Cost-effectiveness of laparoscopic versus open cholecystectomy

Roosevelt Fajardo, José Ignacio Valenzuela, Sandra Catalina Olaya, Gustavo Quintero, Gabriel Carrasquilla, Carlos Eduardo Pinzón, Catalina López, Juan Camilo Ramírez

Resultado de la investigación: Contribución a RevistaArtículo

4 Citas (Scopus)

Resumen

Introduction: 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
Idioma originalEnglish (US)
Páginas (desde-hasta)514-524
Número de páginas11
PublicaciónBiomedica
EstadoPublished - dic 1 2011

Huella dactilar

Cholecystectomy
Cost effectiveness
Cost-Benefit Analysis
Costs and Cost Analysis
Laparoscopic Cholecystectomy
Costs
Length of Stay
Surgery
Laparoscopy
Cystitis
Cholelithiasis
Colombia
Delivery of Health Care
Mortality

Citar esto

Fajardo, R., Valenzuela, J. I., Olaya, S. C., Quintero, G., Carrasquilla, G., Pinzón, C. E., ... Ramírez, J. C. (2011). Cost-effectiveness of laparoscopic versus open cholecystectomy. Biomedica, 514-524.
Fajardo, Roosevelt ; Valenzuela, José Ignacio ; Olaya, Sandra Catalina ; Quintero, Gustavo ; Carrasquilla, Gabriel ; Pinzón, Carlos Eduardo ; López, Catalina ; Ramírez, Juan Camilo. / Cost-effectiveness of laparoscopic versus open cholecystectomy. En: Biomedica. 2011 ; pp. 514-524.
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abstract = "Introduction: 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 Bogot{\'a}, 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",
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Fajardo, R, Valenzuela, JI, Olaya, SC, Quintero, G, Carrasquilla, G, Pinzón, CE, López, C & Ramírez, JC 2011, 'Cost-effectiveness of laparoscopic versus open cholecystectomy', Biomedica, pp. 514-524.

Cost-effectiveness of laparoscopic versus open cholecystectomy. / Fajardo, Roosevelt; Valenzuela, José Ignacio; Olaya, Sandra Catalina; Quintero, Gustavo; Carrasquilla, Gabriel; Pinzón, Carlos Eduardo; López, Catalina; Ramírez, Juan Camilo.

En: Biomedica, 01.12.2011, p. 514-524.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - Cost-effectiveness of laparoscopic versus open cholecystectomy

AU - Fajardo, Roosevelt

AU - Valenzuela, José Ignacio

AU - Olaya, Sandra Catalina

AU - Quintero, Gustavo

AU - Carrasquilla, Gabriel

AU - Pinzón, Carlos Eduardo

AU - López, Catalina

AU - Ramírez, Juan Camilo

PY - 2011/12/1

Y1 - 2011/12/1

N2 - Introduction: 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

AB - Introduction: 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

M3 - Article

SP - 514

EP - 524

JO - Biomedica

JF - Biomedica

SN - 0120-4157

ER -

Fajardo R, Valenzuela JI, Olaya SC, Quintero G, Carrasquilla G, Pinzón CE y otros. Cost-effectiveness of laparoscopic versus open cholecystectomy. Biomedica. 2011 dic 1;514-524.