Newswire (Published: Thursday, June 20, 2019, Received: Thursday, June 20, 2019, 6:06:03 PM CDT)

Word Count: 554

2019 JUN 20 (NewsRx) -- By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News -- Investigators publish new report on Surgery - Prostatectomy. According to news reporting originating from Lexington, United States, by NewsRx correspondents, research stated, “Introduction and Objective: Quality-based reimbursement continues to gain popularity as value-based care becomes more prominent. Our goal is to describe the impact of preoperative characteristics, intraoperative variables, and postoperative complications on the cost of robot-assisted laparoscopic radical prostatectomy (RALP).”

Our news editors obtained a quote from the research from the University of Kentucky, “Using our institution’s National Surgical Quality Improvement Program (NSQIP) data, we identified minimally invasive prostatectomies performed from January 2012 to March 2017. A retrospective chart review was done to collect perioperative data; financial data were collected from the business office. Two hundred seventy-five patients were identified during this time period. Median total cost was $16,600 (interquartile range $15,100-$18,300), and median direct cost (DC) was $11,200 ($10,100-$12,400). Among preoperative characteristics, body mass index (BMI) >= 30 kg/m(2), diabetes, hypertension, and blood urea nitrogen >21 were associated with increased DCs of $500, $500, $200, and $600, respectively (p < 0.05). American Society of Anesthesiologists (ASA) class III was associated with increased DC of $200 compared with ASA classes I-II (p < 0.05). Considering intraoperative characteristics, increasing operative times and estimated blood loss (EBL) were associated with increased DC (p < 0.001, p< 0.05, respectively). Occurrence of any postoperative complication was associated with increased DC of $1400 (p < 0.05). On multivariable analysis, a 1-U increase in BMI was associated with a $129 increase in DC (p < 0.001), a length of stay (LOS) greater than 3 days was associated with a $4099 increase in DC (p < 0.001), a 30-minute increase in operating room duration was associated with a $410 increase in DC (p < 0.05), any postoperative complication was associated with a $5397 increase in DC (p < 0.01), and treatment for diabetes was associated with a $1860 increase in DC (p < 0.05). BMI, diabetes, operative duration, EBL, LOS, and postoperative complications were associated with significantly increased DC of RALP.”

According to the news editors, the research concluded: “Understanding perioperative factors affecting cost contributes to understanding value in prostatectomy and improving quality in urologic care.”

For more information on this research see: Examining and Understanding Value: the Impact of Preoperative Characteristics, Intraoperative Variables, and Postoperative Complications On Cost of Robot-assisted Laparoscopic Radical Prostatectomy. Journal of Endourology, 2019;():1-8. Journal of Endourology can be contacted at: Mary Ann Liebert, Inc, 140 Huguenot Street, 3RD Fl, New Rochelle, NY 10801, USA.

The news editors report that additional information may be obtained by contacting L. Peard, University of Kentucky, College Of Medicine, Dept. of Urology, Lexington, KY, United States. Additional authors for this research include J. Goodwin, P. Hensley, J. Bylund, A.M. Harris and A. Dugan.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1089/end.2019.0066. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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