New technology and health care costs--the case of robot-assisted surgery.

@article{Barbash2010NewTA,
  title={New technology and health care costs--the case of robot-assisted surgery.},
  author={Gabriel I. Barbash and Sherry Glied},
  journal={The New England journal of medicine},
  year={2010},
  volume={363 8},
  pages={
          701-4
        }
}
Technological innovation in health care is an important driver of cost growth. Doctors and patients often embrace new modes of treatment before their merits and weaknesses are fully understood. These technologies can lead to increases in costs, either because they are simply more expensive than previous treatments or because their introduction leads to an expansion in the types and numbers of patients treated. We examined these patterns as they apply to the case of robot-assisted surgery… 
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References

SHOWING 1-3 OF 3 REFERENCES
Comparative effectiveness of minimally invasive vs open radical prostatectomy.
TLDR
Men undergoing MIRP vs RRP experienced shorter length of stay, fewer respiratory and miscellaneous surgical complications and strictures, and similar postoperative use of additional cancer therapies but experienced more genitourinary complications, incontinence, and erectile dysfunction.
Systematic Review: Comparative Effectiveness and Harms of Treatments for Clinically Localized Prostate Cancer
TLDR
The comparative short- and long-term benefits and harms of therapies for clinically localized prostate cancer and how patient and tumor characteristics affect the outcomes of these therapies, overall and differentially are determined.