What is the cost of endoscopic submucosal dissection (ESD)? A medico-economic study

Autor: Charissoux, Aurelie, Christou, Niki, Fredon, Fabien, Mathonnet, Muriel, Albouys, Jeremie, Perrin, Marie-Laure, Yardin, Catherine, Durand Fontanier, Sylvaine, Bardet, Sylvia, Schaefer, Marion, Lepetit, Hugo, Pioche, Mathieu, Dahan, Martin, Pauliat, Emmanuelle, Liva-Yonnet, Sandra, Brischoux, Sonia, Legros, Romain, Tailleur, Arnaud, Carrier, Paul, Charissoux, Aurélie, Valgueblasse, Virginie, Loustaud-Ratti, Véronique, Taibi, Abdelkader, Durand-Fontanier, Sylvaine, Valleix, Denis, Sautereau, Denis, Kerever, Sebastien, Jacques, Jeremie
Přispěvatelé: Université de Bordeaux (UB), Service d'Hépato-Gastro-Entérologie et Nutrition [CHU Limoges], CHU Limoges, Ciblage individuel et prévention des risques de traitements immunosupresseurs et de la transplantation (IPPRITT), CHU Limoges-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), BIO-INGENIERIE (XLIM-BIO-INGENIERIE), XLIM (XLIM), Université de Limoges (UNILIM)-Centre National de la Recherche Scientifique (CNRS)-Université de Limoges (UNILIM)-Centre National de la Recherche Scientifique (CNRS), Service de Chirurgie digestive, endocrinienne et générale [CHU Limoges], Université de Limoges (UNILIM), Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Université Paris Diderot - Paris 7 (UPD7)-Université Sorbonne Paris Cité (USPC)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA), Service d'Histologie, cytologie, cytogénétique, biologie cellulaire [CHU Limoges], Application des ultrasons à la thérapie (LabTAU), Centre Léon Bérard [Lyon]-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: United European Gastroenterology Journal
United European Gastroenterology Journal, SAGE Publications, 2018, 7 (1), pp.138-145. ⟨10.1177/2050640618810572⟩
ISSN: 2050-6406
2050-6414
DOI: 10.1177/2050640618810572⟩
Popis: INTRODUCTION: Endoscopic submucosal dissection (ESD) is the gold-standard treatment for superficial lesions of the digestive tract. No medico-economic study has been conducted in Europe. MATERIAL AND METHODS: A monocentric study was conducted including all patients undergoing ESD between January 2015 and December 2017. The global cost of hospital stays was measured by microcosting, and revenue was based on the diagnosis-related group (DRG) system. The primary objective was to assess the cost/revenue balance. A medico-economic comparison with surgery was performed as a secondary outcome. RESULTS: A total of 193 patients were prospectively included. The cost per procedure was €3463.79, subtracted from a €2726.84 revenue, with a deficit of −€736.96 per stay. Presence of comorbidities/complications increasing DRG value was the only predictive factor for a positive budgetary balance in a multivariate analysis (odds ratio 49.21, 95% confidence interval 11.3–214.25, p
Databáze: OpenAIRE
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