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Costs analysis of laparoendoscopic, single-site laparoscopic and open surgery for cT1 renal masses in a European high-volume centre. World J Urol 2013; 32:1501-10. [DOI: 10.1007/s00345-013-1223-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Accepted: 12/02/2013] [Indexed: 01/30/2023] Open
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Cruz JASD, Passerotti CC, Frati RMC, Reis STD, Okano MTR, Gouveia ÉM, Biolo KD, Duarte RJ, Nguyen H, Srougi M. Surgical Performance During Laparoscopic Radical Nephrectomy Is Improved With Training in a Porcine Model. J Endourol 2012; 26:278-82. [DOI: 10.1089/end.2011.0367] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - Carlo Camargo Passerotti
- Department of Urology, College of Medicine, University of São Paulo (FMUSP), São Paulo, Brazil
- Urology Department, College of Medicine, Nove de Julho University (UNINOVE), São Paulo, Brazil
| | | | | | | | - Éder Maxwell Gouveia
- Department of Urology, College of Medicine, University of São Paulo (FMUSP), São Paulo, Brazil
| | - Karlo Dornelles Biolo
- Department of Urology, College of Medicine, University of São Paulo (FMUSP), São Paulo, Brazil
| | - Ricardo Jordão Duarte
- Department of Urology, College of Medicine, University of São Paulo (FMUSP), São Paulo, Brazil
| | - Hiep Nguyen
- Department of Urology, Children's Hospital, Boston, Harvard Medical School, Boston, Massachusetts
| | - Miguel Srougi
- Department of Urology, College of Medicine, University of São Paulo (FMUSP), São Paulo, Brazil
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Hellenthal NJ, Bermejo CE. The role of socioeconomic status in renal cell carcinoma. Urol Oncol 2011; 30:89-94. [PMID: 21908209 DOI: 10.1016/j.urolonc.2011.08.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2011] [Revised: 08/04/2011] [Accepted: 08/04/2011] [Indexed: 11/28/2022]
Abstract
Gender, race, income level, and socioeconomic status (SES) are factors in the decision to diagnose and treat patients with localized and advanced renal cell carcinoma (RCC). These variables affect both health care delivery at the provider level as well as health care receipt and decision-making at the patient level. The purpose of this article is to review current literature regarding the role of socioeconomic status and patient demographics on the risk of developing, diagnosing, and treating RCC. The article will also address RCC-related treatment costs and reimbursements.
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Affiliation(s)
- Nicholas J Hellenthal
- Division of Urology, Department of Surgery, Bassett Healthcare, Cooperstown, NY 13326, USA.
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Cervellione RM, Gordon M, Hennayake S. Financial Analysis of Laparoscopic Versus Open Nephrectomy in the Pediatric Age Group. J Laparoendosc Adv Surg Tech A 2007; 17:690-2. [PMID: 17907990 DOI: 10.1089/lap.2007.0015] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The authors compared the cost of laparoscopic nephrectomy to open nephrectomy in the pediatric age group. One hundred seventeen consecutive laparoscopic nephrectomies performed by a surgeon with extensive experience with this approach between April 2003 and August 2006 were included. A control group of 24 consecutive open nephrectomies performed by urologists who do not use the laparoscopic approach were also included. Inclusion criteria for surgery were a poor or nonfunctioning kidney related to severe obstructive or refluxing nephropathy and a multicystic dysplastic kidney. The length of operation, length of stay, and disposable equipment used were recorded and the different approaches were compared statistically with an unpaired t test. The mean (standard deviation [SD]) duration of the procedure was 79 minutes (32) in the laparoscopic group and 85 minutes (35) in the control group (P = 0.41). The mean (SD) cost of the disposable instruments used during the operation was pounds sterling274 (160) in the laparoscopic group and pounds sterling20 (5) in the control group (P = 0.0001). The mean (SD) hospital stay was 1 night (0.43) with a mean (SD) cost of pounds sterling677 (291) in the laparoscopic group, and 3 nights (2) with a mean (SD) cost of pounds sterling2031 (1354) in the control group (P = 0.0001). The mean (SD) total cost of the procedure was pounds sterling951 (451) for the laparoscopic group and pounds sterling2051 (1359) for the open one (P = 0.0001). In our experience, the laparoscopic approach in the pediatric age group is 54% less expensive than the open approach.
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Affiliation(s)
- Raimondo M Cervellione
- Department of Paediatric Urology, Royal Manchester Children's Hospital, Manchester, United Kingdom
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