| Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy: a cost-effective analysis. | |
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MedLine Citation:
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PMID: 21109079 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the cost of minimally invasive video-assisted thyroidectomy (MIVAT) with conventional thyroidectomy. STUDY DESIGN: A cost-effectiveness study and chart review. SETTING: Academic university hospital. SUBJECTS AND METHODS: Pediatric and adult patients referred to the Department of Otolaryngology-Head and Neck Surgery for suspicious thyroid nodules, goiters, or known carcinomas. A tertiary care hospital's billing department was queried for all hemithyroidectomies and total thyroidectomies completed by the Department of Otolaryngology-Head and Neck Surgery between January 5, 2006, and November 1, 2007. The charges, including surgery, hospital, pathology, and anesthesia, for minimally invasive video-assisted thyroidectomy (MIVAT) and traditional or minimally invasive open thyroidectomies meeting MIVAT inclusion criteria were then reviewed retrospectively and compared statistically. RESULTS: A total of 185 thyroidectomies were performed, 50.3 percent of which met criteria for MIVAT. Length of stay (days) was significantly shorter for patients undergoing MIVAT hemithyroidectomy (mean difference -0.8; 95% confidence interval [95% CI] -1.08 to -0.52) and not significantly different between groups for total thyroidectomy (mean difference 0.1; 95% CI -0.36 to 0.56). Mean anesthesia cost (U.S.$) was similar between groups for hemi- and total thyroidectomies. MIVAT mean pathology cost was significantly less than open thyroidectomy for hemithyroidectomy (mean difference -89.9; 95% CI -179.01 to -0.79) and approached significance for total thyroidectomy. There was no significant difference in hospital cost and total cost for hemithyroidectomy and total thyroidectomy. CONCLUSION: In a group of matched cohorts, the cost of MIVAT appears to be equal to that of open thyroidectomy. |
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Authors:
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J Kenneth Byrd; Shaun A Nguyen; Amy Ketcham; Joshua Hornig; M Boyd Gillespie; Eric Lentsch |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 143 ISSN: 1097-6817 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-26 Completed Date: 2010-12-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 789-94 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Otolaryngology-Health and Neck Surgery, Medical University of South Carolina, Charleston, SC 29425, USA. byrdj@musc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cohort Studies Cost-Benefit Analysis Female Humans Male Middle Aged Retrospective Studies Surgical Procedures, Minimally Invasive / economics Thyroid Diseases / surgery* Thyroidectomy / economics*, methods* Video-Assisted Surgery / economics* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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