Costs and quality of life after endoscopic repair of inguinal hernia vs open tension-free repair: a review
Autor: | M. Gholghesaei, R. Veldkamp, H. R. Langeveld, H. J. Bonjer |
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Přispěvatelé: | Otorhinolaryngology and Head and Neck Surgery, Surgery |
Rok vydání: | 2004 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Cost-Benefit Analysis Outcome measures Endoscopy Hernia Inguinal medicine.disease Hernia repair Surgery Inguinal hernia Indirect costs Quality of life Tension free repair Surgical Procedures Operative medicine Operating time Physical therapy Quality of Life Humans business Abdominal surgery |
Zdroj: | Surgical Endoscopy, 19(6), 816-821. Springer New York |
ISSN: | 1432-2218 0930-2794 |
Popis: | Background: The ongoing debate about the relative merits of endoscopic (EH) vs open mesh herniorrhaphy (OH) prompts the need for comparisons of outcome measures other than recurrence. Therefore, we reviewed data on the costs, time to return to work, quality of life (QoL), and pain associated with EH and OH. Methods: Studies comparing EH to OH and explicitly involving costs or QoL were identified and reviewed. Results: Eighteen studies were included. Direct in-hospital costs were higher for unilateral EH. Direct out-ofhospital costs were lower after EH in some studies. Indirect costs were lower for EH. Total costs were higher for EH in three studies and lower in one study. With EH, QoL was better, pain was less, operating time was longer, and time return to work and other activities was shorter. Conclusion: From a societal perspective, EH entails costs similar to OH but offers extra benefits to the patient in terms of QoL and pain. |
Databáze: | OpenAIRE |
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