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Total hospital cost of robotic or conventional open-chest mitral valve repair surgery is similar
Date:9/30/2013

the breastbone to expose the heart.

"There is concern that the adoption of new technology in the operating room will increase costs," Dr. Suri says. "That does not need to be the case. While total hospital costs were slightly higher initially for robot-assisted mitral valve repair surgery, we found that with increased experience and changes in our care processes, there was a steady and significant decrease in costs over time as we progressed through the learning curve."

In this study performed between July 2007 and January 2011, 370 patients who underwent mitral valve repair surgery (185 robotically and 185 open-chest) were compared. All patients had successful surgeries and there were no early deaths. Halfway through the study period, in 2009, systems innovations were implemented, such as increased efficiency in the operating room and expedited postoperative recovery efforts that allowed patients who underwent robotic repair to have their breathing tube removed in the operating room. They also were more likely to be able to move to a hospital room the day of the surgery, decreasing the time spent in a more expensive intensive care unit.

In the pre-improvement period (before systems innovations were implemented), total cost --from admission to dismissal --for robotic surgery was slightly higher ($34,920) than for open-chest surgery ($32,650), but during the post-improvement period (after systems innovations were implemented), the median cost of robotic repair became similar to open-chest --$30,606 and $31,310, respectively.

The length of hospital stay consequently decreased in the patients who had robotic repair surgery. In the pre-systems innovation period, these patients were in the hospital for an average of four days, compared with an average of 5.6 days for open-chest patients. In the post-improvement period, the time frame was 3.7 days compared with 5.7 days, respectively.

"Studies like this one are important in
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Contact: Traci Klein
newsbureau@mayo.edu
507-284-5005
Mayo Clinic
Source:Eurekalert

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