The impact of public funding on the adoption of robotic radical prostatectomies in Poland

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Details: Category: 2025, Volume 21; 19 February 2025; Hits: 1065

Andrzej Śliwczyński^1ABE, Michał Szymański^1B-D*, Waldemar Wierzba^1CD, Kamila Furlepa^2AD*, Patryk Wicher^3BD, Tomasz Korcz^1AC, Melania Brzozowska^1AC , Wojciech Glinkowski^AD

¹ National Medical Institute of the MSWiA, Warsaw, Poland; This email address is being protected from spambots. You need JavaScript enabled to view it.
² Faculty of Health Sciences, The Academy of Zamosc, Zamosc, Poland;
³ Wyższa Szkoła Biznesu – National Louis University in Nowy Sącz, Nowy Sącz, Poland
⁴ Department of Medical Informatics and Telemedicine, Medical University of Warsaw, Warsaw, Poland;

* Corresponding author: Michal Szymański; National Medical Institute of the MSWiA, Warsaw, Poland ; This email address is being protected from spambots. You need JavaScript enabled to view it. and Kamila Furlepa Faculty of Health Sciences, The Academy of Zamosc, Zamosc, Poland; This email address is being protected from spambots. You need JavaScript enabled to view it.

Authors:
Śliwczyński Andrzej: https://orcid.org/0000-0002-0239-1637
Szymański Michał: https://orcid.org/0000-0003-0161-4189
Wierzba Waldemar: https://orcid.org/0000-0002-8134-2955
Furlepa Kamila: https://orcid.org/0000-0002-5779-496X
Wicher Patryk: https://orcid.org/0000-0002-1330-3639
Korcz Tomasz: https://orcid.org/0009-0003-5092-7461
Brzozowska Melania: https://orcid.org/0000-0002-3762-9254
Glinkowski Wojciech: https://orcid.org/0000-0003-2602-1128

Abstract

Background and Study Aim: In Poland, robotic technology was first used in the public healthcare financing system in 2010. However, it was not until 2022 that the public payer began to finance robotic surgeries in urology. This study aimed to evaluate is knowledge about the impact of integrating a stable funding source into the development and utilization of robotic surgery.

Material and Methods: Using data from the National Health Fund, we conducted a ret-rospective analysis of these procedures, focusing on radical prostatectomies from the beginning of the funding period to November 2023.

Results: The study We showed that in the first year of public funding (2022), 2,149 radi-cal prostatectomies were performed using robotic systems, and this number almost doubled to 4,331 by October 2023. Patients aged ≥60 years accounted for >80% of those who underwent robotic surgery. The implementation of public funding for RARP (a minimally invasive surgical technique for prostate cancer that uses robotic technology to assist in prostate removal) in Poland was critical to expanding access to advanced surgical technologies, as evidenced by a doubling of the number of procedures in the second year after implementation. The role of stable public funding in enabling the rap-id adoption of robotic surgery reflects a broader trend toward precise, minimally inva-sive procedures that are designed to improve patient outcomes, particularly among old-er adults most affected by prostate cancer, who accounted for over 80% of those treated.

Conclusions: Future research to optimize resource allocation and reduce operating costs will be essential to ensure that further expansion of robotic surgery remains cost-effective and widely available, meeting the evolving needs of healthcare systems in Po-land and beyond

Keywords: prostate cancer, public payer, RARP, robotic surgery

AMA:
Śliwczyński A, Szymański M, Wierzba W, Furlepa K, Wicher P, Korcz T, Brzozowska M, Glinkowski W. The impact of public funding on the adoption of robotic radical prostatectomies in Poland. Arch Budo J Inn Agon. 2025;21.
APA:
Śliwczyński, A., Szymański, M., Wierzba, W., Furlepa, K., Wicher, P., Korcz, T., Brzozowska, M., & Glinkowski, W. (2025). The impact of public funding on the adoption of robotic radical prostatectomies in Poland. Arch Budo J Inn Agon, 21.
Chicago:
Śliwczyński, Andrzej, Michał Szymański, Waldemar Wierzba, Kamila Furlepa, Patryk Wicher, Tomasz Korcz, Melania Brzozowska, and Wojciech Glinkowski. 2025. "The Impact of Public Funding on the Adoption of Robotic Radical Prostatectomies in Poland." Arch Budo J Inn Agon 21.
Harvard:
Śliwczyński, A., Szymański, M., Wierzba, W., Furlepa, K., Wicher, P., Korcz, T., Brzozowska, M., & Glinkowski, W. (2025). The impact of public funding on the adoption of robotic radical prostatectomies in Poland. Arch Budo J Inn Agon, 21.
MLA:
Śliwczyński, Andrzej, et al. "The Impact of Public Funding on the Adoption of Robotic Radical Prostatectomies in Poland." Arch Budo J Inn Agon, vol. 21, 2025.
Vancouver:
Śliwczyński A, Szymański M, Wierzba W, Furlepa K, Wicher P, Korcz T, Brzozowska M, Glinkowski W. The impact of public funding on the adoption of robotic radical prostatectomies in Poland. Arch Budo J Inn Agon. 2025;21.

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Mission of ARCHBUDO

The specific mission of the Archives of Budo 2023 is to strive for a breakthrough in public perception of a broad class of combat sports and martial arts as specific means of innovative agonology.