Cost-effectiveness analysis of selective intraoperative laparoscopic cholangiography in county level hospitals
10.3760/cma.j.issn.1671-7368.2017.03.009
- VernacularTitle:县区级医院行选择性腹腔镜术中胆道造影的成本-效果分析
- Author:
Feng WEI
;
Dayu WANG
;
Yunhai WEI
- Keywords:
Cholecystectomy,laparoscopic;
Cholangiography;
Fees,medical;
Cost-and cost analysis
- From:
Chinese Journal of General Practitioners
2017;16(3):210-213
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the cost-effectiveness of selective intraoperative laparoscopic cholangiography (LIOC) in the county level hospitals.Methods The medical costs and cost-effectiveness of 60 patients undergoing LIOC (group A) during laparoscopic cholecystectomy (LC) in 2014 and 52 patients undergoing LC (group B) only in 2013 at 3 county level hospitals were analyzed.Results The direct medical care costs of group A were less than that of group B significantly [(9 072 ± 1 282) Yuan vs.(10 941 ± 4 064) Yuan,t =-3.38,P =0.001],there were no significant different in indirect medical care costs between group A and group B[(2 039 ± 1 020) vs.(2 100 ± 1 172) Yuan,t =0.24,P =0.810].The cure rate was 100％ in two groups;however,the cost per patient in group A was less than that in group B [(11 111 ± 2 348)vs.(13 041 ± 5 118)Yuan].The direct medical care cost of the patients who needed additional treatment in group A was significantly less than that in group B [(10 828 ± 1 101)vs.(16 533 ±1 733)Yuan,t =-11.45,P =0.000].There were no significant different in direct operational costs between group A (LIOC + LC) groups and group B (LC) [(8 378 ± 326) vs.(8 225-± 363) Yuan,t =1.96,P =0.054].Conclusions Selective LIOC is a cost-effective procedure and should be recommended in county level hospitals in which magnetic resonance cholangiopancreatography is not available.
