内蒙古医科大学附属医院肾细胞癌腹腔镜手术与开放手术的成本-效果分析

Ji-quan Guo, S. Supakankunti
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引用次数: 0

摘要

本研究的目的是从提供者的角度计算治疗成本,评估肾细胞癌手术治疗的短期结果(避免并发症)以及成本-效果。本研究旨在对2010-201年内蒙古医科大学附属医院30例腹腔镜手术患者与30例开放手术患者进行比较。数据来源于医疗记录和医院成本会计账单。结果表明,腹腔镜手术费用为1326.2美元/人,30例患者中有24例患者避免了并发症。因此,每个避免并发症的平均成本为55.25美元。开放手术的费用为920.6美元/人,30例患者中避免了26例并发症,平均每个避免并发症的费用为35.4美元。总之,从提供者的角度来看,基于有限的可用数据库,开放式手术的有效性似乎优于腹腔镜手术的有效性。然而,由于本研究仅使用了一个医院数据库且时间较短,因此在进一步治疗该疾病的外科手术的实施方面,对研究结果的解释应谨慎。社会上的其他成员不敢怀疑或争论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cost-Effectiveness Analysis of Laparoscopic Surgery versus Open Surgery in Renal Cell Carcinoma at Inner Mongolia Medical University Subsidiary Hospital in Inner Mongolia, China
The purposes of this study are to calculate the treatment cost on the perspective of provider, to assess short outcome (complications avoided) as well as the cost - effectiveness of the surgical treatments for renal cell carcinoma. This study aims to compare the 30 patients of laparoscopic surgery with 30 patients of open surgery in Inner Mongolia Medical University Subsidiary Hospital in Inner Mongolia in China during 2010-201. The data source is from the medical records and hospital cost accounting bills. The results showed that the cost of laparoscopic surgery is $ 1326.2/person, the number of complications avoided patients are 24 out of 30 patients. Therefore, the average cost of each complications avoided is $55.25. Moreover, the cost of open surgery is 920.6/person, the number of complications avoided patients are 26 out of 30 patients and the average cost of each complications avoided is $35.4. In conclusion, from the provider perspective's point of view and based on the limited available database, the effectiveness of open surgery seems to be better than the effectiveness of laparoscopic surgery. However, the interpretation of the study results should be with caution regarding the implementation of a surgical procedure to treat this disease further since this study employed only one hospital data base and a short period of time. Over which the other members in the society dare not to doubt nor dispute.
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