Disparities in access to and outcomes of minimally invasive surgery: a scoping review

Bonner SN, Thumma JR, Dimick JB, Sheetz KH (2023) Trends in use of robotic surgery for privately insured patients and Medicare fee-for-service beneficiaries. JAMA Netw Open 6:e2315052. https://doi.org/10.1001/jamanetworkopen.2023.15052

Article  PubMed  PubMed Central  Google Scholar 

Fan CJ, Chien H-L, Weiss MJ, He J, Wolfgang CL, Cameron JL, Pawlik TM, Makary MA (2018) Minimally invasive versus open surgery in the Medicare population: a comparison of post-operative and economic outcomes. Surg Endosc 32:3874–3880. https://doi.org/10.1007/s00464-018-6126-z

Article  PubMed  Google Scholar 

Bogani G, Rossetti D, Ditto A, Martinelli F, Chiappa V, Leone C, Leone Roberti Maggiore U, Lorusso D, Raspagliesi F (2019) Minimally invasive surgery improves short-term outcomes of nerve-sparing radical hysterectomy in patients with cervical cancer: a propensity-matched analysis with open abdominal surgery. J Gynecol Oncol 30:e27. https://doi.org/10.3802/jgo.2019.30.e27

Article  PubMed  Google Scholar 

Hajirawala LN, Krishnan V, Leonardi C, Bevier-Rawls ER, Orangio GR, Davis KG, Klinger AL, Barton JS (2022) Minimally invasive surgery is associated with improved outcomes following urgent inpatient colectomy. J Soc Laparosc Robot Surg 26:e2021.00075. https://doi.org/10.4293/JSLS.2021.00075

Article  Google Scholar 

Hu JC, Wang Q, Pashos CL, Lipsitz SR, Keating NL (2008) Utilization and outcomes of minimally invasive radical prostatectomy. JCO 26:2278–2284. https://doi.org/10.1200/JCO.2007.13.4528

Article  Google Scholar 

Mitzman B, Johnson S, Lichtveld M, Culbertson R, Fong ZV (2025) Minimally invasive surgery deserts: is there a role for robotic assisted surgery? J Soc Laparosc Robot Surg 28:e2024.00039. https://doi.org/10.4293/JSLS.2024.00039

Article  Google Scholar 

de Jager E, Levine AA, Udyavar RN, Burstin HR, Bhulani N, Hoyt DB, Ko CY, Weissman JS, Britt LD, Haider AH, Maggard-Gibbons MA (2019) Disparities in surgical access: a systematic literature review, conceptual model, and evidence map. J Am Coll Surg 228:276. https://doi.org/10.1016/j.jamcollsurg.2018.12.028

Article  PubMed  PubMed Central  Google Scholar 

Guller U, Jain N, Curtis LH, Oertli D, Heberer M, Pietrobon R (2004) Insurance status and race represent independent predictors of undergoing laparoscopic surgery for appendicitis: secondary data analysis of 145,546 patients. J Am Coll Surg 199:567–575. https://doi.org/10.1016/j.jamcollsurg.2004.06.023. (discussion 575–577)

Article  PubMed  Google Scholar 

Turner M, Adam MA, Sun Z, Kim J, Ezekian B, Yerokun B, Mantyh C, Migaly J (2017) Insurance status, not race, is associated with use of minimally invasive surgical approach for rectal cancer. Ann Surg 265:774–781. https://doi.org/10.1097/SLA.0000000000001781

Article  PubMed  Google Scholar 

Billmann F, Langan E (2018) Insurance status, not race, is associated with use of minimally invasive surgical approach for rectal cancer. Ann Surg 268:e49. https://doi.org/10.1097/SLA.0000000000002495

Article  PubMed  Google Scholar 

Aquina CT, Becerra AZ, Justiniano CF, Xu Z, Boscoe FP, Schymura MJ, Noyes K, Monson JRT, Temple LK, Fleming FJ (2019) Surgeon, hospital, and geographic variation in minimally invasive colectomy. Ann Surg 269:1109–1116. https://doi.org/10.1097/SLA.0000000000002694

Article  PubMed  Google Scholar 

AbuHasan Q, Miller PM, Li WS, Burney CP, Yuce TK, Stefanidis D (2025) Racial disparities in the utilization and outcomes of robotic bariatric surgery: an 8-year analysis of Metabolic and Bariatric Surgery Accreditation Quality Improvement Program data. Surg Obes Relat Dis 21:158–165. https://doi.org/10.1016/j.soard.2024.09.002

Article  PubMed  Google Scholar 

Barnes WA, Carter-Brooks CM, Wu CZ, Acosta DA, Vargas MV (2021) Racial and ethnic disparities in access to minimally invasive gynecologic surgery for benign pathology. Curr Opin Obstet Gynecol 33:279–287. https://doi.org/10.1097/GCO.0000000000000719

Article  PubMed  Google Scholar 

Hessami K, Leaf M-C, Liang J, Katz A, Chervenak F, AlAshqar A, Borahay MA (2025) Racial disparities in minimally invasive benign hysterectomy. J Soc Laparoendosc Surg 28:e2024.00018. https://doi.org/10.4293/JSLS.2024.00018

Article  Google Scholar 

Kim SP, Boorjian SA, Shah ND, Weight CJ, Tilburt JC, Han LC, Thompson RH, Trinh Q-D, Sun M, Moriarty JP, Karnes RJ (2013) Disparities in access to hospitals with robotic surgery for patients with prostate cancer undergoing radical prostatectomy. J Urol 189:514–520. https://doi.org/10.1016/j.juro.2012.09.033

Article  PubMed  Google Scholar 

Schneider MA, Gero D, Muller M, Horisberger K, Rickenbacher A, Turina M (2021) Inequalities in access to minimally invasive general surgery: a comprehensive nationwide analysis across 20 years. Surg Endosc 35:6227–6343

Article  PubMed  Google Scholar 

Erhunmwunsee L, Bhandari P, Sosa E, Sur M, Ituarte PHG, Lui NS (2020) Socioeconomic, rural, and insurance-based inequities in robotic lung cancer resections. Video-Assist Thorac Surg. https://doi.org/10.21037/vats.2020.02.01

Article  Google Scholar 

Hayanga JWA, Luo X, Hasasna I, Rothenberg P, Reddy S, Mehaffey JH, Lamb J, Badhwar V, Toker A (2024) Intersection of race, rurality, and income in defining access to minimally invasive lung surgery. Ann Thorac Surg. https://doi.org/10.1016/j.athoracsur.2024.03.040

Article  PubMed  PubMed Central  Google Scholar 

Fazal ZA, Wall-Wieler E, Patel NM, Johnson S, Yankovsky A, Erhunmwunsee L (2024) Disparities in access to and outcomes of minimally invasive surgery across individual characteristics: a scoping review protocol. OSF. https://doi.org/10.17605/OSF.IO/DH4P3

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tunçalp Ö, Straus SE (2018) PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med 169:467–473. https://doi.org/10.7326/M18-0850

Article  PubMed  Google Scholar 

American College of Surgeons (ACS) (nd) What are the surgical specialties? ACS. https://www.facs.org/for-medical-professionals/education/online-guide-to-choosing-a-surgical-residency/guide-to-choosing-a-surgical-residency-for-medical-students/faqs/specialties/. Accessed 5 Sep 2025

Riner AN, Herremans KM, Deng X, Bandyopadhyay D, Wexner SD, Trevino JG, Sharp SP (2023) Racial/ethnic disparities in the era of minimally invasive surgery for treatment of colorectal cancer. Ann Surg Oncol 30:6748–6759. https://doi.org/10.1245/s10434-023-13693-z

Article  PubMed  PubMed Central  Google Scholar 

Rahimi AO, Soliman D, Hsu CH, Ghaderi I (2024) The impact of gender, race, and ethnicity on bariatric surgery outcomes. Surg Obes Relat Dis 20:454–461. https://doi.org/10.1016/j.soard.2023.12.020

Article  PubMed  Google Scholar 

Holland AM, Mead BS, Lorenz WR, Scarola GT, Augenstein VA (2024) Racial and socioeconomic disparities in complex abdominal wall reconstruction referrals. J Abdom Wall Surg 3:12946. https://doi.org/10.3389/jaws.2024.12946

Article  PubMed  PubMed Central  Google Scholar 

Anastasio MK, Spees L, Ackroyd SA, Shih YT, Kim B, Moss HA, Albright BB (2024) Geographic and racial disparities in the quality of surgical care among patients with nonmetastatic uterine cancer. Am J Obstet Gynecol. https://doi.org/10.1016/j.ajog.2024.09.002

Article  PubMed  Google Scholar 

Ramkumar N, Colla CH, Wang Q, O’Malley AJ, Wong SL, Brooks GA (2022) Association of rurality, race and ethnicity, and socioeconomic status with the surgical management of colon cancer and postoperative outcomes among Medicare beneficiaries. JAMA Netw Open 5:e2229247. https://doi.org/10.1001/jamanetworkopen.2022.29247

Article  PubMed  PubMed Central  Google Scholar 

Ofshteyn A, Bingmer K, Towe CW, Steinhagen E, Stein SL (2020) Robotic proctectomy for rectal cancer in the US: a skewed population. Surg Endosc 34:2651–2656. https://doi.org/10.1007/s00464-019-07041-0

Article  PubMed  Google Scholar 

Halloran SJ, Alvarado CE, Sarode A, Sinapoli J, Jiang B, Linden PA, Towe C (2023) Disparities in access to thoracic surgeons among patients receiving lung lobectomy in the United States. Curr Oncol 30:2801–2811. https://doi.org/10.3390/curroncol30030213

Article  PubMed  PubMed Central  Google Scholar 

Malhotra R, Patel R, Gill K, Brandi KM, Merchant AM (2022) Socioeconomic analysis of the surgical management of ectopic pregnancies: an analysis of the National Inpatient Sample. J Minim Invasive Gynecol 29:641–648. https://doi.org/10.1016/j.jmig.2021.12.020

Article  PubMed  Google Scholar 

Jehan FS, Khreiss M, Seth A, Aziz H (2024) Trends and disparities in access to minimally invasive distal pancreatectomy (MIDP): an eight-year analysis from the National Cancer Database. J Robot Surg 18:52. https://doi.org/10.1007/s11701-023-01775-9

Article  PubMed  Google Scholar 

Seldomridge AN, Rasic G, Papageorge MV, Ng SC, de Geus SWL, Woods AP, McAneny D, Tseng JF, Sachs TE (2024) Trends in access to minimally invasive pancreaticoduodenectomy for pancreatic cancers. HPB (Oxf) 26:333–343. https://doi.org/10.1016/j.hpb.2023.11.012

Article 

Comments (0)

No login
gif