{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T09:39:01Z","timestamp":1793266741478,"version":"4.5.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Empire Clinical Research Investigator Program"},{"name":"University at Buffalo Department of Surgery"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Considerable evidence links pharmaceutical industry payments to health providers\u2019 over-prescribing behavior. In response, public policies were enacted to mitigate this effect. However, there is limited evidence examining surgical device industry payments and surgeons\u2019 utilization of robot-assisted surgeries (RAS). This study assessed the relationship between industry payments to healthcare providers and the usage of RAS.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Using 2015\u20132020 data from the CMS \u201cSunshine\u201d Open Payments Database and New York State\u2019s (NYS) Statewide hospital discharge databases, we assessed temporal and spatial relationships between industry payments to hospitals and surgeons and volumes of RAS.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>During 2015\u20132020, general surgery robotic device manufacturers paid providers more than $236\u00a0M nationwide. The highest proportion of payments was made toward \u201cEducation and training\u201d (66.6%) and \u201cFood and travel\u201d (20.6%). In NYS, gastrointestinal (GI) RAS volume steadily increased by 182% (2015\u20132019, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), while there was a 150% increase in general surgeon payments. Genitourinary (GU) and gynecological (GYN) surgeon payments remained unchanged but GU and GYN RAS volume increased by 17% and 75%, respectively, during this period (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Approximately, 93% of payments and 98% of abdomen and pelvic RAS in NYS were concentrated in metropolitan or non-rural counties.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>With increasing payments from robotic device companies toward surgeon education and training, the use of RAS is likely to continue to rise in the long term. Unbiased and non-industry-funded studies examining RAS effect on surgeon behavior and patient outcomes are imperative to ensure system efficiency and patient safety.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00464-025-11724-2","type":"journal-article","created":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T18:42:09Z","timestamp":1744396929000},"page":"3215-3223","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Trends in industry payments and volume and distribution of robot-assisted surgeries"],"prefix":"10.1007","volume":"39","author":[{"given":"Katia","family":"Noyes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0360-1165","authenticated-orcid":false,"given":"Ajay A.","family":"Myneni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron B.","family":"Hoffman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph D.","family":"Boccardo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorin M.","family":"Towle-Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Brophy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Schwaitzberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"11724_CR1","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1111\/j.1748-720X.2012.00678.x","volume":"40","author":"C Robertson","year":"2012","unstructured":"Robertson C, Rose S, Kesselheim AS (2012) Effect of financial relationships on the behaviors of health care professionals: a review of the evidence. 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Dr. Hoffman proctored for Standard Bariatrics, Inc. and received compensation for food and travel from Intuitive Surgical, Inc. for training purposes (earlier than 36\u00a0months). Dr. Schwaitzberg is a paid consultant for Nu View Surgical, Acuity Bio, Activ Surgical, Human Extensions, Levitra Magnetics, Amsel Surgical and Arch Therapeutics (not related to the study). Authors Myneni, Boccardo, Towle-Miller, and Brophy had nothing to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}}]}}