surgery for prostatectomy has been increasing, but characterization of the diffusion of robotic surgery in other procedures has not been available. METHODS: Data were analysed for the years 2006–2014 using hospital episode statistics (HES), a database of all admissions to National Health Service (NHS) hospitals in England. OPCS codes were used to determine the annual number of prostatectomy, partial nephrectomy, and total abdominal hysterectomy procedures. Concurrent OPCS codes were then used to identify whether these procedures were robotic, conventional laparoscopic or open surgery. RESULTS: The proportion of robotic cases varied depending on the surgical procedure. Diffusion of robotic surgery was relatively rapid in prostatectomy, moderate in partial nephrectomy, and slow in total abdominal hysterectomy. CONCLUSIONS: Although high institutional cost might explain the earliest delays in diffusion, this barrier does not fully account for the different rates of diffusion among surgical procedures. John Wiley and Sons Inc. 2017-11-06 2017-12 /pmc/articles/PMC5725725/ /pubmed/29105982 http://dx.doi.org/10.1002/rcs.1870 Text en © 2017 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Marcus, Hani J.
Hughes‐Hallett, Archie
Payne, Christopher J.
Cundy, Thomas P.
Nandi, Dipankar
Yang, Guang‐Zhong
Darzi, Ara
Trends in the diffusion of robotic surgery: A retrospective observational study
title Trends in the diffusion of robotic surgery: A retrospective observational study
title_full Trends in the diffusion of robotic surgery: A retrospective observational study
title_fullStr Trends in the diffusion of robotic surgery: A retrospective observational study
title_full_unstemmed Trends in the diffusion of robotic surgery: A retrospective observational study
title_short Trends in the diffusion of robotic surgery: A retrospective observational study
title_sort trends in the diffusion of robotic surgery: a retrospective observational study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725725/
https://www.ncbi.nlm.nih.gov/pubmed/29105982
http://dx.doi.org/10.1002/rcs.1870
work_keys_str_mv AT marcushanij trendsinthediffusionofroboticsurgeryaretrospectiveobservationalstudy
AT hugheshallettarchie trendsinthediffusionofroboticsurgeryaretrospectiveobservationalstudy
AT paynechristopherj trendsinthediffusionofroboticsurgeryaretrospectiveobservationalstudy
AT cundythomasp trendsinthediffusionofroboticsurgeryaretrospectiveobservationalstudy
AT nandidipankar trendsinthediffusionofroboticsurgeryaretrospectiveobservationalstudy
AT yangguangzhong trendsinthediffusionofroboticsurgeryaretrospectiveobservationalstudy
AT darziara trendsinthediffusionofroboticsurgeryaretrospectiveobservationalstudy