| Laparoscopic or open fundoplication? A complete cost analysis. | |
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MedLine Citation:
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PMID: 9745058 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: As part of a prospective observational trial, we set out to determine the direct and indirect costs of an open versus a laparoscopic fundoplication for chronic gastroesophageal reflux disease (GERD). METHODS: Two groups of patients, each comprising 28 subjects, were studied. RESULTS: All patients received a functioning fundoplication that did not require any additional therapy. Because 19 and 12 patients in the open and laparoscopy groups, respectively, were employed in the work force, we were able to assess the costs due to loss of production. The mean operating time was similar for both groups, but postoperative stay differed significantly; though it amounted to 8 days for the open group, it was only 2 days for the laparoscopy group. Postoperative sick leave was 29.9 days in the open and 9.9 in the laparoscopy group (p < 0.05). The costs of the operations were 18,363 SEK for laparoscopy and 12,856 SEK for conventional fundoplication. On the other hand, the cost for hospital stay amounted to 35,488 SEK in the open group but was only 25,571 SEK for those undergoing laparoscopy. When we add outpatient visits, endoscopies, and other medical expenses, the total direct costs in the laparoscopy group come to 27,693 SEK, as compared to 37,482 SEK for the open fundoplication. The indirect medical costs, which were dominated by loss of production (36,732 versus 12,126 SEK), came to 37,126 and 12,595 SEK in the open and laparoscopy groups, respectively. CONCLUSIONS: The total community-based costs for the open and laparoscopic operations for chronic GERD amounted to 74,608 and 40,289 SEK, respectively. Thus, we would recommend the laparoscopic procedure in most cases. |
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Authors:
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A M Blomqvist; H Lönroth; J Dalenbäck; L Lundell |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article |
Journal Detail:
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Title: Surgical endoscopy Volume: 12 ISSN: 0930-2794 ISO Abbreviation: Surg Endosc Publication Date: 1998 Oct |
Date Detail:
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Created Date: 1998-11-24 Completed Date: 1998-11-24 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: GERMANY |
Other Details:
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Languages: eng Pagination: 1209-12 Citation Subset: IM |
Affiliation:
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Department of Surgery, Sahlgrenska University Hospital, S-413045 Gothenburg, Sweden. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Chronic Disease Costs and Cost Analysis Direct Service Costs Female Follow-Up Studies Fundoplication / economics*, methods Gastroesophageal Reflux / surgery* Hospital Costs Humans Laparoscopy / economics*, methods Longitudinal Studies Male Middle Aged Prospective Studies Sweden Treatment Outcome |
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