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Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China

AIM: The aim of the study was to evaluate costs associated with colonic endoscopic submucosal dissection (ESD) for treatment of colorectal cancer. METHODS: The study is a retrospective analysis of data on 395 patients treated by colonic ESD. RESULTS: The operation, consumable items, and medication a...

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Detalles Bibliográficos
Autores principales: Cui, Ning, Zhao, Yu, Yu, Honggang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457293/
https://www.ncbi.nlm.nih.gov/pubmed/31032359
http://dx.doi.org/10.1155/2019/6983896
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author Cui, Ning
Zhao, Yu
Yu, Honggang
author_facet Cui, Ning
Zhao, Yu
Yu, Honggang
author_sort Cui, Ning
collection PubMed
description AIM: The aim of the study was to evaluate costs associated with colonic endoscopic submucosal dissection (ESD) for treatment of colorectal cancer. METHODS: The study is a retrospective analysis of data on 395 patients treated by colonic ESD. RESULTS: The operation, consumable items, and medication accounted for 71% of the total costs for colonic ESD treatment. Medication and consumable items' costs were higher if lesions occurred in the transverse colon and right hemicolon compared to the left hemicolon. Medication, consumable items, and total costs were higher for larger lesions. Lesion numbers and carcinoma were associated with higher medication, consumable items, operation, and total costs. Positive surgical margins and complications of hemorrhage or perforation were positively correlated with higher costs for medication, consumable items, and total costs. CONCLUSION: Labor costs for doctors and nurses remain low in China. Costs for medication and consumable items were higher for treatment involving the transverse colon or right hemicolon (vs. the left hemicolon), larger lesions, carcinoma, and a positive surgical margin. A benchmark cost estimate for ESD treatment including 4 days of postoperative hospitalization was determined to be approximately 5400 USD.
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spelling pubmed-64572932019-04-28 Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China Cui, Ning Zhao, Yu Yu, Honggang Biomed Res Int Research Article AIM: The aim of the study was to evaluate costs associated with colonic endoscopic submucosal dissection (ESD) for treatment of colorectal cancer. METHODS: The study is a retrospective analysis of data on 395 patients treated by colonic ESD. RESULTS: The operation, consumable items, and medication accounted for 71% of the total costs for colonic ESD treatment. Medication and consumable items' costs were higher if lesions occurred in the transverse colon and right hemicolon compared to the left hemicolon. Medication, consumable items, and total costs were higher for larger lesions. Lesion numbers and carcinoma were associated with higher medication, consumable items, operation, and total costs. Positive surgical margins and complications of hemorrhage or perforation were positively correlated with higher costs for medication, consumable items, and total costs. CONCLUSION: Labor costs for doctors and nurses remain low in China. Costs for medication and consumable items were higher for treatment involving the transverse colon or right hemicolon (vs. the left hemicolon), larger lesions, carcinoma, and a positive surgical margin. A benchmark cost estimate for ESD treatment including 4 days of postoperative hospitalization was determined to be approximately 5400 USD. Hindawi 2019-03-26 /pmc/articles/PMC6457293/ /pubmed/31032359 http://dx.doi.org/10.1155/2019/6983896 Text en Copyright © 2019 Ning Cui et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Cui, Ning
Zhao, Yu
Yu, Honggang
Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China
title Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China
title_full Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China
title_fullStr Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China
title_full_unstemmed Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China
title_short Cost Analysis of Endoscopic Submucosal Dissection for the Treatment of Colorectal Lesions in China
title_sort cost analysis of endoscopic submucosal dissection for the treatment of colorectal lesions in china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457293/
https://www.ncbi.nlm.nih.gov/pubmed/31032359
http://dx.doi.org/10.1155/2019/6983896
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