title: Cost analysis of open versus robotic-assisted sacrocolpopexy.
abstract: OBJECTIVE
  This study aimed to report on the costs, operative times, and length of stay for robotic and open sacrocolpopexy.
  
  
  METHODS
  This retrospective study compares consecutive open and robotic sacrocolpopexies that were performed beyond the surgical learning curve. Hospital direct costs, operative times, and length of stay were compared for the 2 groups. Robot cost and maintenance were included. Statistical significance was considered at P < 0.05.
  
  
  RESULTS
  The study comprised 91 open and 73 robotic sacrocolpopexies. Both groups were similar clinically. Median operative times for open and robotic approaches were 166 and 212 minutes (P < 0.001), respectively, and length of stay was 3 versus 2 days (P < 0.001). Of the women in the robotic group, 48% had length of stay less than 24 hours versus 1% in the open group. Median robotic and open procedure direct costs were $6668 and $7804 (P = 0.002), respectively. Readmission rates at 30 days postoperatively were similar.
  
  
  CONCLUSIONS
  Robotic sacrocolpopexy costs less but takes slightly longer to perform than the open procedure.
authors.affiliation: Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa, FL, USA. lhoyte@health.usf.edu
authors.forename: Lennox
authors.initials: L
authors.lastname: Hoyte
authors.forename: Roshanak
authors.initials: R
authors.lastname: Rabbanifard
authors.forename: Jennifer
authors.initials: J
authors.lastname: Mezzich
authors.forename: Renee
authors.initials: R
authors.lastname: Bassaly
authors.forename: Katheryne
authors.initials: K
authors.lastname: Downes
mesh_terms: D003365:Costs and Cost Analysis; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000191:economics* / Q000379:methods*; D017721:Hospital Costs; D006801:Humans; D007902:Length of Stay; D010359:Patient Readmission / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012371:Robotics / Q000191:economics*; D013536:Suture Techniques; D014596:Uterine Prolapse / Q000191:economics* / Q000601:surgery*