The cost analysis of varicose vein treatment techniques in Turkey: a benefit or profit problem?

Journal of Clinical and Analytical Medicine Pub Date : 2018-11-01 DOI:10.4328/JCAM.5930

O. Tanyeli

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引用次数: 0

Abstract

DOI: 10.4328/JCAM.5930 Received: 11.06.2018 Accepted: 29.06.2018 Published Online: 03.07.2018 Printed: 01.11.2018 J Clin Anal Med 2018;9(6): 525-9 Corresponding Author: Omer Tanyeli, Department of Cardiovascular Surgery, Meram Medicine Faculty, Necmettin Erbakan University, 42080, Meram, Konya, Turkey. GSM: +905327678909 E-Mail: otanyeli@gmail.com ORCID ID: 0000-0001-6275-7744 Abstract Aim: Varicose veins are common healthcare problem in Turkey and worldwide. In this study, we compared the economic parameters of commonly used varicose treatment techniques, particularly classical surgical techniques, endovenous radiofrequency ablation (RFA) and glue (cyanoacrylate) techniques’ costs, hospital bills, and profits. Material and Method: A total of 100 patients who had varicose vein operations, were evaluated retrospectively between April 2017 and November 2017. These patients were divided into subgroups depending on the methods used such as classical surgical treatment or catheter-based techniques. Demographic data including age, gender, hospitalization period, cost of the patient, amounts billed to SGK, and the patient-based profit/loss was analyzed for groups of varicose vein treatments described above. Results: Twenty-nine patients (29%) were treated by surgery and 71 patients (71%) received catheterbased treatments. Thirty-four patients (34%) were treated by glue injection, and 37 patients (37%) were treated by RFA. There was no difference between the groups for the length of hospital stay (p > 0.05). The glue group had the highest cost (2093.8 ± 148.9 TL) while the surgery group had the lowest cost (618.2 ± 365.4 TL), with the RF group in between (1453.1 ± 130.3) (p < 0.001). The RF group had the highest profit for the hospital (209.9 ± 261.3 TL), while the glue group had the lowest profit (-66.3 ± 126.2 TL) (p<0.001). Discussion: The most suitable strategy seems to be RFA when profit is a concern. But the patient’s wishes, anatomical properties, activity/working conditions and the physician’s choice for the welfare of the patient should be determinative.

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土耳其静脉曲张治疗技术的成本分析：效益问题还是利润问题？

DOI:10.4328/JCAM.5930收到时间：2018年6月11日接受时间：2018年年6月29日在线发布时间：2018财年7月3日印刷日期：2018财年11月1日临床分析医学杂志；9（6）：525-9通讯作者：Omer Tanyeli，内克梅廷·埃尔巴坎大学梅拉姆医学院心血管外科，42080，土耳其科尼亚梅拉姆。GSM:+95032767899电子邮箱：otanyeli@gmail.comORCID ID:0000-0001-6275-7744摘要目的：静脉曲张是土耳其和世界各地常见的医疗问题。在这项研究中，我们比较了常用静脉曲张治疗技术的经济参数，特别是经典手术技术、静脉内射频消融（RFA）和胶水（氰基丙烯酸酯）技术的成本、医院账单和利润。材料和方法：对2017年4月至2017年11月期间接受静脉曲张手术的100名患者进行回顾性评估。根据所使用的方法，如经典的外科治疗或基于导管的技术，将这些患者分为亚组。分析了上述静脉曲张治疗组的人口统计数据，包括年龄、性别、住院期、患者费用、SGK账单金额和基于患者的损益。结果：29名患者（29%）接受了手术治疗，71名患者（71%）接受了导管治疗。34例（34%）患者采用注胶治疗，37例（37%）患者采用RFA治疗。两组住院时间差异无统计学意义（p>0.05）。胶水组的费用最高（2093.8±148.9 TL），而手术组的费用最低（618.2±365.4 TL），射频组介于（1453.1±130.3）之间（p<0.001）。射频组的医院利润最高（209.9±261.3 TL），而胶水组的利润最低（-66.3±126.2TL）（p<0.001）。讨论：当利润是一个问题时，最合适的策略似乎是RFA。但患者的意愿、解剖特性、活动/工作条件以及医生对患者福利的选择应该是决定性的。

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Journal of Clinical and Analytical Medicine MEDICINE, GENERAL & INTERNAL-

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期刊介绍： The Annals of Clinical and Analytical Medicine is an international open-access journal containing peer-reviewed high-quality articles on clinical medicine in the areas of all research study types, reviews, and case reports. Our journal has become an important platform with the help of language support services, which make it easier for writers who have English as their second language to share their clinical experiences with the world.