Cost-effectiveness analysis of different anesthesia strategies for transperineal MRI/US fusion prostate biopsy
| Autor: | Di Jin, Xiao-Qi Kong, Ya-Juan Zhu, Zong-Xin Chen, Xi-Ming Wang, Cai-Hua Xu, Jin-Xian Pu, Jian-Quan Hou, Yu-Hua Huang, Fu-Hai Ji, Chen Huang |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Asian Journal of Andrology, Vol 26, Iss 4, Pp 409-414 (2024) |
| Druh dokumentu: | article |
| ISSN: | 1008-682X 1745-7262 |
| DOI: | 10.4103/aja202385 |
| Popis: | This study aims to conduct a cost-effectiveness analysis of three different anesthesia strategies, namely chatting while under local anesthesia (Chat-LA), total intravenous anesthesia (TIVA), and general anesthesia with laryngeal mask airway (GA-LMA), employed in transperineal magnetic resonance imaging (MRI)/ultrasound (US) fusion prostate biopsy (TP-MUF-PB). A retrospective study was conducted involving 1202 patients who underwent TP-MUF-PB from June 2016 to April 2023 at The First Affiliated Hospital of Soochow University (Suzhou, China). Clinical data and outcomes, including total costs, complications, and quality-adjusted life years (QALYs), were compared. Probability sensitivity and subgroup analyses were also performed. Chat-LA was found to be the most cost-effective option, outperforming both TIVA and GA-LMA. However, subgroup analyses revealed that in younger patients (under 65 years old) and those with smaller prostate volumes ( |
| Databáze: | Directory of Open Access Journals |
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