Office-based vs. operating room-performed laryngopharyngeal surgery: a review of cost differences
| العنوان: | Office-based vs. operating room-performed laryngopharyngeal surgery: a review of cost differences |
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| المؤلفون: | Eline M. van den Broek, Guido B. van den Broek, David J. Wellenstein, Frank J. A. van den Hoogen, Anouk S. Schimberg, Henri A. M. Marres, Jimmie Honings, Robert P. Takes |
| المصدر: | European Archives of Oto-Rhino-Laryngology, 276, 2963-2973 European Archives of Oto-Rhino-Laryngology European Archives of Oto-Rhino-Laryngology, 276, 11, pp. 2963-2973 |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Operating Rooms, Pharynx surgery, medicine.medical_specialty, Cost effectiveness, Endoscopic surgery, Review Article, Anesthesia, General, 03 medical and health sciences, Larynx surgery, 0302 clinical medicine, Topical anesthesia, Office-based, Health care, medicine, Humans, 030223 otorhinolaryngology, Operating room, Netherlands, Office based, business.industry, Health Care Costs, General Medicine, United States, Otorhinolaryngologic Surgical Procedures, Costs, Surgery, Hospitalization, Ambulatory Surgical Procedures, Otorhinolaryngology, 030220 oncology & carcinogenesis, Head and neck surgery, Pharynx, Cost-effectiveness, Neurosurgery, Larynx, business, Rare cancers Radboud Institute for Health Sciences [Radboudumc 9], Anesthesia, Local |
| الوصف: | Purpose Office-based transnasal flexible endoscopic surgery under topical anesthesia has recently been developed as an alternative for transoral laryngopharyngeal surgery under general anesthesia. The aim of this study was to evaluate differences in health care costs between the two surgical settings. Methods PubMed, EMBASE and Cochrane Library were searched for studies reporting on costs of laryngopharyngeal procedures that could either be performed in the office or operating room (i.e., laser surgery, biopsies, vocal fold injection, or hypopharyngeal or esophageal dilation). Quality assessment of the included references was performed. Results Of 2953 identified studies, 13 were included. Quality assessment revealed that methodology differed significantly among the included studies. All studies reported lower costs for procedures performed in the office compared to those performed in the operating room. The variation within reported hospital and physician charges was substantial. Conclusion Office-based laryngopharyngeal procedures under topical anesthesia result in lower costs compared to similar procedures performed under general anesthesia. Electronic supplementary material The online version of this article (10.1007/s00405-019-05617-z) contains supplementary material, which is available to authorized users. |
| وصف الملف: | application/pdf |
| تدمد: | 1434-4726 0937-4477 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f85c1a4e4caf177781ecb619f09048e6 https://doi.org/10.1007/s00405-019-05617-z |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f85c1a4e4caf177781ecb619f09048e6 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14344726 09374477 |
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