تحلیل همتایابی نمره تمایل و هزینه تک برش در مقابل جراحی معمول برای سرطان
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تحلیل همتایابی نمره تمایل و هزینه تک برش در مقابل جراحی معمول برای سرطان

عنوان فارسی مقاله: تجزیه و تحلیل هزینه تک برش در مقابل جراحی معمول لاپاراسکوپی برای سرطان روده بزرگ: تحلیل همتایابی نمره تمایل
عنوان انگلیسی مقاله: Cost analysis of single-incision versus conventional laparoscopic surgery for colon cancer: A propensity score-matching analysis
مجله/کنفرانس: مجله آسیایی جراحی - Asian Journal Of Surgery
رشته های تحصیلی مرتبط: مدیریت، پزشکی
گرایش های تحصیلی مرتبط: مدیریت مالی
کلمات کلیدی فارسی: جراحی تک برش لاپاراسکوپی، سرطان روده بزرگ، تجزیه و تحلیل هزینه، هزینه
کلمات کلیدی انگلیسی: Single-incision laparoscopic surgery، Colon cancer، Cost analysis، Cost
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
نمایه: MedLine - DOAJ - Scopus - Master Journals List - JCR
شناسه دیجیتال (DOI): https://doi.org/10.1016/j.asjsur.2019.06.012
دانشگاه: Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, South Korea
ناشر: الزویر - Elsevier
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2019
ایمپکت فاکتور: 1/278 در سال 2018
شاخص H_index: 28 در سال 2019
شاخص SJR: 0/434 در سال 2018
شناسه ISSN: 1015-9584
شاخص Quartile (چارک): Q3 در سال 2018
فرمت مقاله انگلیسی: PDF
تعداد صفحات مقاله انگلیسی: 7
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: خیر
آیا این مقاله مدل مفهومی دارد: ندارد
آیا این مقاله پرسشنامه دارد: ندارد
آیا این مقاله متغیر دارد: دارد
کد محصول: E12786
رفرنس: دارای رفرنس در انتهای مقاله
فهرست انگلیسی مطالب

Summary


1- Introduction


2- Methods


3- Results


4- Discussion


References

نمونه متن انگلیسی مقاله

Summary


Background/objective: Although many studies have demonstrated similar perioperative outcomes for single-incision laparoscopic surgery (SILS) and conventional laparoscopic surgery (CLS) for colon cancer, few have directly compared the costs of them. We aimed to compare costs between SILS and CLS for colon cancer.


Methods: We analyzed the clinical outcomes and overall hospital costs of patients who underwent laparoscopic surgery for colon cancer from July 2009 to September 2014 at our institution; 288 were used for analysis after propensity score matching. The total hospital charge, including fees for the operation, anesthesia, preoperative diagnosis, and postoperative management was analyzed.


Results: The total hospital charges were similar in both groups ($8770.40 vs. $8352.80, P Z 0.099). However, the patients’ total hospital bill was higher in the SILS group than in the CLS group ($4184.82 vs. $3735.00, P < 0.001) mainly due to the difference of the cost of access devices. There was no difference in the additional costs associated with readmission due to late complications between the two groups ($2383.08 vs. $2288.33, P Z 0.662). Incremental cost-effectiveness ratio for total incision length in ‘total hospital charge’ and patient’s bill and government’s bill in ‘cost of instruments and supplies’ were -$107.08/1 cm, -$109.70/ 1 cm, and $80.64/1 cm, respectively.


Introduction


Minimally invasive surgery (MIS), including laparoscopic surgery (LS) and robotic surgery, has shown to have acceptable short- and long-term outcomes in the context of various diseases.1e3 LS is an option for colorectal cancer based on the similar or even superior results associated with the procedure compared with those of open surgery for colorectal malignancies.4e6 Novel techniques, such as natural orifice transluminal endoscopic surgery or singleincision laparoscopic surgery (SILS), have been developed to meet surgeons’ efforts to maximize the advantages of MIS and the patients’ desires to reduce scarring and pain. SILS, which is characterized by only one surgical incision, has been suggested as an option for treating colorectal malignancies. SILS for colon cancer has shown comparable oncologic outcomes, as well as a shorter total incision length, when compared with conventional laparoscopic surgery (CLS).7e10 However, it has several limitations as an alternative treatment option for colorectal cancer, including patient selections, technical difficulties, and questionable cost-effectiveness.11,12 Therefore, recent studies of SILS for colorectal cancer have attempted to clarify the learning curve for both LSexperienced surgeons and novices, to expand the indications for SILS, and more comfortable technical tips, whereas prior studies have primarily focused on the safety and feasibility of the procedure.13,14 However, to date there has been no cost-effectiveness study of SILS for colon cancer, and only a few studies having reported the costs associated with the procedure. The aim of the current study was to focus on the comparative costs of SILS versus CLS for colon cancer. We compared the costs of SILS with those of CLS, subdividing the total hospital charges into five categories.

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