Robotic surgical system for radical prostatectomy: OHTAC recommendation

Ontario Health Technology Advisory Committee (OHTAC)
Record ID 32017000351
Authors' recommendations: The Ontario Health Technology Advisory Committee (OHTAC) reviewed and accepted the findings of the health technology assessment conducted by Health Quality Ontario. The committee's recommendations were based on several factors. First, there is no high-quality evidence that the robotic surgical system results in a higher cure rate when compared with open prostatectomy. There is also no high-quality evidence that the use of the robotic surgical system results in lower rates of urinary incontinence or erectile dysfunction. Although some studies did suggest improved outcomes with the use of the robotic surgical system, these studies had serious limitations. Second, based on the economic evaluation in the health technology assessment, the Ontario Health Technology Advisory Committee felt that the robotic surgical system does not provide good value for money. The committee also discussed the diffusion of the technology in Ontario and other jurisdictions, the impact on education and training in urology, as well as other surgical specialties. The committee was also influenced by the fact that in many jurisdictions, including in Ontario, current funding for the radical prostatectomy procedure is the same irrespective of the surgical approach. The committee felt that this policy should continue, and therefore decided to recommend against publicly funding the robotic surgical system for radical prostatectomy. Finally, the committee carefully considered the feedback that was received regarding the draft recommendation before making a final recommendation.
Project Status: Completed
Year Published: 2017
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Humans
  • Male
  • Prostate
  • Prostatectomy
  • Seminal Vesicles
Organisation Name: Health Quality Ontario
Contact Address: Evidence Development and Standards, Health Quality Ontario, 130 Bloor Street West, 10th floor, Toronto, Ontario Canada M5S 1N5
Contact Name:
Contact Email:
Copyright: Health Quality Ontario (HQO)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.