title: Use of robot-specific resources and operating room times: the case of Telelap Alf-X robotic hysterectomy.
abstract: BACKGROUND
  The aim of this study was to identify, quantify and evaluate the use of robotic materials and operating theatre times in Telelap ALF-X robotic hysterectomy.
  
  
  METHODS
  Cost analysis was performed on 81 patients who underwent a Telelap ALF-X robotic hysterectomy. Data were collected during a phase II study trial conducted at the University Hospital A. Gemelli, Catholic University, Rome. According to micro-costing technique, surgical team costs, materials and operating theatre usage were recorded during each surgical intervention. Cost data were provided by the hospital's accounting office. Probabilistic sensitivity analysis was carried out in order to test the robustness of the results by assuming an Inv-norm random variable.
  
  
  RESULTS
  The base case analysis showed a cost/patient of €3391.82. The new robotic device requires a low consumption of robotic materials. Sensitivity analysis showed that the most sensitive cost driver was use of the operating theatre.
  
  
  CONCLUSIONS
  This study shows that Telelap ALF-X robotic hysterectomy is feasible and safe and could offer specific advantages in terms of cost. Copyright © 2016 John Wiley & Sons, Ltd.
authors.affiliation: Division of Gynaecological Oncology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Cristiano
authors.initials: C
authors.lastname: Rossitto
authors.affiliation: Division of Gynaecological Oncology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Gueli Alletti
authors.affiliation: ALTEMS, Postgraduate School in Health Economics and Management, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Federica
authors.initials: F
authors.lastname: Romano
authors.affiliation: ALTEMS, Postgraduate School in Health Economics and Management, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Fiore
authors.affiliation: ALTEMS, Postgraduate School in Health Economics and Management, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Coretti
authors.affiliation: Health Technology Assessment Unit, 'A.Gemelli' Hospital, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Oradei
authors.affiliation: ALTEMS, Postgraduate School in Health Economics and Management, Catholic University of the Sacred Heart, Rome, Italy.|Institute of Economic Policy, Catholic University of the Sacred Heart, Milan, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Ruggeri
authors.affiliation: ALTEMS, Postgraduate School in Health Economics and Management, Catholic University of the Sacred Heart, Rome, Italy.|Health Technology Assessment Unit, 'A.Gemelli' Hospital, Rome, Italy.
authors.forename: Americo
authors.initials: A
authors.lastname: Cicchetti
authors.affiliation: Health Technology Assessment Unit, 'A.Gemelli' Hospital, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Marchetti
authors.affiliation: Division of Gynaecological Oncology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Fanfani
authors.affiliation: Division of Gynaecological Oncology, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Scambia
mesh_terms: D000465:Algorithms; D003365:Costs and Cost Analysis; D016889:Endometrial Neoplasms / Q000191:economics / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D009873:Operating Rooms; D061646:Operative Time; D010147:Pain Measurement; D011336:Probability; D065287:Robotic Surgical Procedures / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome
keywords: Telelap Alf-X; cost analysis; economics; gynaecological surgery; healthcare cost; robotic surgery