A retrospective study on burden of human echinococcosis based on Hospital Discharge Records from 2001 to 2009 in Sardinia, Italy

Mastrandrea, Scilla; Stegel, Giovanni; Piseddu, Toni; Ledda, Salvatore; Masala, Giovanna

doi:10.1016/j.actatropica.2012.05.004

Cited by 27 publications

(22 citation statements)

References 19 publications

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“…The application of the dry operative packs, followed by the gradual increase in the concentration of the scolicidal agent within the packs in the present study might explain the absence of the systemic or local toxicity that has been reported previously with the use of formalin (17) or formalin, ethanol, hypertonic saline, and silver nitrate, which resulted in adhesions using cetrimide and sclerosing cholangitis (37) . Furthermore, the partial cystectomy and omentoplasty helped to avoid biliary fi stula.…”

Section: Discussionmentioning

confidence: 46%

Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis

Abdelraouf

El-Aal

Shoeib

et al. 2015

Rev. Soc. Bras. Med. Trop.

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Introduction: Hydatidosis is the result of infection with the larval stages of some species of the genus Echinococcus. Treatment approaches for hydatid cysts include the use of albendazole, surgery, and/or medico-surgical procedures. The choice of the therapeutic surgical approach depends on the cyst number and localization, surgeon expertise, and presence of complications. The present study aimed to compare the outcomes of the following therapeutic approaches for the treatment of hepatic hydatid cysts: pericystectomy; the puncture, aspiration, injection, and reaspiration (PAIR) technique; and the PAIR technique followed by deroofi ng, evacuation of cysts, and omentoplasty. Methods: The 54 patients were divided into 3 groups: Group I (14 patients) who underwent pericystectomy, Group II (23 patients) who underwent the PAIR technique, and Group III (17 patients) who underwent the PAIR technique followed by deroofi ng and omentoplasty. The diagnosis of hydatid cysts was based on serological testing using enzyme-linked immunosorbent assay, abdominal ultrasound, and parasitological examination of the cyst contents. Morbidity, mortality, length of hospital stay, recurrence, and postoperative complications were evaluated. Results: Postoperative bleeding, infection, and recurrence were reported in Groups I and II; Group III did not experience postoperative infection and had shorter hospital stays. Recurrence and postoperative complications did not occur in Group III. Conclusions: The partial surgical procedure with deroofi ng, evacuation of the cysts, and omentoplasty, as performed in the present study, is recommended as a safe and effective method for elimination of the entire parasite with minimal possibility for intra-peritoneal spillage.

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Section: Discussionmentioning

confidence: 46%

Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis

Abdelraouf

El-Aal

Shoeib

et al. 2015

Rev. Soc. Bras. Med. Trop.

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“…In addition, local toxicity in the form of adhesions using cetrimide and sclerosing cholangitis was recorded following the use of formalin, ethanol, hypertonic saline and silver nitrate [37]. Partial cystectomy and omentoplasty helped our patients to avoid development of biliary fistula.…”

Section: Discussionmentioning

confidence: 99%

“…percutaneous approach (1-4 days) [11]. On the other hand, length of hospital stay after surgical treatment differed from 6 to 15 days in numerous studies [15,37,38].…”

Section: Discussionmentioning

confidence: 99%

Clinical and Serological Outcomes in Different Surgical Approaches for Hepatic Human Hydatidosis

Abdin¹

2015

J Bacteriol Parasitol

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“…Mastrandrea and colleagues carried out a retrospective assessment of costs related to the treatment of CE in Sardinia in [2001][2002][2003][2004][2005][2006][2007][2008][2009], calculating the expenses associated with diagnosis, hospitalization, and treatment. 6 They analyzed a total of 1,409 hospital discharge records with a diagnosis of CE and found that over 4,500,000 were spent on the surgical treatment of the 515 patients that these records represented, resulting in an average cost of 8,738 per patient. 6 Direct costs were calculated using price lists provided by the Sardinian regional government.…”

Section: Discussionmentioning

confidence: 99%

“…Mastrandrea and others analyzed CE-associated costs in Sardinia based on Diagnosis-Related Group (DRG) reimbursements. 6 DRGs are used to classify patients into groups based on age, sex, principal diagnosis, type of treatment, discharge status, and the presence of complications or comorbidities. Under the prospective payment system, hospitals are paid a fixed fee for treating patients in a specific DRG category, regardless of the actual costs.…”

Section: Introductionmentioning

confidence: 99%

Costs Associated with Surgically Treated Cases of Abdominal Cystic Echinococcosis: A Single Center's Experience from 2008 to 2014, Pavia, Italy

Narra

Maestri

Budke

et al. 2016

The American Society of Tropical Medicine and Hygiene

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Abstract. Cystic echinococcosis (CE) is a globally distributed zoonosis caused by the Echinococcus granulosus sensu lato species complex. Four approaches are available for treatment of abdominal CE: surgery, percutaneous aspiration, chemotherapy with albendazole, and watch-and-wait. Allocation of patients to these different treatment options mainly depends on the stage of the cystic lesion. However, as available guidelines are not widely followed, surgery is often applied even without the correct indication outside referral centers. This is not only a disadvantage for the patient, but also a waste of money. In this study, we evaluated the cost of the surgical approach for abdominal CE by analyzing hospitalization costs for 14 patients admitted to the General Surgery Ward at the "San Matteo" Hospital Foundation in Pavia, Italy, from 2008 through 2014. We found that the total cost of a single hospitalization, including hospital stay, surgical intervention, personnel, drugs, and administrative costs ranged from 5,874 to 23,077 (median 11,033) per patient. Our findings confirm that surgery can be an expensive option. Therefore, surgical intervention should be limited to cyst types that do not benefit from nonsurgical therapies and appropriate case management can best be accomplished by using a cyst stage-specific approach.

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A retrospective study on burden of human echinococcosis based on Hospital Discharge Records from 2001 to 2009 in Sardinia, Italy

Cited by 27 publications

References 19 publications

Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis

Clinical and serological outcomes with different surgical approaches for human hepatic hydatidosis

Clinical and Serological Outcomes in Different Surgical Approaches for Hepatic Human Hydatidosis

Costs Associated with Surgically Treated Cases of Abdominal Cystic Echinococcosis: A Single Center's Experience from 2008 to 2014, Pavia, Italy

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