Cost aspects of radical nephrectomy for the treatment of renal cell carcinoma in Korea

Open, laparoscopic, robot-assisted laparoscopic, and video-assisted minilaparotomy surgeries

Jae Won Park, Kyung Hwa Choi, Seung Choul Yang, WoongKyu Han

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose: This study aimed to comparatively evaluate the cost-effectiveness of four different types of radical nephrectomy (RN) techniques: open, laparoscopic, robot-assisted laparoscopic, and video-assisted minilaparotomy surgery (VAMS). Materials and Methods: Among patients who were diagnosed with renal cell carcinoma and underwent RN, 20 patients were selected who received open, laparoscopic, robot- assisted laparoscopic, or VAMS RN between January 2008 and December 2010. Their medical fees were divided into four categories: procedure and operation, anesthesia, laboratory test, and medical supply fees. The medical costs of the patients were also divided into insured and uninsured costs. Results: The total direct cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN were 2,023,791±240,757, 2,024,246±674,859 (p=0.998), 3,603,557±870,333 (p < 0.01), and 8,021,902±330,157 (p < 0.01) Korean Won (KRW, the currency of South Koea), respectively. The total insured cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN was 1,904,627±231,957, 1,798,127±645,602 (p=0.634), 3,039,769 ±711,792 (p < 0.01), and 899,668±323,508 (p < 0.01) KRW, respectively. The total uninsured cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN was 119,163±24,581, 226,119±215,009, 563,788±487,798 (p < 0.01), and 7,122,234±56,117 (p < 0.01) KRW, respectively. Medical supply fees accounted for the largest portion of the costs and amounted to 33.43% of the VAMS cost. Conclusions: VAMS RN is as cost-effective as open surgery. Furthermore, it is comparatively more cost-effective than laparoscopic and robot-assisted laparoscopic RN.

Original languageEnglish
Pages (from-to)519-523
Number of pages5
JournalKorean Journal of Urology
Volume53
Issue number8
DOIs
Publication statusPublished - 2012 Jan 1

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Video-Assisted Surgery
Korea
Nephrectomy
Renal Cell Carcinoma
Laparotomy
Costs and Cost Analysis
Medical Fees
Therapeutics
Cost-Benefit Analysis
Anesthesia

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

@article{17fe3b81c4994cfba840ece2c60549eb,
title = "Cost aspects of radical nephrectomy for the treatment of renal cell carcinoma in Korea: Open, laparoscopic, robot-assisted laparoscopic, and video-assisted minilaparotomy surgeries",
abstract = "Purpose: This study aimed to comparatively evaluate the cost-effectiveness of four different types of radical nephrectomy (RN) techniques: open, laparoscopic, robot-assisted laparoscopic, and video-assisted minilaparotomy surgery (VAMS). Materials and Methods: Among patients who were diagnosed with renal cell carcinoma and underwent RN, 20 patients were selected who received open, laparoscopic, robot- assisted laparoscopic, or VAMS RN between January 2008 and December 2010. Their medical fees were divided into four categories: procedure and operation, anesthesia, laboratory test, and medical supply fees. The medical costs of the patients were also divided into insured and uninsured costs. Results: The total direct cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN were 2,023,791±240,757, 2,024,246±674,859 (p=0.998), 3,603,557±870,333 (p < 0.01), and 8,021,902±330,157 (p < 0.01) Korean Won (KRW, the currency of South Koea), respectively. The total insured cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN was 1,904,627±231,957, 1,798,127±645,602 (p=0.634), 3,039,769 ±711,792 (p < 0.01), and 899,668±323,508 (p < 0.01) KRW, respectively. The total uninsured cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN was 119,163±24,581, 226,119±215,009, 563,788±487,798 (p < 0.01), and 7,122,234±56,117 (p < 0.01) KRW, respectively. Medical supply fees accounted for the largest portion of the costs and amounted to 33.43{\%} of the VAMS cost. Conclusions: VAMS RN is as cost-effective as open surgery. Furthermore, it is comparatively more cost-effective than laparoscopic and robot-assisted laparoscopic RN.",
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Cost aspects of radical nephrectomy for the treatment of renal cell carcinoma in Korea : Open, laparoscopic, robot-assisted laparoscopic, and video-assisted minilaparotomy surgeries. / Park, Jae Won; Choi, Kyung Hwa; Yang, Seung Choul; Han, WoongKyu.

In: Korean Journal of Urology, Vol. 53, No. 8, 01.01.2012, p. 519-523.

Research output: Contribution to journalArticle

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T1 - Cost aspects of radical nephrectomy for the treatment of renal cell carcinoma in Korea

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N2 - Purpose: This study aimed to comparatively evaluate the cost-effectiveness of four different types of radical nephrectomy (RN) techniques: open, laparoscopic, robot-assisted laparoscopic, and video-assisted minilaparotomy surgery (VAMS). Materials and Methods: Among patients who were diagnosed with renal cell carcinoma and underwent RN, 20 patients were selected who received open, laparoscopic, robot- assisted laparoscopic, or VAMS RN between January 2008 and December 2010. Their medical fees were divided into four categories: procedure and operation, anesthesia, laboratory test, and medical supply fees. The medical costs of the patients were also divided into insured and uninsured costs. Results: The total direct cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN were 2,023,791±240,757, 2,024,246±674,859 (p=0.998), 3,603,557±870,333 (p < 0.01), and 8,021,902±330,157 (p < 0.01) Korean Won (KRW, the currency of South Koea), respectively. The total insured cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN was 1,904,627±231,957, 1,798,127±645,602 (p=0.634), 3,039,769 ±711,792 (p < 0.01), and 899,668±323,508 (p < 0.01) KRW, respectively. The total uninsured cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN was 119,163±24,581, 226,119±215,009, 563,788±487,798 (p < 0.01), and 7,122,234±56,117 (p < 0.01) KRW, respectively. Medical supply fees accounted for the largest portion of the costs and amounted to 33.43% of the VAMS cost. Conclusions: VAMS RN is as cost-effective as open surgery. Furthermore, it is comparatively more cost-effective than laparoscopic and robot-assisted laparoscopic RN.

AB - Purpose: This study aimed to comparatively evaluate the cost-effectiveness of four different types of radical nephrectomy (RN) techniques: open, laparoscopic, robot-assisted laparoscopic, and video-assisted minilaparotomy surgery (VAMS). Materials and Methods: Among patients who were diagnosed with renal cell carcinoma and underwent RN, 20 patients were selected who received open, laparoscopic, robot- assisted laparoscopic, or VAMS RN between January 2008 and December 2010. Their medical fees were divided into four categories: procedure and operation, anesthesia, laboratory test, and medical supply fees. The medical costs of the patients were also divided into insured and uninsured costs. Results: The total direct cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN were 2,023,791±240,757, 2,024,246±674,859 (p=0.998), 3,603,557±870,333 (p < 0.01), and 8,021,902±330,157 (p < 0.01) Korean Won (KRW, the currency of South Koea), respectively. The total insured cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN was 1,904,627±231,957, 1,798,127±645,602 (p=0.634), 3,039,769 ±711,792 (p < 0.01), and 899,668±323,508 (p < 0.01) KRW, respectively. The total uninsured cost of VAMS, open, laparoscopic, and robot-assisted laparoscopic RN was 119,163±24,581, 226,119±215,009, 563,788±487,798 (p < 0.01), and 7,122,234±56,117 (p < 0.01) KRW, respectively. Medical supply fees accounted for the largest portion of the costs and amounted to 33.43% of the VAMS cost. Conclusions: VAMS RN is as cost-effective as open surgery. Furthermore, it is comparatively more cost-effective than laparoscopic and robot-assisted laparoscopic RN.

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