Monika Mierzwinski‐Urban

Canadian Agency for Drugs and Technologies in Health

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About

Monika Mierzwinski-Urban is a leading health technology assessment (HTA) researcher whose work has shaped the evidence base for surgical decision-making. Her primary research areas center on the comparative clinical effectiveness and economic analyses of surgical modalities, with a particular focus on robot-assisted surgery. Her most influential contribution is a landmark 2011 systematic review and HTA that rigorously compared robotic surgery against open and laparoscopic procedures, evaluating both clinical outcomes and cost-effectiveness. This foundational work, cited 75 times, provided crucial evidence for health systems grappling with the adoption of expensive robotic technologies. She further refined this analysis in a 2012 study, narrowing the scope to four high-impact procedures—prostatectomy, hysterectomy, nephrectomy, and cardiac surgery—that were of pressing interest to Canadian jurisdictions. By synthesizing complex data on surgical robots designed to facilitate minimally invasive techniques, Mierzwinski-Urban has provided policymakers and surgeons with the objective, high-quality evidence needed to navigate the trade-offs between innovation, patient outcomes, and healthcare costs. Her research remains a vital resource for anyone evaluating the real-world value of advanced surgical technologies.