Real-world effectiveness of a new powered stapling system with gripping surface technology on the intraoperative clinical and economic outcomes of gastrectomy for gastric cancer.

IF 1.7 4区医学 Q3 HEALTH POLICY & SERVICES

Cost Effectiveness and Resource Allocation Pub Date : 2024-05-06 DOI:10.1186/s12962-024-00534-3

Honghai Guo, Tao Zheng, Yecheng Lin, Tiange Tang, Zhidong Zhang, Dong Wang, Xuefeng Zhao, Yu Liu, Bibo Tan, Peigang Yang, Yuan Tian, Yong Li, Qun Zhao

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引用次数: 0

Abstract

Background: Surgical staplers have been widely used to facilitate surgeries, and this study aimed to examine the real-world effectiveness of a new powered stapling system with Gripping Surface Technology (GST) on intraoperative outcomes of gastrectomy for gastric cancer.

Method: The data were extracted from the Fourth Hospital of Hebei Medical University's (FHHMU) medical records system. Participants (N = 121 patients) were classified into the GST (n = 59) or non-GST group (n = 62), based on the use of the GST system. The intraoperative outcomes such as bleeding were assessed by reviewing video records. T-tests, Chi-square tests, and Mann-Whitney-U tests were used to compare the baseline characteristics between groups. Multivariate logistic regression was conducted for adjusting outcomes to study the effect of variables.

Results: Compared with the non-GST group, the GST group had significantly lower risks for intraoperative bleeding, intraoperative anastomosis intervention rate, intraoperative suture, and intraoperative pression (aORs: 0.0853 (p < 0.0001), 0.076 (p = 0.0003), 0.167 (p = 0.0012), and 0.221 (p = 0.0107), respectively). The GST group also consumed one fewer cartridge than the non-GST group (GST:5 vs non-GST: 6, p = 0.0241).

Conclusion: The use of the GST system was associated with better intraoperative outcomes and lower cartridge consumption in Chinese real-world settings.

查看原文本刊更多论文

采用抓取面技术的新型动力缝合系统对胃癌胃切除术术中临床和经济效果的实际效果。

背景：本研究旨在探讨新型动力订书机（GST）对胃癌胃切除术术中疗效的实际影响：数据来自河北医科大学第四医院的病历系统。根据 GST 系统的使用情况，将参与者（121 例）分为 GST 组（59 例）和非 GST 组（62 例）。术中出血等结果通过查看视频记录进行评估。采用T检验、卡方检验和Mann-Whitney-U检验比较各组的基线特征。对结果进行多变量逻辑回归调整，以研究变量的影响：结果：与非 GST 组相比，GST 组的术中出血风险、术中吻合介入率、术中缝合风险和术中压迫风险均显著降低（aORs：0.0853 （P在中国的实际情况中，使用 GST 系统可获得更好的术中效果，并降低药盒消耗量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cost Effectiveness and Resource Allocation HEALTH POLICY & SERVICES-

CiteScore

3.40

自引率

4.30%

发文量

审稿时长

34 weeks

期刊介绍： Cost Effectiveness and Resource Allocation is an Open Access, peer-reviewed, online journal that considers manuscripts on all aspects of cost-effectiveness analysis, including conceptual or methodological work, economic evaluations, and policy analysis related to resource allocation at a national or international level. Cost Effectiveness and Resource Allocation is aimed at health economists, health services researchers, and policy-makers with an interest in enhancing the flow and transfer of knowledge relating to efficiency in the health sector. Manuscripts are encouraged from researchers based in low- and middle-income countries, with a view to increasing the international economic evidence base for health.