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Gepubliceerd in: Tijdschrift voor Urologie 2-3/2016

01-04-2016 | Artikel

Kosten van open versus robotgeassisteerde radicale cystectomie tot 90 dagen postoperatief: een retrospectieve studie uit twee centra met in totaal 169 patiënten

Auteurs: drs. Piter J. Stelwagen, drs. Eelco R. P. Collette, drs. Sjoerd O. Klaver, drs. C. J. Wijburg

Gepubliceerd in: Tijdschrift voor Urologie | Uitgave 2-3/2016

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Samenvatting

Introductie

Ondanks de toenemende inzet van de robotgeassisteerde radicale cystectomie (RARC) is er weinig bekend over de kosteneffectiviteit van deze behandeling. Wij onderzochten in twee onafhankelijke centra de verschillen in totale kosten (tot 90 dagen postoperatief) tussen RARC en open radicale cystectomie (ORC).

Materiaal en methoden

Retrospectieve analyse van alle cystectomieën die tussen januari 2010 en sep. 2013 in het Rijnstate (Arnhem) en alle cystectomieën die tussen januari 2008 en januari 2014 in het Maasstad Ziekenhuis (Rotterdam) uitgevoerd werden.

Resultaten

Er werden 69 ORC’s en 100 RARC’s geïncludeerd. Binnen de Rijnstate-groep was RARC 6,5 % goedkoper dan ORC, met een trend tot 21 % goedkoper aan het einde van de serie. Binnen de Maasstad-groep was RARC 17 % goedkoper dan ORC.

Conclusie

Beide retrospectieve kostenanalyses laten zien dat RARC, inclusief materiële en operationele kosten, niet duurder is dan ORC. Deze resultaten dienen bevestigd te worden in een prospectieve vergelijkende studie.
Voetnoten
1
Dit protocol stimuleert sneller postoperatief herstel door zo vroeg mogelijk te starten met orale belasting en mobiliseren. Postoperatieve toediening van totale parenterale voeding (TPV) werd, zowel voor als na invoering van het Fast-track protocol, alleen op indicatie gedaan.
 
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Metagegevens
Titel
Kosten van open versus robotgeassisteerde radicale cystectomie tot 90 dagen postoperatief: een retrospectieve studie uit twee centra met in totaal 169 patiënten
Auteurs
drs. Piter J. Stelwagen
drs. Eelco R. P. Collette
drs. Sjoerd O. Klaver
drs. C. J. Wijburg
Publicatiedatum
01-04-2016
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Urologie / Uitgave 2-3/2016
Print ISSN: 2211-3037
Elektronisch ISSN: 2211-4718
DOI
https://doi.org/10.1007/s13629-016-0122-7