Robotic-Assisted Partial Nephrectomy for Kidney Cancer: A Health Technology Assessment
CONCLUSIONS: RAPN may improve clinical outcomes and reduce complications. The cost-effectiveness of RAPN for people with kidney cancer is unknown. We estimate that the 5-year budget impact of publicly funding RAPN for people with kidney cancer would be $1.58 million. People we spoke with who had lived experience of kidney cancer and had undergone RAPN reported favourably on their experiences, particularly in terms of the quick recovery, short hospital stay, and minimal pain. Conversely, those who had undergone an open procedure spoke of difficulties including pain, complications, and increased length of hospital stay. Surg...
Source: Ontario Health Technology Assessment Series - November 29, 2023 Category: General Medicine Authors: Ontario Health (Quality) Source Type: research

Robotic-Assisted Hysterectomy for Endometrial Cancer in People With Obesity: A Health Technology Assessment
CONCLUSIONS: Compared with LH, RH is associated with fewer conversions to OH in patients with endometrial cancer and obesity (i.e., those with a BMI ≥ 40 kg/m2). Rates of perioperative complications were similarly low for both LH and RH. The cost-effectiveness of RH for people with endometrial cancer and obesity is unknown. We estimate that the 5-year budget impact of publicly funding RH for people with endometrial cancer and obesity would be $1.14 million. People we spoke with who had lived experience of endometrial cancer and obesity reported favourably on their experiences with minimally invasive hysterectomy (either ...
Source: Ontario Health Technology Assessment Series - November 29, 2023 Category: General Medicine Authors: Ontario Health (Quality) Source Type: research

Robotic-Assisted Partial Nephrectomy for Kidney Cancer: A Health Technology Assessment
CONCLUSIONS: RAPN may improve clinical outcomes and reduce complications. The cost-effectiveness of RAPN for people with kidney cancer is unknown. We estimate that the 5-year budget impact of publicly funding RAPN for people with kidney cancer would be $1.58 million. People we spoke with who had lived experience of kidney cancer and had undergone RAPN reported favourably on their experiences, particularly in terms of the quick recovery, short hospital stay, and minimal pain. Conversely, those who had undergone an open procedure spoke of difficulties including pain, complications, and increased length of hospital stay. Surg...
Source: Ontario Health Technology Assessment Series - November 29, 2023 Category: General Medicine Authors: Ontario Health (Quality) Source Type: research

First-Trimester Screening Program for the Risk of Pre-eclampsia Using a Multiple-Marker Algorithm: A Health Technology Assessment
CONCLUSIONS: The FMF-based screening program is likely more effective than standard care in reducing the risk of pre-eclampsia with delivery at less than 37 weeks' gestation. Also, the FMF algorithm can improve the detection rate of pre-eclampsia with delivery at less than 37 weeks' gestation or at less than 34 weeks' gestation when compared with conventional algorithms. The population-wide FMF-based screening program is more effective and more costly than standard care. We estimate that publicly funding the population-wide FMF-based screening program in Ontario would result in additional costs of $8.50 million over the ne...
Source: Ontario Health Technology Assessment Series - September 29, 2023 Category: General Medicine Authors: Ontario Health (Quality) Source Type: research