The place of mini-invasive TransanalHemorrhoidal-Dearterialisation and Rectopexy technique in the treatment of hemorrhoidal disease, an evaluation from cost-effectiveness point of view
| Autor: | Romica Mehic, Alexandra Diaconeasa, Mircea Beuran, Alexandru Chiotoroiu |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Romanian Journal of Medical Practice, Vol 18, Iss 1, Pp 20-27 (2023) |
| Druh dokumentu: | article |
| ISSN: | 1842-8258 2069-6108 |
| DOI: | 10.37897/RJMP.2023.1.4 |
| Popis: | Background. Choosing the most suitable treatment for Hemorrhoidal Disease (HD) still poses problems for both patients and doctors. THD-RAR although it has proven its superiority regarding postoperative complications, length of hospital stay, return to daily activity compared to Hemorrhoidectomy (HE), it still has a low rate of less than 10% in our hospital, the main causative factor being the increased cost of consumables. Our aim is to analyze the veracity of this factor. Methods. We performed a case-control study in the period 2009-2022 and we evaluated two groups of 50 patients, operated by the THD-RAR method and HE respectively. We had as Main Objective the comparison of average hospitalization costs and as Secondary Objectives the evaluation of postoperative hospitalization, complications, recurrences, the influence on the final cost of social costs. Results. Financially, the elderly had less accessibility to THD-RAR. Internal hemorrhoids predominated in the THD-RAR-group and associated ones in the HE-group (64% and 48%, respectively; p |
| Databáze: | Directory of Open Access Journals |
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