| Cost-revenue analysis in the surgical treatment of the obstructed defecation syndrome. | |
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MedLine Citation:
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PMID: 17190279 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The obstructed defecation syndrome is a frequent condition in the female population. Rectocele and rectal intussusception may cause symptoms of obstructed defecation. The aim of this study is to carry out an economic cost-revenue analysis comparing the rectocele and the rectal intussusception surgical techniques using a double-transanal, circular stapler (Stapled Trans-Anal Rectal Resection - STARR) with other techniques used to repair the same defects. The analysis involved the systematic calculation of the costs incurred during hospitalisation. The revenue estimate was obtained according to the rate quantification of the Diagnosis Related Group (DRG) associated with each hospitalisation. Our analysis confirmed that the global expenditure for the STARR technique amounts to 3,579.09 Euro as against 5,401.15 Euro for rectocele abdominal repair and 3,469.32 Euro for perineal repair. The intussusception repair cost according to Delorme's procedure amounts to 5,877.41Euro as against 3,579.09 Euro for the STARR technique. The revenue analysis revealed a substantial gain for the Health Authority as regards the treatment of rectocele and rectal intussusception for obstructed defecation syndrome. The highest revenue, 6,168. 52 Euro, was obtained with intussusception repair with STARR as compared to Delorme's procedure which presented revenue amounting to 2,359.04. Lower revenues are recorded if the STARR technique is intended for rectocele repair; in this case the revenue amounts to 1,778.12 Euro as against 869.67 Euro and 1,887.89 Euro for abdominal and perineal repair, respectively. |
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Authors:
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Michele Schiano di Visconte; Alessandra Piccin; Raimondo Di Bella; Priscilla Giomo; Vania Pederiva; Livio Dal Cina; Gabriele Munegato |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chirurgia italiana Volume: 58 ISSN: 0009-4773 ISO Abbreviation: Chir Ital Publication Date: 2006 Nov-Dec |
Date Detail:
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Created Date: 2006-12-27 Completed Date: 2007-02-14 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151753 Medline TA: Chir Ital Country: Italy |
Other Details:
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Languages: eng Pagination: 743-52 Citation Subset: IM |
Affiliation:
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General Surgery Dept. S. Maria dei Battuti Hospital, Conegliano Veneto, Treviso, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Constipation / economics*, surgery* Cost-Benefit Analysis Female Humans Italy Middle Aged Rectal Diseases / economics*, surgery* Retrospective Studies Syndrome |
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