Outpatient Surgery Magazine

Patient Experience - June 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 74 of 112

Viewing it through that prism, you've paid off a $1 million robot in one year. He estimates that a spinal robot's cost-per-case, including the amortization of the capital amount as well as disposable instru- mentation, is about $2,000. "The risk rate with the robot is less than 1%," says Dr. Lieberman, director of the scoliosis spine tumor program at Texas Health Plano and president of the Texas Back Institute, also in Plano. Robots for spine can be "cost-effective" and result in decreasing revision surgery and infection rates, reducing length of stay, protect- ing patients and staff from excessive radiation exposure, and shorten- ing operative time, according to a September 2018 Neurospine paper, "A Cost-Effectiveness Analysis of the Integration of Robotic Spine Technology in Spine Surgery" (osmag.net/Zf9PcB). The authors creat- ed a live model at Louisiana State University Health Sciences Center in Shreveport in which robotic-assisted spine surgery on 557 cases led to a savings of $608,546 in 1 year. Co-author and neurosurgeon Richard Menger, MD, MPA, an assis- tant attending and spine fellow at Columbia University Medical Center in New York City, says your center can lower your purchase price of a robot through savvy negotiation and by leveraging increased competi- tion in the robotics market. Today there are 3 robots available for spine: Mazor Robotics's Renaissance, Zimmer Biomet's ROSA and Globus Medical's ExcelsiusGPS. Let's examine the cost-benefit arguments for a robot purchase. 1. More accurate surgeries, leading to fewer revisions and complications. Spinal procedures, as Dr. Lieberman points out, aren't foolproof. While surgeons have been largely excellent in placing screws and cutting bone with their own hands over the decades, the specificity and precision necessary to ensure exact J U N E 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 7 5

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