Robot-assisted prostatectomy for prostate cancer - Protocol for a health technology assessment
The national system for managed introduction of new health technologies has commissioned the Norwegian institute of public health to conduct a health technology assessment (HTA) on robot-assisted prostatectomy.
Robot-assisted surgery has been used in Norwegian hospitals since 2004. The use of robot-assisted surgery is increasing, and the method is expanding to new indications. Purchase and operating costs are high, and there has been only one supplier of robotic surgery systems in Norway. Today robot-assisted surgery is the dominating surgical method for prostate cancer. Despite this, the clinical effect and cost effectiveness has not been evaluated for robot-assisted prostatectomy or other indications in a Norwegian setting.
The regional health authorities (RHF’s) have identified a need for a strategic approach for introduction and use of robotic surgery in Norway. The national system for managed introduction of new health technologies has commissioned the Norwegian institute of public health to conduct a health technology assessment (HTA) on robot-assisted prostatectomy.
In this HTA, we will summarize the knowledge on robot-assisted prostatectomy for prostate cancer. The method will be compared with open surgery. We will perform a systematic literature search in relevant databases and assess identified publications against the inclusion criteria. Machine learning functionalities will be used to streamline the selection process. We will evaluate the methodological quality of the included studies and compile the results in meta-analyses when considered appropriate. Our confidence in the results, including transferability to the Norwegian context, will also be assessed. We will also conduct a health economic evaluation to evaluate utility, costs, and the severity of the disease. The work will be performed in collaboration with clinical experts from different RHF’s as well as user representatives.
Jon-Vidar Gaustad, Norwegian Institute of Public Health
Christine Hillestad Hestevik, Norwegian Institute of Public Health
Vida Hamidi Ashtiani, Norwegian Institute of Public Health
Ingrid Harboe, Norwegian Institute of Public Health
Hilde Risstad, Norwegian Institute of Public Health
Gunhild Hagen, Norwegian Institute of Public Health
Project owner/ Project manager
Norwegian Institute of Public Health