Abstract
Health Technology Assessment (HTA) would provide a useful tool for the assessment of different technologies. HTA aims at systematically evaluating the properties, effects, and impacts of health technologies, in order to support policy-makers in taking decisions. This chapter presents how HTA is conducted in abdominal wall surgery, by analyzing the main differences across many techniques that can be adopted. Open surgery, videolaparoscopic surgery, and robotic surgery are compared. Additionally, the case study of Tuscany is presented, where thanks to the collaboration of the University Hospital of Pisa and the Grosseto Hospital, the robotic technique plays an important role in the treatment of the abdominal wall hernia. The Tuscany case shows that an important change is ongoing, by presenting how surgeons and institutions may collaborate in order to find the best solution both from the side of science and of economy.
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References
Gutt CN, Oniu T, Mehrabi A, Kashfi A, Schemmer P, Büchler MW. Robot-assisted abdominal surgery. Br J Surg. 2004;91(11):1390–7.
Monson JR. Advanced techniques in abdominal surgery. BMJ. 1993;307(November):1346–50.
Hanly EJ, Talamini MA. Robotic abdominal surgery. Am J Surg. 2004;188(4 Suppl. 1):19–26.
Armijo PR, Pagkratis S, Boilesen E, Tanner T, Oleynikov D. Growth in robotic-assisted procedures is from conversion of laparoscopic procedures and not from open surgeons’ conversion: a study of trends and costs. Surg Endosc. 2018;32(4):2106–13.
Jefferson T, Abraha I, Chiarolla E, Corio M, Paone S, Piccoli M, et al. HTA report robotic surgery. Vol. Agenas, Ro. 2017.
Hanly EJ, Zand J, Bachman SL, Marohn MR, Talamini MA. Value of the SAGES Learning Center in introducing new technology. Surg Endosc Other Interv Tech. 2005;19(4):477–83.
D’Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Orsini C, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum. 2004;47(12):2162–8.
Jain S, Jain M. Comparison between laparoscopic and open hernia repair: a clinical trial. Int J Adv Multidiscip Res. 2018;5(4):1–5.
Kuhry E, Van Veen RN, Langeveld HR, Steyerberg EW, Jeekel J, Bonjer HJ. Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surg Endosc. 2007;21(2):161–6.
Smink DS, Paquette IM, Finlayson SRG. Utilization of laparoscopic and open inguinal hernia repair: a population-based analysis. J Laparoendosc Adv Surg Tech. 2009;19(6):745–8.
McCormack K, Scott N, Go PM, Ross SJ, Grant A. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2003;1:CD001785.
Khajanchee YS, Kenyon TAG, Hansen PD, Swanström LL. Economic evaluation of laparoscopic and open inguinal herniorrhaphies: the effect of cost-containment measures and internal hospital policy decisions on costs and charges. Hernia. 2004;8(3):196–202.
Jacobs VR, Morrison JE Jr. Comparison of institutional costs for laparoscopic preperitoneal inguinal hernia versus open repair and its reimbursement in an ambulatory surgery center. Surg Laparosc Endosc Percutaneous Tech. 2008;18(1):70–4.
Payne JH, Grininger LM, Izawa MT, Podoll EF, Lindahl PJ, Balfour J. Laparoscopic or open inguinal herniorrhaphy?: a randomized prospective trial. Arch Surg. 1994;129(9):973–81.
Menon M, Tewari A, Baize B, Guillonneau B, Vallancien G. Prospective comparison of radical retropubic prostatectomy and robot-assisted anatomic prostatectomy: the Vattikuti Urology Institute experience. Urology. 2002;60(5):864–8.
Tan A, Ashrafian H, Scott AJ, Mason SE, Harling L, Athanasiou T, et al. Robotic surgery: disruptive innovation or unfulfilled promise? A systematic review and meta-analysis of the first 30 years. Surg Endosc. 2016;30(10):4330–52. https://doi.org/10.1007/s00464-016-4752-x.
Roh HF, Nam SH, Kim JM. Robot-assisted laparoscopic surgery versus conventional laparoscopic surgery in randomized controlled trials: A systematic review and meta-analysis. PLoS One. 2018;13:1–12.
Goodman CS. Introduction to health technology assessment. 2014.
National Academy of Engineering C on PEP. A Study of Technology Assessment. 1969.
Galbraith JK. The New Industrial State. Princeton: Princeton University Press; 1977. 577p
Brooks H, Bowers R. The assessment of technology. Sci Am. 1970;222:13–21.
Banta D, Jonsson E. History of HTA: introduction. Int J Technol Assess Health Care. 2009;25(Suppl.S1):1–6.
Sorenson C, Chalkidou K. Reflections on the evolution of health technology assessment in Europe. Heal Econ Policy Law. 2012;7(1):25–45.
Oliver A, Mossialos E, Robinson R. Health technology assessment and its influence on health-care priority setting. Int J Technol Assess Health Care. 2004;20(1):1–10.
Banta D, Jonsson E. History of HTA: introduction. Int J Technol Assess Health Care [Internet]. 2009;25(S1):1–6. Available from: http://www.journals.cambridge.org/abstract_S0266462309090321.
Bero L, Rennie D. The cochrane collaboration: preparing, maintaining, and disseminating systematic reviews of the effects of health care. JAMA. 1995;274(24):1935–8.
Stevens A, Milne R, Burls A. Health technology assessment: history and demand. J Public Health. 2003;25(2):98–101.
Department of Health L. Assessing the effects of health technologies. London: Department of Health; 1991.
Ballantyne GH. Telerobotic gastrointestinal surgery: phase 2—safety and efficacy. Surg Endosc. 2007;21(7):1054–62.
Taylor GW, Jayne DG. Robotic applications in abdominal surgery: their limitations and future developments. Int J Med Robot Comput Assist Surg. 2007;3(1):3–9.
Schumpelick V. In: Schumpelick V, editor. Narbenhernie. Stuttgart: Hernien Thieme; 2000. p. 266–9.
Chevrel JP, Rath AM. Classification of incisional hernias of the abdominal wall. Hernia. 2000;4(1):7–11.
Korenkov M, Paul A, Sauerland S, Neugebauer E, Arndt M, Chevrel JP, et al. Classification and surgical treatment of incisional hernia. Langenbeck’s Arch Surg. 2001;386(1):65–73.
Dietz UA, Hamelmann W, Winkler MS, Debus ES, Malafaia O, Czeczko NG, et al. An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique. J Plast Reconstr Aesthet Surg. 2007;60(4):383–8.
Ammaturo C, Bassi G. The ratio between anterior abdominal wall surface/wall defect surface: a new parameter to classify abdominal incisional hernias. Hernia. 2005;9(4):316–21.
Miserez M, Alexandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, et al. The European hernia society groin hernia classication: simple and easy to remember. Hernia. 2007;11(2):113–6.
Muysoms F, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, et al. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13(4):407–14.
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Beretta, V., Tringali, M., Marioni, A. (2019). Health Technology Assessment in Abdominal Wall Surgery. In: Greco, D.P., Borgonovi, E. (eds) Abdominal Wall Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-02426-0_17
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DOI: https://doi.org/10.1007/978-3-030-02426-0_17
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