Objective
We analyzed the content, quality, and accuracy of information provided on hospital
web sites about robotic gynecologic surgery.
Study Design
An analysis of hospitals with more than 200 beds from a selection of states was performed.
Hospital web sites were analyzed for the content and quality of data regarding robotic-assisted
surgery.
Results
Among 432 hospitals, the web sites of 192 (44.4%) contained marketing for robotic
gynecologic surgery. Stock images (64.1%) and text (24.0%) derived from the robot
manufacturer were frequent. Although most sites reported improved perioperative outcomes,
limitations of robotics including cost, complications, and operative time were discussed
only 3.7%, 1.6%, and 3.7% of the time, respectively. Only 47.9% of the web sites described
a comparison group.
Conclusion
Marketing of robotic gynecologic surgery is widespread. Much of the content is not
based on high-quality data, fails to present alternative procedures, and relies on
stock text and images.
Key words
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References
- The evolution of robotic general surgery.Scand J Surg. 2009; 98: 125-129
- Short- and long-term morbidity and outcomes after robotic surgery for comprehensive endometrial cancer staging.Gynecol Oncol. 2012; 125: 546-551
- Comparative effectiveness of minimally invasive vs open radical prostatectomy.JAMA. 2009; 302: 1557-1564
- Robotic surgery for benign gynaecological disease.Cochrane Database Syst Rev. 2012; (CD008978)
- Cost implications of the rapid adoption of newer technologies for treating prostate cancer.J Clin Oncol. 2011; 29: 1517-1524
- Surgical outcomes in gynecologic oncology in the era of robotics: analysis of first 1000 cases.Am J Obstet Gynecol. 2011; 204: 551e1-551e9
- Comparative effectiveness of robotic versus laparoscopic hysterectomy for endometrial cancer.J Clin Oncol. 2012; 30: 783-791
- A comparative study of 3 surgical methods for hysterectomy with staging for endometrial cancer: robotic assistance, laparoscopy, laparotomy.Am J Obstet Gynecol. 2008; 199: 360.e1-360.e9
- Robotic-assisted hysterectomy for endometrial cancer compared with traditional laparoscopic and laparotomy approaches: a systematic review.Obstet Gynecol. 2010; 116: 1422-1431
- Comprehensive surgical staging for endometrial cancer in obese patients: comparing robotics and laparotomy.Obstet Gynecol. 2009; 114: 16-21
- Minimally invasive comprehensive surgical staging for endometrial cancer: robotics or laparoscopy?.Gynecol Oncol. 2009; 113: 36-41
- New technology and health care costs—the case of robot-assisted surgery.N Engl J Med. 2010; 363: 701-704
- Cost comparison among robotic, laparoscopic, and open hysterectomy for endometrial cancer.Obstet Gynecol. 2010; 116: 685-693
- Results unproven, robotic surgery wins converts.The New York Times. Feb. 13, 2010
- Consumerism and its impact on robotic-assisted radical prostatectomy.BJU Int. 2011; 108: 1874-1878
- Robotic surgery claims on United States hospital websites.J Healthc Qual. 2011; 33: 48-52
- A comparison of world wide web resources for identifying medical information.Acad Radiol. 2008; 15: 1165-1172
- Twenty questions in genetic medicine—an assessment of World Wide Web databases for genetics information at the point of care.Genet Med. 2008; 10: 659-667
- Quality analysis of patient information about knee arthroscopy on the World Wide Web.Arthroscopy. 2007; 23: 509-513.e2
- The Internet and patient education—resources and their reliability: focus on a select urologic topic.Urology. 1999; 53: 1117-1120
- Differences in the quality of information on the internet about lung cancer between the United States and Japan.J Thorac Oncol. 2009; 4: 829-833
- (Accessed March 12, 2012)
- Comparative effectiveness of prostate cancer treatments: evaluating statistical adjustments for confounding in observational data.J Natl Cancer Inst. 2010; 102: 1780-1793
- (Accessed March 12, 2012)
- Internet health resources and the cancer patient.Cancer Invest. 2008; 26: 202-207
- Untangling the Web—patients, doctors, and the Internet.N Engl J Med. 2010; 362: 1063-1066
- http://www.harrisinteractive.com/news/newsletters/healthnews/HI_HealthCareNews2005Vol5_Iss08.pdf(Accessed March 12, 2012)Date: 2005
- The social life of health information.(Accessed March 12, 2012)
- How internet users find, evaluate, and use online health information: a cross-cultural review.Cyberpsychol Behav. 2004; 7: 497-510
- Direct to consumer advertising via the Internet, a study of hip resurfacing.Scott Med J. 2009; 54: 10-13
- Nationwide use of laparoscopic hysterectomy compared with abdominal and vaginal approaches.Obstet Gynecol. 2009; 114: 1041-1048
Article Info
Publication History
Published online: July 02, 2012
Accepted:
June 27,
2012
Received in revised form:
June 13,
2012
Received:
May 9,
2012
Footnotes
The authors report no conflicts of interest.
Cite this article as: Schiavone MB, Kuo EC, Naumann RW, et al. The commercialization of robotic surgery: unsubstantiated marketing of gynecologic surgery by hospitals. Am J Obstet Gynecol 2012;207:174.e1-7.
Identification
Copyright
© 2012 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
