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Adopting robotic thoracic surgery impacts hospital overall lung resection case volume

Purpose. We sought to evaluate the role of robotic-assisted lung surgery on hospital volume using difference in difference (DID). We propose hospital adoption of robotic thoracic technology increases total volume of specific procedures as compared to non-robotic hospitals. Methods. The 2010–2015 Flo... Full description

Journal Title: The American journal of surgery 2022-03, Vol.223 (3), p.571-575
Main Author: Rogers, Michael P
Other Authors: Janjua, Haroon , Eguia, Emanuel , Lozonschi, Lucian , Toloza, Eric M , Kuo, Paul C
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9610
Link: https://www.ncbi.nlm.nih.gov/pubmed/34844730
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title: Adopting robotic thoracic surgery impacts hospital overall lung resection case volume
format: Article
creator:
  • Rogers, Michael P
  • Janjua, Haroon
  • Eguia, Emanuel
  • Lozonschi, Lucian
  • Toloza, Eric M
  • Kuo, Paul C
subjects:
  • Analysis
  • Comorbidity
  • Difference in difference
  • Health care
  • Hospital systems
  • Hospital volume
  • Hospitals
  • Humans
  • Length of Stay
  • Lung
  • Lung cancer
  • Lung Neoplasms - surgery
  • Lungs
  • Medical colleges
  • Mortality
  • Ostomy
  • Patients
  • Pneumonectomy - methods
  • Retrospective Studies
  • Robotic surgery
  • Robotic Surgical Procedures - methods
  • Robotics
  • Statistical analysis
  • Surgeons
  • Surgery
  • Technology
  • Thoracic Surgery
  • Thoracic Surgery, Video-Assisted - methods
  • Thorax
  • Variables
  • Variance analysis
ispartof: The American journal of surgery, 2022-03, Vol.223 (3), p.571-575
description: Purpose. We sought to evaluate the role of robotic-assisted lung surgery on hospital volume using difference in difference (DID). We propose hospital adoption of robotic thoracic technology increases total volume of specific procedures as compared to non-robotic hospitals. Methods. The 2010–2015 Florida Agency for Health Care Administration dataset was queried for open, video-assisted thoracoscopic, and robotic-assisted thoracic surgeries. Incident Rate Ratios (IRR) from DID analysis determined the significance of robotic technology. For each technique, length of stay and elements of charges were compared to determine statistical significance. Results. A total of 28,484 lung resection procedures performed at 162 hospitals, 65 of which had robotic capabilities were included. Robotic hospitals experienced an 85% increase in total lung surgical volume (IRR 1.85, p-value
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9610
fulltext: fulltext
issn:
  • 0002-9610
  • 1879-1883
url: Link


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descriptionPurpose. We sought to evaluate the role of robotic-assisted lung surgery on hospital volume using difference in difference (DID). We propose hospital adoption of robotic thoracic technology increases total volume of specific procedures as compared to non-robotic hospitals. Methods. The 2010–2015 Florida Agency for Health Care Administration dataset was queried for open, video-assisted thoracoscopic, and robotic-assisted thoracic surgeries. Incident Rate Ratios (IRR) from DID analysis determined the significance of robotic technology. For each technique, length of stay and elements of charges were compared to determine statistical significance. Results. A total of 28,484 lung resection procedures performed at 162 hospitals, 65 of which had robotic capabilities were included. Robotic hospitals experienced an 85% increase in total lung surgical volume (IRR 1.85, p-value <0.001). This increase in volume was consistent for each lung resection procedure separately. Conclusion. Hospital adoption of robotic technology significantly increases the overall lung surgical volume for select lung resection procedures. •This work analyzes the impact of adopting robotic-assisted lung surgery on overall lung surgery volumes.
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subjectAnalysis ; Comorbidity ; Difference in difference ; Health care ; Hospital systems ; Hospital volume ; Hospitals ; Humans ; Length of Stay ; Lung ; Lung cancer ; Lung Neoplasms - surgery ; Lungs ; Medical colleges ; Mortality ; Ostomy ; Patients ; Pneumonectomy - methods ; Retrospective Studies ; Robotic surgery ; Robotic Surgical Procedures - methods ; Robotics ; Statistical analysis ; Surgeons ; Surgery ; Technology ; Thoracic Surgery ; Thoracic Surgery, Video-Assisted - methods ; Thorax ; Variables ; Variance analysis
ispartofThe American journal of surgery, 2022-03, Vol.223 (3), p.571-575
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abstractPurpose. We sought to evaluate the role of robotic-assisted lung surgery on hospital volume using difference in difference (DID). We propose hospital adoption of robotic thoracic technology increases total volume of specific procedures as compared to non-robotic hospitals. Methods. The 2010–2015 Florida Agency for Health Care Administration dataset was queried for open, video-assisted thoracoscopic, and robotic-assisted thoracic surgeries. Incident Rate Ratios (IRR) from DID analysis determined the significance of robotic technology. For each technique, length of stay and elements of charges were compared to determine statistical significance. Results. A total of 28,484 lung resection procedures performed at 162 hospitals, 65 of which had robotic capabilities were included. Robotic hospitals experienced an 85% increase in total lung surgical volume (IRR 1.85, p-value <0.001). This increase in volume was consistent for each lung resection procedure separately. Conclusion. Hospital adoption of robotic technology significantly increases the overall lung surgical volume for select lung resection procedures. •This work analyzes the impact of adopting robotic-assisted lung surgery on overall lung surgery volumes.
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