Laparotomy versus laparoscopy cholecystectomy for surgical treatment in patients with gallstone disease: a comparative cost-effectiveness analysis

Autor: Nayeb fadaei Dehcheshmeh, Hamed Abdollahi, Mohammadhosein Haghighizadeh, Farzad Faraji-Khiavi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Health Technology Assessment in Action, Vol 8, Iss 4 (2024)
Druh dokumentu: article
ISSN: 2645-3835
Popis: Background: Due to the increasing costs of the health system and limited financial resources, healthcare policymakers should apply more cost-effective strategies. This study aimed to compare the cost-effectiveness of laparotomy cholecystectomy with laparoscopy. Methods: This economic evaluation was performed on patients with cholecystitis who were candidate for surgery in a private hospital in Ahvaz, in 2021. Data collection tools consisted of 4 parts: 1) demographic information checklist; 2) clinical information checklist; 3) cost checklist and 4) effectiveness assessment tool. We used SPSS22 and STATA14.2 for data analysis. One-way sensitivity analysis and Tornado diagrams were performed using Tree Age software. Results: The mean total effectiveness score in patients treated with laparoscopy 83.44 (SD = 11.34) was higher than those treated with laparotomy 68.39 (SD = 13.61). This difference was statistically significant in all effectiveness criteria except for postoperative infection dimensions and length of operation (P-value
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