{"id":"https://openalex.org/W7214920792","doi":"https://doi.org/10.31354/globalce.v8i3.505","title":"Comparative Cost Analysis of Robotic Surgical Platforms: A Cost-Minimization and Break-Even Analysis for Prostatectomy","display_name":"Comparative Cost Analysis of Robotic Surgical Platforms: A Cost-Minimization and Break-Even Analysis for Prostatectomy","publication_year":2026,"publication_date":"2026-09-30","ids":{"openalex":"https://openalex.org/W7214920792","doi":"https://doi.org/10.31354/globalce.v8i3.505"},"language":"en","primary_location":{"id":"doi:10.31354/globalce.v8i3.505","doi":"https://doi.org/10.31354/globalce.v8i3.505","is_oa":true,"landing_page_url":"https://doi.org/10.31354/globalce.v8i3.505","pdf_url":"https://globalce.org/index.php/GlobalCE/article/download/505/217","source":{"id":"https://openalex.org/S4210211230","display_name":"Global Clinical Engineering Journal","issn_l":"2578-2762","issn":["2578-2762"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Clinical Engineering Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://globalce.org/index.php/GlobalCE/article/download/505/217","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5050070258","display_name":"Paola Picozzi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094195","display_name":"Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda","ror":"https://ror.org/00htrxv69","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094195"]},{"id":"https://openalex.org/I93860229","display_name":"Politecnico di Milano","ror":"https://ror.org/01nffqt88","country_code":"IT","type":"education","lineage":["https://openalex.org/I93860229"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Paola Picozzi","raw_affiliation_strings":["Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy","Department of Electronics, Information and Bioengineering , Politecnico di Milano , 20133 Milano , Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy","institution_ids":["https://openalex.org/I4210094195"]},{"raw_affiliation_string":"Department of Electronics, Information and Bioengineering , Politecnico di Milano , 20133 Milano , Italy","institution_ids":["https://openalex.org/I93860229"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073982094","display_name":"Umberto Nocco","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094195","display_name":"Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda","ror":"https://ror.org/00htrxv69","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094195"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Umberto Nocco","raw_affiliation_strings":["Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy","institution_ids":["https://openalex.org/I4210094195"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093602867","display_name":"Chiara Labate","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094195","display_name":"Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda","ror":"https://ror.org/00htrxv69","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094195"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Chiara Labate","raw_affiliation_strings":["Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy","institution_ids":["https://openalex.org/I4210094195"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038096630","display_name":"Federica Silvi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094195","display_name":"Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda","ror":"https://ror.org/00htrxv69","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094195"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Federica Silvi","raw_affiliation_strings":["Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy","institution_ids":["https://openalex.org/I4210094195"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051145081","display_name":"Greta Puleo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094195","display_name":"Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda","ror":"https://ror.org/00htrxv69","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094195"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Greta Puleo","raw_affiliation_strings":["Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy","institution_ids":["https://openalex.org/I4210094195"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107710750","display_name":"Isabella Gambini","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210094195","display_name":"Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda","ror":"https://ror.org/00htrxv69","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094195"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Isabella Gambini","raw_affiliation_strings":["Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Engineering Department of ASST Grande Ospedale Metropolitano Niguarda , 20162 Milano , Italy","institution_ids":["https://openalex.org/I4210094195"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5022045960","display_name":"Ver\u00f4nica Cimolin","orcid":"https://orcid.org/0000-0001-6299-7254","observed_orcids":["https://orcid.org/0000-0001-6299-7254"]},"institutions":[{"id":"https://openalex.org/I4210134201","display_name":"IRCCS Istituto Auxologico Italiano","ror":"https://ror.org/033qpss18","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210134201","https://openalex.org/I4210153126"]},{"id":"https://openalex.org/I93860229","display_name":"Politecnico di Milano","ror":"https://ror.org/01nffqt88","country_code":"IT","type":"education","lineage":["https://openalex.org/I93860229"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Veronica Cimolin","raw_affiliation_strings":["Department of Electronics, Information and Bioengineering , Politecnico di Milano , 20133 Milano , Italy","Istituto Auxologico Italiano , IRCCS , S. Giuseppe Hospital , 28824 Piancavallo , Oggebbio (Verbania) , Italy"],"raw_orcid":"https://orcid.org/0000-0001-6299-7254","affiliations":[{"raw_affiliation_string":"Department of Electronics, Information and Bioengineering , Politecnico di Milano , 20133 Milano , Italy","institution_ids":["https://openalex.org/I93860229"]},{"raw_affiliation_string":"Istituto Auxologico Italiano , IRCCS , S. Giuseppe Hospital , 28824 Piancavallo , Oggebbio (Verbania) , Italy","institution_ids":["https://openalex.org/I4210134201"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5022045960"],"corresponding_institution_ids":["https://openalex.org/I4210134201","https://openalex.org/I93860229"],"apc_list":null,"apc_paid":null,"fwci":4.5048,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.95471656,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"8","issue":"3","first_page":"6","last_page":"17"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.7045999765396118,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.7045999765396118,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12053","display_name":"Minimally Invasive Surgical Techniques","score":0.12269999831914902,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10124","display_name":"Prostate Cancer Diagnosis and Treatment","score":0.017100000753998756,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/robotic-surgery","display_name":"robotic surgery","score":0.9539999961853027},{"id":"https://openalex.org/keywords/radical-prostatectomy","display_name":"radical prostatectomy","score":0.824999988079071},{"id":"https://openalex.org/keywords/cost-minimization-analysis","display_name":"cost-minimization analysis","score":0.6700000166893005},{"id":"https://openalex.org/keywords/break-even-point","display_name":"break-even point","score":0.9980000257492065},{"id":"https://openalex.org/keywords/hugo-ras","display_name":"Hugo RAS","score":0.6510000228881836},{"id":"https://openalex.org/keywords/da-vinci-surgical-system","display_name":"da Vinci surgical system","score":0.8849999904632568},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.5260000228881836},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.7070000171661377}],"concepts":[{"id":"https://openalex.org/C2779466945","wikidata":"https://www.wikidata.org/wiki/Q1765251","display_name":"Prostatectomy","level":4,"score":0.6305999755859375},{"id":"https://openalex.org/C2983335822","wikidata":"https://www.wikidata.org/wiki/Q942582","display_name":"Cost analysis","level":2,"score":0.6129000186920166},{"id":"https://openalex.org/C103203806","wikidata":"https://www.wikidata.org/wiki/Q942348","display_name":"Robotic surgery","level":2,"score":0.5669000148773193},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5521000027656555},{"id":"https://openalex.org/C2985697011","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economic analysis","level":2,"score":0.5340999960899353},{"id":"https://openalex.org/C3017684034","wikidata":"https://www.wikidata.org/wiki/Q942348","display_name":"Surgical robot","level":3,"score":0.4715000092983246},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.44839999079704285},{"id":"https://openalex.org/C127454912","wikidata":"https://www.wikidata.org/wiki/Q942582","display_name":"Cost\u2013benefit analysis","level":2,"score":0.41019999980926514},{"id":"https://openalex.org/C2780069185","wikidata":"https://www.wikidata.org/wiki/Q7977945","display_name":"Equivalence (formal languages)","level":2,"score":0.3903999924659729},{"id":"https://openalex.org/C2910468371","wikidata":"https://www.wikidata.org/wiki/Q1765251","display_name":"Open Prostatectomy","level":5,"score":0.38830000162124634},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.37119999527931213},{"id":"https://openalex.org/C3019611579","wikidata":"https://www.wikidata.org/wiki/Q6641956","display_name":"Surgical procedures","level":2,"score":0.3330000042915344},{"id":"https://openalex.org/C182299520","wikidata":"https://www.wikidata.org/wiki/Q1289588","display_name":"Total cost","level":2,"score":0.32269999384880066},{"id":"https://openalex.org/C2780958618","wikidata":"https://www.wikidata.org/wiki/Q945621","display_name":"Average cost","level":2,"score":0.319599986076355},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.31679999828338623},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.3124000132083893},{"id":"https://openalex.org/C21200559","wikidata":"https://www.wikidata.org/wiki/Q7451068","display_name":"Sensitivity (control systems)","level":2,"score":0.2992999851703644},{"id":"https://openalex.org/C66204764","wikidata":"https://www.wikidata.org/wiki/Q219416","display_name":"Sustainability","level":2,"score":0.29280000925064087},{"id":"https://openalex.org/C515549039","wikidata":"https://www.wikidata.org/wiki/Q1754768","display_name":"Cost-effectiveness analysis","level":3,"score":0.2851000130176544},{"id":"https://openalex.org/C15716912","wikidata":"https://www.wikidata.org/wiki/Q5174768","display_name":"Cost database","level":2,"score":0.2847999930381775},{"id":"https://openalex.org/C145760622","wikidata":"https://www.wikidata.org/wiki/Q174915","display_name":"Variable cost","level":2,"score":0.2842000126838684},{"id":"https://openalex.org/C150415221","wikidata":"https://www.wikidata.org/wiki/Q40687","display_name":"Robotic arm","level":2,"score":0.2745000123977661},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.2581000030040741}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.31354/globalce.v8i3.505","doi":"https://doi.org/10.31354/globalce.v8i3.505","is_oa":true,"landing_page_url":"https://doi.org/10.31354/globalce.v8i3.505","pdf_url":"https://globalce.org/index.php/GlobalCE/article/download/505/217","source":{"id":"https://openalex.org/S4210211230","display_name":"Global Clinical Engineering Journal","issn_l":"2578-2762","issn":["2578-2762"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Clinical Engineering Journal","raw_type":"journal-article"},{"id":"doi:10.20944/preprints202511.0483.v1","doi":"https://doi.org/10.20944/preprints202511.0483.v1","is_oa":true,"landing_page_url":"https://doi.org/10.20944/preprints202511.0483.v1","pdf_url":"https://www.preprints.org/frontend/manuscript/fed97863e7100ff2ca8fec7b22af7367/download_pub","source":{"id":"https://openalex.org/S6309402219","display_name":"Preprints.org","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},{"id":"pmh:oai:re.public.polimi.it:11311/1327805","doi":null,"is_oa":false,"landing_page_url":"https://hdl.handle.net/11311/1327805","pdf_url":null,"source":{"id":"https://openalex.org/S4306400312","display_name":"Virtual Community of Pathological Anatomy (University of Castilla La Mancha)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I79189158","host_organization_name":"University of Castilla-La Mancha","host_organization_lineage":["https://openalex.org/I79189158"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.31354/globalce.v8i3.505","doi":"https://doi.org/10.31354/globalce.v8i3.505","is_oa":true,"landing_page_url":"https://doi.org/10.31354/globalce.v8i3.505","pdf_url":"https://globalce.org/index.php/GlobalCE/article/download/505/217","source":{"id":"https://openalex.org/S4210211230","display_name":"Global Clinical Engineering Journal","issn_l":"2578-2762","issn":["2578-2762"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Clinical Engineering Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8032000064849854}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214920792.pdf","grobid_xml":"https://content.openalex.org/works/W7214920792.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W2028964380","https://openalex.org/W2770632643","https://openalex.org/W3120042208","https://openalex.org/W3121106214","https://openalex.org/W4206433099","https://openalex.org/W4214595170","https://openalex.org/W4214736230","https://openalex.org/W4383736094","https://openalex.org/W4393093807","https://openalex.org/W4399605649","https://openalex.org/W4402726178","https://openalex.org/W4403386278","https://openalex.org/W4403670088","https://openalex.org/W4403731107","https://openalex.org/W4404758097","https://openalex.org/W4408099418","https://openalex.org/W4408963504","https://openalex.org/W4414050960","https://openalex.org/W4415219843","https://openalex.org/W7138863763"],"related_works":["https://openalex.org/W4416095916","https://openalex.org/W7125909666","https://openalex.org/W7165374552","https://openalex.org/W4399605649","https://openalex.org/W2301606264","https://openalex.org/W4408972691","https://openalex.org/W4403867078","https://openalex.org/W7164171342","https://openalex.org/W78488968","https://openalex.org/W4412042842"],"abstract_inverted_index":{"Background/objectives:":[0],"Robotic":[1],"surgery":[2,30,304],"has":[3],"experienced":[4],"rapid":[5],"growth":[6],"across":[7,261],"multiple":[8],"surgical":[9,88,328],"specialties":[10],"over":[11],"the":[12,17,62,65,127,191,201,243,246,255,266,273,287,299],"last":[13],"two":[14],"decades,":[15],"with":[16,64,230,310],"da":[18],"Vinci":[19,211,235],"Surgical":[20],"System":[21],"emerging":[22],"as":[23,126,254,272],"a":[24,81,146],"dominant":[25],"global":[26],"platform.":[27],"Although":[28],"robotic-assisted":[29],"(RAS)":[31],"offers":[32],"several":[33],"technological":[34],"advantages,":[35],"including":[36,155],"improved":[37],"ergonomics,":[38],"precision,":[39],"and":[40,53,105,114,136,152,160,162,171,213,236,251,276,294,325],"minimally":[41],"invasive":[42],"access,":[43],"its":[44,132],"widespread":[45],"adoption":[46],"remains":[47],"constrained":[48],"by":[49,177,209],"high":[50,133],"acquisition,":[51],"maintenance,":[52],"consumable":[54,290],"costs.":[55],"Recently,":[56],"new":[57],"robotic":[58,87,247,279,303,327],"platforms":[59,89],"have":[60],"entered":[61],"market":[63],"aim":[66],"of":[67,85,131,138,148,193,245,258,289,302],"improving":[68],"economic":[69,83,187,311],"sustainability":[70,301],"while":[71],"maintaining":[72],"comparable":[73],"clinical":[74,194],"outcomes.":[75],"This":[76],"study":[77,314],"aimed":[78],"to":[79,182,318],"perform":[80],"comparative":[82],"evaluation":[84],"three":[86],"currently":[90],"used":[91],"at":[92,223],"ASST":[93],"Grande":[94],"Ospedale":[95],"Metropolitano":[96],"Niguarda":[97],"Hospital,":[98],"Milano,":[99],"Italy:":[100],"Da":[101,210,234],"Vinci,":[102],"Hugo\u2122":[103,198,219,269],"RAS,":[104],"Versius\u00ae.":[106,240],"Methods:":[107],"Cost-minimization":[108],"analysis":[109,112,118],"(CMA),":[110],"break-even":[111,259],"(BEA),":[113],"one-way":[115],"deterministic":[116],"sensitivity":[117],"(DSA)":[119],"were":[120,143,175],"conducted.":[121],"Radical":[122],"prostatectomy":[123],"was":[124],"selected":[125],"reference":[128],"procedure":[129],"because":[130],"institutional":[134,149],"volume":[135],"availability":[137],"published":[139],"evidence.":[140],"Cost":[141],"estimates":[142],"derived":[144],"from":[145],"combination":[147],"real-world":[150,308],"data":[151],"literature":[153],"sources,":[154],"fixed":[156],"costs":[157,164],"(equipment":[158],"acquisition":[159],"maintenance)":[161],"variable":[163],"(robotic":[165],"kits,":[166],"operating":[167],"room":[168],"utilization,":[169],"personnel,":[170],"hospitalization).":[172],"Sensitivity":[173],"analyses":[174],"performed":[176],"varying":[178],"key":[179],"cost":[180,205,221,244],"drivers":[181],"assess":[183],"their":[184],"impact":[185],"on":[186],"sustainability.":[188],"Results:":[189],"Under":[190],"assumption":[192],"equivalence":[195],"among":[196],"platforms,":[197],"RAS":[199,270],"demonstrated":[200],"lowest":[202],"overall":[203],"per-procedure":[204],"(Euros":[206],"[\u20ac]6,991.26),":[207],"followed":[208],"(\u20ac7,839.51)":[212],"Versius\u00ae":[214],"(\u20ac8,424.97).":[215],"BEA":[216],"showed":[217],"that":[218],"achieved":[220],"recovery":[222],"approximately":[224],"124":[225],"procedures":[226,232,238],"per":[227],"year,":[228],"compared":[229],"161":[231],"for":[233,239,281],"208":[237],"DSA":[241],"identified":[242],"kit,":[248],"operative":[249,292],"time,":[250],"hospitalization":[252,295],"duration":[253],"principal":[256],"determinants":[257],"variability":[260],"all":[262],"platforms.":[263],"Conclusions:":[264],"Within":[265],"evaluated":[267],"setting,":[268],"emerged":[271],"most":[274],"cost-efficient":[275],"economically":[277],"sustainable":[278],"platform":[280],"radical":[282],"prostatectomy.":[283],"The":[284],"findings":[285],"highlight":[286],"importance":[288],"costs,":[291],"efficiency,":[293],"management":[296],"in":[297,323],"determining":[298],"financial":[300],"programs.":[305],"By":[306],"integrating":[307],"evidence":[309],"modeling,":[312],"this":[313],"provides":[315],"useful":[316],"information":[317],"support":[319],"hospital":[320],"decision":[321],"makers":[322],"adopting":[324],"managing":[326],"technologies.":[329]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-10-01T00:00:00"}
