Robotic surgery in public hospitals of Latin-America: a castle of sand?

Robotic surgery in public hospitals of Latin-America: a castle of sand?

Introduction There is no information about the evolution of robotic programs in public hospitals of Latin-America. Objective To describe the current status and functioning of robotic programs in Latin-American public hospitals since their beginning to date. Methods We conducted a survey among leadin...

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Bibliographic Details
Published in:World journal of urology Vol. 36; no. 4; pp. 595 - 601
Main Authors: Secin, Fernando P., Coelho, Rafael, Monzó Gardiner, Juan I., Salcedo, Jose Gadú Campos, Puente, Roberto, Martínez, Levin, Finkelstein, Diana, Valero, Rair, León, Antonio, Angeloni, Daniel, Rozanec, José, Berger, Milton, Cavazzola, Leandro Totti, Faria, Eliney Ferreira, Machado, Roberto Días, Lott, Felipe, Campos, Franz, Morales Montor, Jorge G., Moreno, Carlos Sánchez, Barrios, Hugo Dávila
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-04-2018
Springer Nature B.V
Subjects:
Costs and Cost Analysis
Health Care Surveys
Hospitals
Hospitals, Public - statistics & numerical data
Humans
Laparoscopy
Latin America
Medicine
Medicine & Public Health
Needs Assessment
Nephrology
Oncology
Robotic surgery
Robotic Surgical Procedures - economics
Robotic Surgical Procedures - utilization
Surgery
Topic Paper
Urologic Surgical Procedures - methods
Urologic Surgical Procedures - statistics & numerical data
Urology
Urology Program
Robotic Surgery
Urological Cases
Robotics Program
Public Hospitals
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Summary:Introduction There is no information about the evolution of robotic programs in public hospitals of Latin-America. Objective To describe the current status and functioning of robotic programs in Latin-American public hospitals since their beginning to date. Methods We conducted a survey among leading urologists working at public hospitals of Latin-America who had acquired the Da Vinci laparoscopic-assisted robotic system. Questions included: date the program started, its utilization by other services, number and kind of surgeries, surgery paying system, surgery related deaths, occurrence and reasons of robotic program interruptions and its use for training purposes. Medians and 25–75 centiles (IQR) were estimated. Results Since 2009, there are ten public hospitals of four Latin-American countries that acquired the Da Vinci robotic system. The median number of months robotic programs has been functioning without considering transitory interruption: 43 (IQR 35, 55). Median number of urologic and total surgeries performed: 140 (IQR 94, 168) and 336 (IQR 292, 621), respectively. The corresponding median number of urologic and total surgeries performed per month: 3 (IQR 2, 5) and 8 (IQR 5, 11). Median number of total surgeries performed per year per institution was 94 (IQR 68,123). The median proportion of urologic cases was 40% (IQR 31, 48), ranging from 24 to 66%. Five of ten institutions had their urology programs transitory or definitively closed due to the high burden costs. Conclusion Adoption and development of robotic surgery in some public hospitals of Latin-America have been hindered by high costs.
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ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-018-2227-5