Abstract
Background: We examined the association of patient factors, gynecologic diagnoses, and hospital characteristics with utilization of the robotic approach for benign hysterectomy. Methods: We performed cross-sectional study of women (n = 725 050) undergoing hysterectomies in the 2012 to 2014 National Inpatient Sample. Results: A total of 725 050 women underwent inpatient hysterectomy for benign indications: 70345 (10%) were performed robotically. Women were more likely to receive robotic hysterectomy at teaching hospitals (RR 1.60 [95% CI 1.54-1.66]) after adjustment for other patient factors, gynecologic diagnoses, and hospital characteristics. They were more likely to undergo robotic hysterectomy at large (RR 1.34 [95% CI 1.29-1.39]) and for-profit hospitals (RR 1.16 [95% CI 1.11-1.22]). Women were less likely to undergo robotic hysterectomy if they were rural (RR 0.68 [95% CI 0.64-0.72]), African-American (RR 0.78 [95% CI 0.74-0.82]), or publicly insured or uninsured (RR 0.55 [95% CI 0.53-0.57]) women. Conclusion: Significant geographic and hospital-level disparities exist in access to robotic hysterectomy in the United States.
Original language | English (US) |
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Article number | e2107 |
Journal | International Journal of Medical Robotics and Computer Assisted Surgery |
Volume | 16 |
Issue number | 4 |
DOIs | |
State | Published - Aug 1 2020 |
Keywords
- benign hysterectomy
- minimally invasive
- racial disparity
- robotic surgery
ASJC Scopus subject areas
- Surgery
- Biophysics
- Computer Science Applications