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A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey

INTRODUCTION: Cost analysis studies performed in western countries report that the overall cost of lobectomies performed via video-assisted thoracic surgery is similar to or less than those performed via thoracotomy. The situation may be different in a developing country. AIM: We evaluated the cost...

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Autores principales: Alpay, Levent, Lacin, Tunc, Teker, Dilek, Okur, Erdal, Baysungur, Volkan, Kanbur, Serda, Misirlioglu, Aysun Kosif, Sonmez, Hakan, Yalcinkaya, Irfan, Kiyak, Mithat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198652/
https://www.ncbi.nlm.nih.gov/pubmed/25337166
http://dx.doi.org/10.5114/wiitm.2014.44254
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author Alpay, Levent
Lacin, Tunc
Teker, Dilek
Okur, Erdal
Baysungur, Volkan
Kanbur, Serda
Misirlioglu, Aysun Kosif
Sonmez, Hakan
Yalcinkaya, Irfan
Kiyak, Mithat
author_facet Alpay, Levent
Lacin, Tunc
Teker, Dilek
Okur, Erdal
Baysungur, Volkan
Kanbur, Serda
Misirlioglu, Aysun Kosif
Sonmez, Hakan
Yalcinkaya, Irfan
Kiyak, Mithat
author_sort Alpay, Levent
collection PubMed
description INTRODUCTION: Cost analysis studies performed in western countries report that the overall cost of lobectomies performed via video-assisted thoracic surgery is similar to or less than those performed via thoracotomy. The situation may be different in a developing country. AIM: We evaluated the cost differences of these two surgical methods. MATERIAL AND METHODS: We retrospectively reviewed the hospital records of 81 patients who underwent lobectomy either via video-assisted thoracic surgery (n = 32) or via thoracotomy (n = 49). Patient characteristics, pathology, perioperative complications, additional surgical procedures, length of hospital and intensive care unit stay, and outcomes of both groups were recorded. Detailed cost data for medications, anesthesia, laboratory, surgical instruments, disposable instruments and surgery cost itself were also documented. Statistical analyses were performed to compare the groups. RESULTS: The two groups were homogeneous in regard to age, sex, pathology and perioperative morbidity. The mean duration of hospitalization in the video-assisted thoracic surgery group was significantly shorter than that of the thoracotomy group (7.78 ±5.11 days vs. 10.65 ±6.57 days, p < 0.05). Overall final mean cost in the video-assisted thoracic surgery group was significantly higher than that of the thoracotomy group ($3970 ±1873 vs. $3083 ±1013, p = 0.002). This significant difference relies mostly on the cost of disposable surgical instruments, which were used much more in the video-assisted thoracic surgery group than the thoracotomy group ($2252 ±1856 vs. $427 ±47, p < 0.05). CONCLUSIONS: In contrast to western countries, a video-assisted thoracic surgical lobectomy may cost more than a lobectomy via thoracotomy in a developing country. More expensive disposable surgical instruments and cheaper hospital stay charges lead to higher overall costs in video-assisted thoracic surgical lobectomy patients.
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spelling pubmed-41986522014-10-21 A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey Alpay, Levent Lacin, Tunc Teker, Dilek Okur, Erdal Baysungur, Volkan Kanbur, Serda Misirlioglu, Aysun Kosif Sonmez, Hakan Yalcinkaya, Irfan Kiyak, Mithat Wideochir Inne Tech Maloinwazyjne Original Paper INTRODUCTION: Cost analysis studies performed in western countries report that the overall cost of lobectomies performed via video-assisted thoracic surgery is similar to or less than those performed via thoracotomy. The situation may be different in a developing country. AIM: We evaluated the cost differences of these two surgical methods. MATERIAL AND METHODS: We retrospectively reviewed the hospital records of 81 patients who underwent lobectomy either via video-assisted thoracic surgery (n = 32) or via thoracotomy (n = 49). Patient characteristics, pathology, perioperative complications, additional surgical procedures, length of hospital and intensive care unit stay, and outcomes of both groups were recorded. Detailed cost data for medications, anesthesia, laboratory, surgical instruments, disposable instruments and surgery cost itself were also documented. Statistical analyses were performed to compare the groups. RESULTS: The two groups were homogeneous in regard to age, sex, pathology and perioperative morbidity. The mean duration of hospitalization in the video-assisted thoracic surgery group was significantly shorter than that of the thoracotomy group (7.78 ±5.11 days vs. 10.65 ±6.57 days, p < 0.05). Overall final mean cost in the video-assisted thoracic surgery group was significantly higher than that of the thoracotomy group ($3970 ±1873 vs. $3083 ±1013, p = 0.002). This significant difference relies mostly on the cost of disposable surgical instruments, which were used much more in the video-assisted thoracic surgery group than the thoracotomy group ($2252 ±1856 vs. $427 ±47, p < 0.05). CONCLUSIONS: In contrast to western countries, a video-assisted thoracic surgical lobectomy may cost more than a lobectomy via thoracotomy in a developing country. More expensive disposable surgical instruments and cheaper hospital stay charges lead to higher overall costs in video-assisted thoracic surgical lobectomy patients. Termedia Publishing House 2014-07-28 2014-09 /pmc/articles/PMC4198652/ /pubmed/25337166 http://dx.doi.org/10.5114/wiitm.2014.44254 Text en Copyright © 2014 Sekcja Wideochirurgii TChP http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Alpay, Levent
Lacin, Tunc
Teker, Dilek
Okur, Erdal
Baysungur, Volkan
Kanbur, Serda
Misirlioglu, Aysun Kosif
Sonmez, Hakan
Yalcinkaya, Irfan
Kiyak, Mithat
A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey
title A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey
title_full A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey
title_fullStr A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey
title_full_unstemmed A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey
title_short A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey
title_sort comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in turkey
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198652/
https://www.ncbi.nlm.nih.gov/pubmed/25337166
http://dx.doi.org/10.5114/wiitm.2014.44254
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