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  1. A cost-minimization analysis of laparoscopic cholecystectomy versus open cholecystectomy.

    Article - En anglais

    BACKGROUND 

    Earlier economic analyses have evaluated charges but not costs, and have not considered the cost of production losses associated with open and laparoscopic cholecystectomy.

    This study attempted to accomplish an economic evaluation of open versus laparoscopic cholecystectomy from the point of view of society.

    METHODS 

    A cost-minimization analysis, using a clinical decision model, was performed.

    The data used were taken from different clinical studies, Swedish national registers, local patient statistics, and hospital accounting systems.

    The direct and indirect costs were measured.

    RESULTS 

    Laparoscopic cholecystectomy resulted in cost savings per patient amounting to about 2,400 SEK (as of 31 August 1994, £=11.90 SEK ; $1=7.76 SEK) compared with open surgery.

    CONCLUSIONS 

    From the point of view of society, laparoscopic cholecystectomy was a cost-saving strategy if at least 68 patients were operated on yearly.

    However, with regard to hospital costs, open cholecystectomy was less expensive than laparoscopic cholecystectomy.

    Mots-clés Pascal : Cholécystectomie, Chirurgie endoscopique, Chirurgie, Etude comparative, Analyse coût, Homme, Economie santé, Suède, Europe, Voie biliaire, Appareil digestif

    Mots-clés Pascal anglais : Cholecystectomy, Endoscopic surgery, Surgery, Comparative study, Cost analysis, Human, Health economy, Sweden, Europe, Biliary tract, Digestive system

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0492262

    Code Inist : 002B25G03. Création : 10/04/1997.