Uptake and accessibility of surgical robotics in England
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Published version
Author(s)
Lam, Kyle
Clarke, Jonathan
Purkayastha, Sanjay
Kinross, James M
Type
Journal Article
Abstract
Background
The distribution, utilisation and accessibility of surgical robotics in England is unknown.
Methods
A nationwide Freedom of Information (FOI) request was sent to all acute National Health Service (NHS) trusts. Accessibility was assessed for 32 843 Lower Super Output Areas in England.
Results
All 149 acute NHS trusts responded to the FOI request. Sixty‐one robots are distributed between 48 trusts. The number of robots and robotic procedures has increased annually. Urological procedures comprise 84.2% of robotic procedures. Procedure volume varies between robotic centres ranging from 1 to 683 in 2018. Over 2.4 million people have a travel time of over 1 hour to their nearest robotic centre.
Discussion
National accessibility to robotic services and case volumes are variable and does not represent good value for the NHS. A national robotic surgery registry could improve the quality of robotic surgery and is needed to dynamically assess national provision of this technology.
The distribution, utilisation and accessibility of surgical robotics in England is unknown.
Methods
A nationwide Freedom of Information (FOI) request was sent to all acute National Health Service (NHS) trusts. Accessibility was assessed for 32 843 Lower Super Output Areas in England.
Results
All 149 acute NHS trusts responded to the FOI request. Sixty‐one robots are distributed between 48 trusts. The number of robots and robotic procedures has increased annually. Urological procedures comprise 84.2% of robotic procedures. Procedure volume varies between robotic centres ranging from 1 to 683 in 2018. Over 2.4 million people have a travel time of over 1 hour to their nearest robotic centre.
Discussion
National accessibility to robotic services and case volumes are variable and does not represent good value for the NHS. A national robotic surgery registry could improve the quality of robotic surgery and is needed to dynamically assess national provision of this technology.
Date Issued
2020-10-07
Date Acceptance
2020-09-22
Citation
International Journal of Medical Robotics and Computer Assisted Surgery, 2020, 17 (1), pp.1-7
ISSN
1478-5951
Publisher
John Wiley and Sons
Start Page
1
End Page
7
Journal / Book Title
International Journal of Medical Robotics and Computer Assisted Surgery
Volume
17
Issue
1
Copyright Statement
© 2020 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Sponsor
Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000577392000001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
RDB04 79560
RD207
Subjects
Science & Technology
Life Sciences & Biomedicine
Surgery
accessibility
distribution
surgical robotics
utility
LAPAROSCOPIC PARTIAL NEPHRECTOMY
CANCER
SURGERY
Publication Status
Published
Article Number
ARTN e2174
Date Publish Online
2020-09-26