Workplace absenteeism amongst patients undergoing open vs. robotic radical prostatectomy, hysterectomy, and partial colectomy.

Autor: Pucheril D; Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA., Fletcher SA; Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.; James Buchanan Brady Urological Institute and Department of Urology, The Johns Hopkins University School of Medicine, Baltimore, MA, USA., Chen X; Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.; Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA., Friedlander DF; Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA., Cole AP; Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA., Krimphove MJ; Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.; Department of Urology, University Hospital Frankfurt, Frankfurt am Main, Germany., Fields AC; Division of General and Gastrointestinal Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA., Melnitchouk N; Center for Surgery and Public Health, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.; Division of General and Gastrointestinal Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA., Kibel AS; Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA., Dasgupta P; MRC Centre for Transplantation, NIHR Biomedical Research Centre, King's College, London, UK., Trinh QD; Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. qtrinh@bwh.harvard.edu.; Division of Urological Surgery, Brigham and Women's Hospital, Harvard Medical School, 45 Francis St, ASB II-3, Boston, MA, 02115, USA. qtrinh@bwh.harvard.edu.
Jazyk: angličtina
Zdroj: Surgical endoscopy [Surg Endosc] 2021 Apr; Vol. 35 (4), pp. 1644-1650. Date of Electronic Publication: 2020 Apr 14.
DOI: 10.1007/s00464-020-07547-y
Abstrakt: Background: There is controversy regarding the widespread uptake of robotic surgery across several surgical disciplines. While it has been shown to confer clinical benefits such as decreased blood loss and shorter hospital stays, some argue that the benefits of this technology do not outweigh its high cost. We performed a retrospective insurance-based analysis to investigate how undergoing robotic surgery, compared to open surgery, may impact the time in which an employed individual returns to work after undergoing major surgery.
Methods: We identified a cohort of US adults with employer-sponsored insurance using claims data from the MarketScan database who underwent either open or robotic radical prostatectomy, hysterectomy/myomectomy, and partial colectomy from 2012 to 2016. We performed multiple regression models incorporating propensity scores to assess the effect of robotic vs. open surgery on the number of absent days from work, adjusting for demographic characteristics and baseline absenteeism.
Results: In a cohort of 1157 individuals with employer-sponsored insurance, those undergoing open surgery, compared to robotic surgery, had 9.9 more absent workdays for radical prostatectomy (95%CI 5.0 to 14.7, p < 0.001), 25.3 for hysterectomy/myomectomy (95%CI 11.0-39.6, p < 0.001), and 29.8 for partial colectomy (95%CI 14.8-44.8, p < 0.001) CONCLUSION: For the three major procedures studied, robotic surgery was associated with fewer missed days from work compared to open surgery. This information helps payers, patients, and providers better understand some of the indirect benefits of robotic surgery relative to its cost.
Databáze: MEDLINE
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