Cost-Effectiveness Analysis of Same Day Surgery and Anesthesia in Thailand

Prakongsai, Phusit; Chanasopon, S; Wongphan, Thanawat; Pachanee, Kumaree

doi:10.1016/j.jval.2018.07.653

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings were concurred with two previous studies, which concluded that ambulatory knee arthroscopic surgery was the most cost‐effective strategy. Blatnik et al found that ODS procedures reduced the total cost and did not change or improve medical outcomes compared to the classical method [2], while Prakongsai et al reported that ODS in Thailand was more cost effective compared to overnight stay surgery, with cost savings from ODS 1356 THB per case [14]. The QALY values gained from both types of surgery were similar.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ambulatory knee arthroscopic surgery yields cost savings and improved health outcomes

Luksameesate,

Watcharopas,

Sangkum

et al. 2024

Knee surg. sports traumatol. arthrosc.

View full text Add to dashboard Cite

PurposeThis study measured the health‐related quality of life (HRQoL) and costs and conducted a cost–utility analysis and budget impact analysis of ambulatory knee arthroscopic surgery compared with inpatient knee arthroscopic surgery in Thailand from a societal perspective.MethodsHealth outcomes were measured in units of quality‐adjusted life year (QALY) based on the Thai version of the EQ‐5D‐5L Health Questionnaire, and costs were obtained from an electronic database at a tertiary care hospital (Ramathibodi Hospital). A cost–utility analysis was performed to evaluate ambulatory and inpatient surgery using the societal perspective and a 2‐week time horizon. The incremental cost‐effectiveness ratio was applied to examine the costs and QALYs. One‐way sensitivity analysis was used to investigate the robustness of the model. Budget impact analysis was performed considering over 5 years.ResultsA total of 161 knee arthroscopic patients were included and divided into two groups: ambulatory surgery (58 patients) and inpatient surgery (103 patients). The total cost of the inpatient surgery was 2235 United States dollars (USD), while the ambulatory surgery cost was 2002 USD. The QALYs of inpatient surgery and ambulatory surgery were 0.79 and 0.81, respectively, resulting in the ambulatory surgery becoming a dominant strategy (cost reduction of 233 USD with an increase of 0.02 QALY) over the inpatient surgery. The ambulatory surgery led to net savings of 4.5 million USD over 5 years. Medical supply costs are one of the most influential factors affecting the change in results.ConclusionAmbulatory knee arthroscopic surgery emerged as a cost‐saving strategy over inpatient surgery, driven by lower treatment costs and enhanced HRQoL. Budget impact analysis indicated net savings over 5 years, supporting the feasibility of adopting ambulatory knee arthroscopic surgery. Our findings were advocated for its application across diverse hospitals and informed policymakers to improve reimbursement systems in low‐ to middle‐income countries and Thailand.Level of EvidenceLevel IV.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Few studies have conducted economic evaluations comparing ambulatory knee arthroscopic surgery to inpatient knee arthroscopic surgery [2,14]. Furthermore, none have investigated the impact of health-related quality of life (HRQoL) as the primary treatment outcome.…”

Section: Introductionmentioning

confidence: 99%