Cost comparison between surgical treatments and endoscopic submucosal dissection in patients with early gastric cancer in Korea.
Cost comparison between surgical treatments and endoscopic submucosal dissection in patients with early gastric cancer in Korea.
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DOI：
10.5009/gnl13299
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发表时间：
2015-03
期刊：
影响因子：
3.4
通讯作者：
Seol SY
中科院分区：
文献类型：
--
作者：
Kim Y;Kim YW;Choi IJ;Cho JY;Kim JH;Kwon JW;Lee JY;Lee NR;Seol SY
本研究旨在评估早期胃癌（EGC）患者使用内镜粘膜下剥离术（ESD）代替传统手术是否可以降低医疗费用。2009年从三家医疗机构招募了接受开放式胃切除术（OG）、腹腔镜辅助胃切除术（LAG）和ESD治疗EGC的患者。就宏观成本计算而言，每名病人的医疗成本是根据病人住院期间及1年随访期间的开支计算。微成本计算中的总成本是通过将单位成本乘以患者住院期间使用的资源来确定的。本研究共纳入194例患者。ESD的住院时间为5 - 8天，显著短于OG的12天住院时间或LAG的11- 17天住院时间。使用宏观成本计算，住院期间ESD的平均医疗费用为每位患者210万至340万韩元，传统手术的医疗费用估计为510万至820万韩元。ESD和传统手术的1年随访费用无显著差异。ESD患者的医疗费用低于那些保守适应症的EGC常规手术患者。
This study was conducted to evaluate whether medical costs can be reduced using endoscopic submucosal dissection (ESD) instead of conventional surgeries in patients with early gastric cancer (EGC). Patients who underwent open gastrectomy (OG), laparoscopy-assisted gastrectomy (LAG), and ESD for EGC were recruited from three medical institutions in 2009. For macro-costing, the medical costs for each patient were derived from the expenses incurred during the patient’s hospital stay and 1-year follow-up. The overall costs in micro-costing were determined by multiplying the unit cost with the resources used during the patients’ hospitalization. A total of 194 patients were included in this study. The hospital stay for ESD was 5 to 8 days and was significantly shorter than the 12-day hospital stay for OG or the 11- to 17-day stay for LAG. Using macro-costing, the average medical costs for ESD during the hospital stay ranged from 2.1 to 3.4 million Korean Won (KRW) per patient, and the medical costs for conventional surgeries were estimated to be between 5.1 million and 8.2 million KRW. There were no significant differences in the 1-year follow-up costs between ESD and conventional surgeries. ESD patients had lower medical costs than those patients who had conventional surgeries for EGC with conservative indications.
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影响因子：
4.6
作者：
Lee KS;Oh DK;Han MA;Lee HY;Jun JK;Choi KS;Park EC
通讯作者：
Park EC
影响因子：
7.7
作者：
Chung, Ii-Kwun;Lee, Jun Haeng;Seol, Sang Young
通讯作者：
Seol, Sang Young
DOI：
10.1097/meg.0b013e328318ed42
发表时间：
2009-08-01
影响因子：
2.1
作者：
Nam, Su Youn;Choi, Il Ju;Kim, Young-Woo
通讯作者：
Kim, Young-Woo
DOI：
10.1007/s00464-008-0198-0
发表时间：
2009-08-01
影响因子：
3.1
作者：
Lee, Joo-Ho;Yom, Cha-Kyong;Han, Ho-Seong
通讯作者：
Han, Ho-Seong
影响因子：
7.7
作者：
Watanabe, K;Ogata, S;Fujimoto, K
通讯作者：
Fujimoto, K