A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey
| Autor: | Erdal Okur, Serda Kanbur, Tunc Lacin, Irfan Yalcinkaya, Aysun Misirlioglu, Levent Alpay, Hakan Sonmez, Dilek Teker, Mithat Kiyak, Volkan Baysungur |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Original Paper lobectomy business.industry Urology medicine.medical_treatment Significant difference Gastroenterology Obstetrics and Gynecology Patient characteristics Perioperative thoracotomy Intensive care unit Surgery law.invention law Cardiothoracic surgery Video assisted thoracic surgery medicine Cost analysis Thoracotomy business video-assisted thoracic surgery |
| Zdroj: | Videosurgery and other Miniinvasive Techniques |
| ISSN: | 2299-0054 1895-4588 |
| Popis: | Introduction: Cost analysis studies performed in western countries report that the overall cost of lobectomies per- formed via video-assisted thoracic surgery is similar to or less than those performed via thoracotomy. The situation may be different in a developing country. Aim: We evaluated the cost differences of these two surgical methods. Material and methods: We retrospectively reviewed the hospital records of 81 patients who underwent lobectomy either via video-assisted thoracic surgery (n = 32) or via thoracotomy (n = 49). Patient characteristics, patholo- gy, perioperative complications, additional surgical procedures, length of hospital and intensive care unit stay, and outcomes of both groups were recorded. Detailed cost data for medications, anesthesia, laboratory, surgical instru- ments, disposable instruments and surgery cost itself were also documented. Statistical analyses were performed to compare the groups. Results: The two groups were homogeneous in regard to age, sex, pathology and perioperative morbidity. The mean duration of hospitalization in the video-assisted thoracic surgery group was significantly shorter than that of the thoracotomy group (7.78 ±5.11 days vs. 10.65 ±6.57 days, p < 0.05). Overall final mean cost in the video-assisted thoracic surgery group was significantly higher than that of the thoracotomy group ($3970 ±1873 vs. $3083 ±1013, p = 0.002). This significant difference relies mostly on the cost of disposable surgical instruments, which were used much more in the video-assisted thoracic surgery group than the thoracotomy group ($2252 ±1856 vs. $427 ±47, p < 0.05). Conclusions: In contrast to western countries, a video-assisted thoracic surgical lobectomy may cost more than a lobectomy via thoracotomy in a developing country. More expensive disposable surgical instruments and cheaper hospital stay charges lead to higher overall costs in video-assisted thoracic surgical lobectomy patients. |
| Databáze: | OpenAIRE |
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