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Cost-effectiveness of laparoscopic versus open cholecystectomy

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dc.creatorFajardo R.spa
dc.creatorValenzuela J.I.spa
dc.creatorOlaya S.C.spa
dc.creatorQuintero Hernández, Gustavo Adolfospa
dc.creatorCarrasquilla G.spa
dc.creatorPinzón C.E.spa
dc.creatorLópez, Catalinaspa
dc.creatorRamírez J.C.spa
dc.date.accessioned2020-05-26T00:02:53Z
dc.date.available2020-05-26T00:02:53Z
dc.date.created2011spa
dc.description.abstractIntroduction: Cholecystectomy has been the subject of several clinical and cost comparison studies. Objective: The results of open or laparoscopy cholecystectomy were compared in terms of cost and effectiveness from the perspective of healthcare institutions and from that of the patients. Materials and methods: The cost-effectiveness study was undertaken at two university hospitals in Bogotá, Colombia. The approach was to select the type of cholecystectomy retrospectively and then assess the result prospectively. The cost analysis used the combined approach of micro-costs and daily average cost. Patient resource consumption was gathered from the time of surgery room entry to time of discharge. A sample of 376 patients with cholelithiasis/cystitis (May 2005-June 2006) was selected-156 underwent open cholecystectomy and 220 underwent laparoscopic cholecystectomy. The following data were tabulated: (1) frequency of complications and mortality, post-surgical hospital stay, (2) reincorporation to daily activities, (3) surgery duration, (4) direct medical costs, (5) costs to the patient, and (6) mean and incremental cost-effectiveness ratios. Results: Frequency of complications was 13.5% for open cholecystectomy and 6.4% for laparoscopic cholecystectomy (p=0.02); hospital stay was longer in open cholecystectomy than in laparoscopic cholecystectomy (p=0.003) as well as the reincorporation to daily activities reported by the patients (p less than 0.001). The duration of open cholecystectomy was 22 min longer than laparoscopic cholecystectomy (p less than 0.001). The average cost of laparoscopic cholecystectomy was lower than open cholecystectomy and laparoscopic cholecystectomywas more cost-effective than open cholecystectomy (US$ 995 vs. US$ 1,048, respectively). The patient out-of-pocket expenses were greater in open cholecystectomy compared to laparoscopic cholecystectomy (p=0.015). Mortality was zero. Conclusions: The open laparoscopy procedure was associated with longer hospital stays, whereas the cholecystectomy procedure required a longer surgical duration. The direct cost of the latter was lower for both for the healthcare institution and patients. The cost-effectiveness for both procedures was comparable.eng
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23536
dc.language.isoengspa
dc.relation.citationEndPage524
dc.relation.citationIssueNo. 4
dc.relation.citationStartPage514
dc.relation.citationTitleBiomedica
dc.relation.citationVolumeVol. 31
dc.relation.ispartofBiomedica, Vol.31, No.4 (2011); pp. 514-524spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84863463608&partnerID=40&md5=f84d13ffeff18ed553205a3125505caespa
dc.relation.urihttps://pubmed.ncbi.nlm.nih.gov/22674362/
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordArticlespa
dc.subject.keywordlaparoscopiceng
dc.subject.keywordCholecystectomyspa
dc.subject.keywordComparative studyspa
dc.subject.keywordCost benefit analysisspa
dc.subject.keywordEconomicsspa
dc.subject.keywordFemalespa
dc.subject.keywordHumanspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordProspective studyspa
dc.subject.keywordRetrospective studyspa
dc.subject.keywordCholecystectomyspa
dc.subject.keywordCholecystectomyeng
dc.subject.keywordCost-benefit analysisspa
dc.subject.keywordFemalespa
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordMiddle agedspa
dc.subject.keywordProspective studiesspa
dc.subject.keywordRetrospective studiesspa
dc.subject.keywordCholecystectomyspa
dc.subject.keywordColombiaspa
dc.subject.keywordCost-benefit analysisspa
dc.subject.keywordHealth economicsspa
dc.subject.keywordLaparoscopicspa
dc.titleCost-effectiveness of laparoscopic versus open cholecystectomyspa
dc.title.TranslatedTitleCosto-efectividad de la colecistectomía laparoscópica y de la abierta en una muestra de población colombianaspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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