Costs of Surgery for Thoracic Cystic Echinococcosis: Data from a Single Center in Italy.

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Matilde Pelizzola, Tommaso Manciulli, Raffaella Lissandrin, Annalisa Roveta, Antonio Maconi, Ambra Vola, Gian Luca D'Alessandro, Armanda Leka, Christine M Budke, Chiara Stocchero, Paolo Barone, Stefano Meda, Enrico Brunetti, Pietro Rinaldi
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引用次数: 0

Abstract

Surgery is the preferable treatment of thoracic cystic echinococcosis (TCE). However, there is no consensus about the best surgical method. Options include lobectomy, segmentectomy, or cystostomy with closure of bronchial openings and capitonnage. The choice depends on cyst integrity, cyst size, number of cysts, location of cysts within the lung, associated lung tissue damage, and treatment costs. Currently, limited data are available on the costs associated with surgical treatment of TCE. We report data from a referral center for TCE in Italy. We collected treatment information and costs for treatment of nine patients with TCE admitted to the Thoracic Surgery Ward at Santi Antonio e Biagio e Cesare Arrigo Hospital in Alessandria, Italy from May 2023 to March 2024. The main surgical approach was cystostomy with closure of bronchial openings and capitonnage. The total expenditures for a single hospitalization, including hospital stay and surgery, ranged from €9,563.9 to €29,849 (median: €13,311.3; interquartile range: €8,584.75, Q1-Q3: €11,227.05-€19,811.80). This study shows the significant variability in treatment cost depending on the surgical technique and clinical complexity.

胸部囊性包虫病的手术费用:来自意大利单一中心的数据
手术是胸囊性包虫病(TCE)的首选治疗方法。然而,关于最佳手术方法尚无共识。选择包括肺叶切除术、节段切除术或封闭支气管开口和capitonnage的膀胱造口术。选择取决于囊肿的完整性、囊肿的大小、囊肿的数量、囊肿在肺中的位置、相关的肺组织损伤和治疗费用。目前,关于TCE手术治疗相关费用的数据有限。我们报告来自意大利TCE转诊中心的数据。我们收集了2023年5月至2024年3月在意大利亚历山德里亚的圣安东尼奥医院胸外科病房收治的9例TCE患者的治疗信息和治疗费用。主要手术入路为闭合支气管开口的膀胱造口术。单次住院(包括住院和手术)的总支出从9,563.9欧元到29,849欧元不等(中位数:13,311.3欧元;四分位数区间:8,584.75欧元,第一季度至第三季度:11,227.05欧元至19,811.80欧元)。本研究显示治疗费用的显著差异取决于手术技术和临床复杂性。
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来源期刊
American Journal of Tropical Medicine and Hygiene
American Journal of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.20
自引率
3.00%
发文量
508
审稿时长
3 months
期刊介绍: The American Journal of Tropical Medicine and Hygiene, established in 1921, is published monthly by the American Society of Tropical Medicine and Hygiene. It is among the top-ranked tropical medicine journals in the world publishing original scientific articles and the latest science covering new research with an emphasis on population, clinical and laboratory science and the application of technology in the fields of tropical medicine, parasitology, immunology, infectious diseases, epidemiology, basic and molecular biology, virology and international medicine. The Journal publishes unsolicited peer-reviewed manuscripts, review articles, short reports, images in Clinical Tropical Medicine, case studies, reports on the efficacy of new drugs and methods of treatment, prevention and control methodologies,new testing methods and equipment, book reports and Letters to the Editor. Topics range from applied epidemiology in such relevant areas as AIDS to the molecular biology of vaccine development. The Journal is of interest to epidemiologists, parasitologists, virologists, clinicians, entomologists and public health officials who are concerned with health issues of the tropics, developing nations and emerging infectious diseases. Major granting institutions including philanthropic and governmental institutions active in the public health field, and medical and scientific libraries throughout the world purchase the Journal. Two or more supplements to the Journal on topics of special interest are published annually. These supplements represent comprehensive and multidisciplinary discussions of issues of concern to tropical disease specialists and health issues of developing countries
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