Cost-effectiveness of laparoscopy in children.
Laparoscopy may offer fast recovery and improved cosmesis, but its cost has been perceived as excessive.
To analyze the total hospital costs of laparoscopy vs open surgery.
Retrospective cost-effectiveness analysis evaluating all cases performed in a 36-month period (September 1995 to August 1998).
Cases were evaluated for operative time, itemized cost of supplies, and length of hospitalization.
Operations performed by pediatric surgeons in a tertiary care children's hospital.
Consecutive children undergoing laparoscopic or open appendectomies, cholecystectomies, fundoplications, and splenectomies.
Patients were not randomized to laparoscopy or open surgery.
Laparoscopic procedures performed with a core set of reusable equipment and a limited number of disposable instruments.
Main Outcome Measures
Cost surplus of laparoscopy was evaluated, and compared with savings associated with decreased hospital stay, to obtain cost-effectiveness of laparoscopy per procedure.
There were 26 laparoscopic and 359 open appendectomies ; 33 laparoscopic and 3 open cholecystectomies ; 16 laparoscopic and 18 open fundoplications ; and 16 laparoscopic and 7 open splenectomies.
Excess operating costs per procedure were $442.00 for appendectomy, $634.60 for fundoplication, $847.50 for cholecystectomy, and $1551.30 for splenectomy. (...)
Mots-clés Pascal : Chirurgie, Enfant, Homme, Technique, Laparoscopie, Analyse coût efficacité, Economie santé, Durée, Intervention, Hospitalisation, Etats Unis, Amérique du Nord, Amérique, Evaluation
Mots-clés Pascal anglais : Surgery, Child, Human, Technique, Laparoscopy, Cost efficiency analysis, Health economy, Duration, Operation, Hospitalization, United States, North America, America, Evaluation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0491272
Code Inist : 002B25N. Création : 22/03/2000.