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A first exploration of the economic consequences of an autonomous surgical robot for lateral skull base surgery: an early health technology assessment

Published online by Cambridge University Press:  31 July 2023

Cindy H. Nabuurs Open the ORCID record for Cindy H. Nabuurs [Opens in a new window] ,
Wietske Kievit ,
Lex Haegens ,
Janneke P.C. Grutters Open the ORCID record for Janneke P.C. Grutters [Opens in a new window]  and
Henricus P.M. Kunst
Cindy H. Nabuurs*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands Rare Cancers, Radboud Institute for Health Sciences, Nijmegen, The Netherlands Academic Alliance Skull Base Pathology Radboudumc – MUMC+, Nijmegen, The Netherlands
Wietske Kievit
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands Rare Cancers, Radboud Institute for Health Sciences, Nijmegen, The Netherlands Academic Alliance Skull Base Pathology Radboudumc – MUMC+, Nijmegen, The Netherlands Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands
Lex Haegens
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands
Janneke P.C. Grutters
Affiliation:
Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands Department of Operating Rooms, Radboud University Medical Center, Nijmegen, The Netherlands
Henricus P.M. Kunst
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands Rare Cancers, Radboud Institute for Health Sciences, Nijmegen, The Netherlands Academic Alliance Skull Base Pathology Radboudumc – MUMC+, Nijmegen, The Netherlands Department of Otorhinolaryngology and Head and Neck Surgery, Maastricht University Medical Center, Maastricht, The Netherlands
*
Corresponding author: Cindy H. Nabuurs; Email: cindy.nabuurs@radboudumc.nl
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Abstract

Objectives

Lateral skull base procedures, such as translabyrinthine approach (TLA), are challenging. An autonomous surgical robot might be a solution to these challenges. Our aim is to explore in an early phase the economic consequences of an autonomous surgical robot compared with conventional TLA.

Methods

An early decision analytic model was constructed in order to perform a step-wise threshold analyses and a sensitivity analysis to analyze the impact of the several factors on the incremental costs.

Results

Using surgical robot results in incremental costs – EUR 5,562 per procedure – compared to conventional TLA. These costs are most reduced by higher number of procedures, followed by lower price of the robot, saved operation time, and reduced risk of complication, respectively.

Conclusions

The incremental costs of using an autonomous surgical robot can be decreased by choosing applications with a high turnover rate, a long operation time, and a high complication rate.

Keywords

skull baseroboticstechnology assessmenteconomics modelsskull base neoplasms
Type
Assessment
Information
International Journal of Technology Assessment in Health Care , Volume 39 , Issue 1 , 2023 , e46
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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