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Open AccessArticle

The Financial Burden of Setting up a Pediatric Robotic Surgery Program

Department of Pediatric Surgery and Orthopedics, “Victor Babes” University of Medicine and Pharmacy, Timisoara 300041, Romania
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Medicina 2019, 55(11), 739; https://doi.org/10.3390/medicina55110739
Received: 10 October 2019 / Revised: 7 November 2019 / Accepted: 12 November 2019 / Published: 14 November 2019
Background and Objectives: Robotic surgery is currently at the forefront of both adult and pediatric treatment. The main limit in the wide adoption of this technology is the high cost of purchasing and running the robotic system. This report will focus on the costs assessment of running a robotic program in a pediatric surgery center in Romania. Materials and Methods: In 12 months we performed 40 robot-assisted procedures in children. We recorded and analyzed data regarding their age, gender, pathological condition and comorbidities, surgical procedure, time of surgery, complications, hospital stay and related costs, medication, robotic instruments and consumables, additional cost, and income per case received from the National Insurance Company (NIC). Results: Mean cost per case was €3260.63 (€1880.07 to €9851.78) and was influenced by type of the procedure, intraoperative incidents, postoperative complication, and non-scheduled reinterventions (p < 0.05). The direct costs for operating the surgical robot were relatively constant, regardless of the surgical procedure (mean €1579.81). The reimbursement from the NIC ranged from 5% to 56% (mean 16.9%) of the total cost per case. Conclusion: In Romania, a pediatric surgery robotic program is not cost-efficient and cannot operate relying solely onto the health insurance system. View Full-Text
Keywords: robotic surgical procedures; hospitals; pediatric; general surgery pediatrics; healthcare costs; outcome assessment (healthcare) robotic surgical procedures; hospitals; pediatric; general surgery pediatrics; healthcare costs; outcome assessment (healthcare)
MDPI and ACS Style

Boia, E.S.; David, V.L. The Financial Burden of Setting up a Pediatric Robotic Surgery Program. Medicina 2019, 55, 739.

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