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A real world cost-minimization analysis comparing the use of different endoscopic staplers in video-assisted thoracic surgery lobectomy procedures.
Gu, Wei; Wang, Tao; Wang, Wenting; Tong, Guixian; Wu, Shuqing; Han, Yi.
Afiliación
  • Gu W; First Affiliated Hospital of The University of Science & Technology of China, Anhui Province, Hefei, China.
  • Wang T; First Affiliated Hospital of The University of Science & Technology of China, Anhui Province, Hefei, China.
  • Wang W; First Affiliated Hospital of The University of Science & Technology of China, Anhui Province, Hefei, China.
  • Tong G; First Affiliated Hospital of The University of Science & Technology of China, Anhui Province, Hefei, China.
  • Wu S; Vinzent Strategies Ltd, Shanghai, China.
  • Han Y; Health Economics Research Institute, Sun Yat-Sen University, Guangdong Province, Guangzhou, China.
J Comp Eff Res ; 10(14): 1079-1088, 2021 10.
Article en En | MEDLINE | ID: mdl-34523357
Aim: China's cost-containment measures increasingly focus solely on the prices of consumable medical supplies without taking a broader perspective on differences in features and overall costs. This study compared two types of endoscopic staplers in video-assisted thoracoscopic surgery (VATS) lobectomy. Materials & methods: Electronic medical records for video-assisted thoracoscopic surgery from 2016 to 2017 were collected from a hospital in Anhui province. Two cohorts were retroactively defined based on stapler type. Total costs were compared using a cost-minimization analysis model. Probabilistic sensitivity analysis was performed. Results: In the base case, the group using more expensive staplers achieved overall cost savings of about $300 per procedure. Sensitivity analysis confirmed this result in 86.5% of cases. Conclusion: A price-only supply selection strategy may have unintended cost consequences.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Torácica Asistida por Video / Neoplasias Pulmonares Tipo de estudio: Health_economic_evaluation Límite: Humans Idioma: En Revista: J Comp Eff Res Año: 2021 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cirugía Torácica Asistida por Video / Neoplasias Pulmonares Tipo de estudio: Health_economic_evaluation Límite: Humans Idioma: En Revista: J Comp Eff Res Año: 2021 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido