A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: Clinical and economic analyses

Long, Kirsten Hall; Bannon, Michael B.; Zietlow, Scott P.; Helgeson, Eva R.; Harmsen, William S.; Smith, C. Daniel; Ilstrup, D. M.; Baerga-Varela, Yvonne; Sarr, Michael G.; LAPAROSCOPICAPPENDECTOMYINTEREST,

doi:10.1016/s0039-6060(01)15621-7

Cited by 141 publications

(71 citation statements)

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“…However, the comparability of these costs to those in our study is limited by the fact that they reflect unadjusted values and also include patients with severe complications. In a decision-analytic approach, Moore et al (2005) used the data generated by Long et al (2001) and came to expected costs of US $5171 for open appendectomy and US $6118 for laparoscopic appendectomy. Again, these costs include patients with complications.…”

Section: Discussionmentioning

confidence: 99%

“…However, in one study, the lower costs of open surgery were partly offset by a longer length of stay (Kurtz and Heimann, 2001). Thus, the question of whether the cost-effectiveness ratio favours open or laparoscopic surgery depends on whether indirect costs are included in the assessment (Hellberg et al, 1999;Garbutt et al, 1999;Long et al, 2001). However, although it is not entirely clear which surgical technique is more cost-effective, the issue of open versus laparoscopic surgery may represent one explanation of cost variation.…”

Section: Medical Background and Considerations For Analysismentioning

confidence: 99%

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A micro-costing approach to estimating hospital costs for appendectomy in a Cross-European context

Schreyögg

2008

Health Econ.

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SUMMARYThis paper aims (a) to determine whether variations in the hospital costs of appendectomy in EU member states are larger within individual countries or between different countries and (b) to explore causes for variations in costs between hospitals and countries. To do so, hospitalisation costs and reimbursement rates for appendectomy were obtained from 54 hospitals in nine European member states based on 1786 cases using a standardised methodology. Regression analysis was performed using hospital characteristics, treatment characteristics, and purchasing power parities (PPP) as explanatory variables in a multilevel framework. The within-country standard error was estimated to h294 (27%), whereas the between-country standard error was h796 (73%). Excluding hospitals in Spain, Hungary, and Poland, which had significantly lower costs than hospitals in the other countries in our analysis, the within-country standard error was h331 (57%) and the between-country standard error dropped to h248 (43%). Regression results show that the treatment decision for open surgery was associated with significantly lower costs, whereas a greater number of beds and a higher staff per bed ratio were associated with significantly higher costs. PPP explained a major part of the between-country variance.

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Section: Discussionmentioning

confidence: 99%

Section: Medical Background and Considerations For Analysismentioning

confidence: 99%

A micro-costing approach to estimating hospital costs for appendectomy in a Cross-European context

Schreyögg

2008

Health Econ.

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“…The application of the recent technology and skills can now provide a better and a cheaper choice of treatment. Despite a lot of randomized trials which have compared laparoscopic and open appendectomy, the indications for laparoscopy in patients with suspected appendicitis remains controversial and clinical trials comparing LA versus OA, a consensus concerning the relative advantages of each procedure has not yet been reached [10][11].…”

Section: Introductionmentioning

confidence: 99%

Post-surgical outcomes of laparoscopic appendectomy observed at BIRDEM hospital

Maitra¹,

Ekramullah²,

Faruquzzaman³

et al. 2017

IMC J Med Sci

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Background and Objective: Currently, laparoscopic appendectomy (LA) is widely practiced for the management of acute appendicitis (AA). The application of laparoscopic technique for appendectomy is expanding very rapidly and now performed in almost all major cities and tertiary level hospitals. This study addressed to determine the outcomes of laparoscopic appendectomy in our surgical setup at Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorder (BIRDEM).

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“…2 Laparoscopic appendicectomy confers advantages to the patient in terms of fewer wound infections, less pain, faster recovery and earlier return to work. [2][3][4][5][6][7][8][9][10][11][12][13][14][15] However, laparoscopic appendicectomy is more time consuming and is associated with increased hospital costs. It has been argued that the advantages of laparoscopic appendicectomy achieved by experienced laparoscopic surgeons are marginal compared with open appendicectomy which can also be performed by surgeons in training through a short, cosmetically acceptable incision with minimal complications and a short hospital stay.…”

Section: Introductionmentioning

confidence: 99%

A randomized prospective comparative study of laparoscopic appendicectomy versus open appendicectomy

Bajwa¹,

Brar

2017

Int Surg J

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Background: Acute appendicitis is the most frequent cause of persisting progressive abdominal pain in all ages. However, there is no way to prevent the development of appendicitis, the only way to reduce the morbidity and to prevent the development of appendicitis, is to perform appendicectomy before perforation or gangrene has occurred. In this study, we have done a randomized, prospective comparative study of laparoscopic appendicectomy versus open appendicectomy in the Department of Surgery, Sri Guru Ramdas Hospital and Research Institute, Sri Amritsar from August 2014 to December 2016 a period of two years and four months.Methods: This prospective randomized controlled study was carried out in the department of General Surgery. The total population group included 144 patients with a mean age of 39 years (Age group between 18-60 years). Patients between 18 years and 60 years of age were candidates for randomization. The study was carried out as an open randomized single centre study.Results: In the present study patients were not blinded to the surgical technique employed but were equally informed to resume normal activity and work as soon as possible at their discretion. The results show that time to return to heavy work was significantly reduced by the laparoscopic approach. Less pain in the post-operative period was the major contributing factor. In the present study, laparoscopic appendicectomy was associated with improved cosmesis when compared with open appendicectomy (P <0.01).Conclusions: Laparoscopic appendicectomy is a safe procedure with lower morbidity it is also an excellent training tool in laparoscopic technique and with sufficient experience takes no longer than open appendicectomy.

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A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: Clinical and economic analyses

Cited by 141 publications

References 0 publications

A micro-costing approach to estimating hospital costs for appendectomy in a Cross-European context

A micro-costing approach to estimating hospital costs for appendectomy in a Cross-European context

Post-surgical outcomes of laparoscopic appendectomy observed at BIRDEM hospital

A randomized prospective comparative study of laparoscopic appendicectomy versus open appendicectomy

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