Document Detail


Minimally invasive video-assisted thyroidectomy versus conventional thyroidectomy: a cost-effective analysis.
MedLine Citation:
PMID:  21109079     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J Kenneth Byrd; Shaun A Nguyen; Amy Ketcham; Joshua Hornig; M Boyd Gillespie; Eric Lentsch
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
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:
Created Date:  2010-11-26     Completed Date:  2010-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  789-94     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Otolaryngology-Health and Neck Surgery, Medical University of South Carolina, Charleston, SC 29425, USA. byrdj@musc.edu
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MeSH Terms
Descriptor/Qualifier:
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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