Cost-effectiveness of scan-directed parathyroidectomy.
BACKGROUND: Concordant parathyroid localization with sestamibi and ultrasound scans allows minimally invasive parathyroidectomy (MIP) to be performed in patients with non-familial primary hyperparathyroidism (PHPT). AIM: To investigate the financial implications of scan-directed parathyroid surgery...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
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2008
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| _version_ | 1797053328920674304 |
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| author | Mihai, R Weisters, M Stechman, M Gleeson, F Sadler, G |
| author_facet | Mihai, R Weisters, M Stechman, M Gleeson, F Sadler, G |
| author_sort | Mihai, R |
| collection | OXFORD |
| description | BACKGROUND: Concordant parathyroid localization with sestamibi and ultrasound scans allows minimally invasive parathyroidectomy (MIP) to be performed in patients with non-familial primary hyperparathyroidism (PHPT). AIM: To investigate the financial implications of scan-directed parathyroid surgery. METHODS: Analysis of hospital records for a cohort of consecutive unselected patients treated in a tertiary referral centre. RESULTS: Two hundred patients (138F:62M, age 18-91years) were operated for non-familial PHPT between Jan 2003 and Oct 2007. MIP was performed in 129 patients, with a mean operative time was 35 +/- 18min. Some 75 patients were discharged the same day and the others had a total of 72 in-patient days. Bilateral neck exploration (BNE) was performed in 71 patients with negative/non-concordant scans. Mean operative time was 58 +/- 25min. Only nine patients were discharged the same day and a total of 93 in-patient days were used ( approximately 1.3days/patient). The estimated total costs incurred were pound215,035 ( approximately 290,000<euro>). These costs would have been covered by the National Tariff ( pound2,170 per parathyroidectomy) but were higher than those possibly incurred if all 200 patients would have undergone BNE without any radiological investigations ( pound166,000 approximately 224,100euro). CONCLUSION: Shorter operative time and day-case admission for MIP generate costs savings that compensate only partially for the additional costs associated with parathyroid imaging studies.</euro> |
| first_indexed | 2024-03-06T18:42:18Z |
| format | Journal article |
| id | oxford-uuid:0d4f618e-8b35-4b35-9b85-21867b748167 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T18:42:18Z |
| publishDate | 2008 |
| record_format | dspace |
| spelling | oxford-uuid:0d4f618e-8b35-4b35-9b85-21867b7481672022-03-26T09:39:48ZCost-effectiveness of scan-directed parathyroidectomy.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:0d4f618e-8b35-4b35-9b85-21867b748167EnglishSymplectic Elements at Oxford2008Mihai, RWeisters, MStechman, MGleeson, FSadler, G BACKGROUND: Concordant parathyroid localization with sestamibi and ultrasound scans allows minimally invasive parathyroidectomy (MIP) to be performed in patients with non-familial primary hyperparathyroidism (PHPT). AIM: To investigate the financial implications of scan-directed parathyroid surgery. METHODS: Analysis of hospital records for a cohort of consecutive unselected patients treated in a tertiary referral centre. RESULTS: Two hundred patients (138F:62M, age 18-91years) were operated for non-familial PHPT between Jan 2003 and Oct 2007. MIP was performed in 129 patients, with a mean operative time was 35 +/- 18min. Some 75 patients were discharged the same day and the others had a total of 72 in-patient days. Bilateral neck exploration (BNE) was performed in 71 patients with negative/non-concordant scans. Mean operative time was 58 +/- 25min. Only nine patients were discharged the same day and a total of 93 in-patient days were used ( approximately 1.3days/patient). The estimated total costs incurred were pound215,035 ( approximately 290,000<euro>). These costs would have been covered by the National Tariff ( pound2,170 per parathyroidectomy) but were higher than those possibly incurred if all 200 patients would have undergone BNE without any radiological investigations ( pound166,000 approximately 224,100euro). CONCLUSION: Shorter operative time and day-case admission for MIP generate costs savings that compensate only partially for the additional costs associated with parathyroid imaging studies.</euro> |
| spellingShingle | Mihai, R Weisters, M Stechman, M Gleeson, F Sadler, G Cost-effectiveness of scan-directed parathyroidectomy. |
| title | Cost-effectiveness of scan-directed parathyroidectomy. |
| title_full | Cost-effectiveness of scan-directed parathyroidectomy. |
| title_fullStr | Cost-effectiveness of scan-directed parathyroidectomy. |
| title_full_unstemmed | Cost-effectiveness of scan-directed parathyroidectomy. |
| title_short | Cost-effectiveness of scan-directed parathyroidectomy. |
| title_sort | cost effectiveness of scan directed parathyroidectomy |
| work_keys_str_mv | AT mihair costeffectivenessofscandirectedparathyroidectomy AT weistersm costeffectivenessofscandirectedparathyroidectomy AT stechmanm costeffectivenessofscandirectedparathyroidectomy AT gleesonf costeffectivenessofscandirectedparathyroidectomy AT sadlerg costeffectivenessofscandirectedparathyroidectomy |