A Comparison of Quality Outcome Measures in Patients Having a Hysterectomy for Benign Disease: Robotic vs. Non-Robotic Approaches

Abstract Study Objective To measure procedure-related hospital readmissions within 30 days after discharge for patients who have a hysterectomy for benign disease. Secondary outcome quality measures evaluated were cost, estimated blood loss, length of stay and sum of costs associated with readmissions. Design Retrospective cohort study (Canadian Task Force classification II-2). Setting Academic community hospital. Patients Patients who underwent hysterectomy to treat benign disease from January 2008 to December 2012. Interventions Patients were grouped according to route of hysterectomy: robotic-assisted laparoscopic hysterectomy (robotic), laparoscopic hysterectomy (laparoscopic), abdominal hysterectomy (open via laparotomy), and vaginal hysterectomy (vaginal). Measurements and Main Results Inclusion criteria were met by 2554 patients: 601 in the robotic group, 427 in the laparoscopic group, 1194 in the abdominal group, and 332 in the vaginal group. Readmission rates in the robotic cohort were significantly less (p Conclusion Patients who undergo robotic-assisted laparoscopic hysterectomy have a significantly lower chance of readmission