University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Systematic review of the costs of laparoscopic colorectal surgery

Dowson, HM, Huang, A, Soon, Y, Gage, H, Lovell, DP and Rockall, TA (2006) Systematic review of the costs of laparoscopic colorectal surgery In: 14th International Congress of the European-Association-of-Endoscopic-Surgeons, ? - ?, Economics.

Full text not available from this repository.

Abstract

PURPOSE: Recent studies have confirmed the clinical efficacy of laparoscopic colorectal surgery; however, its use has not become widespread. One reason for this is perceived economic implications. A systematic review was undertaken examining the costs of laparoscopic colorectal surgery. METHODS: Electronic databases were searched for articles comparing laparoscopic colorectal surgery and open surgery. Primary outcome measures were operating room, direct hospital, and indirect costs. Secondary outcomes were conversion rates and length of hospital stay. The percentage difference in costs was used for comparisons between studies. RESULTS: Twenty-nine articles were identified in which cost data were presented (total number of patients 3,681); the economic data in most studies was limited. Operating room costs were greater for laparoscopic colorectal surgery than open surgery in all studies (median difference, 50 percent; interquartile range, 27-78 percent; P < 0.001). There was no overall difference in total hospital costs (median difference, 0 percent; interquartile range, -17.5 to 21 percent). Only two articles collected data on indirect costs, with both in favor of laparoscopic colorectal surgery. Hospital stay was shorter for laparoscopic colorectal surgery in all studies (median difference, 2.8 days; interquartile range, 1.3-3.7; P < 0.001). Median conversion rate was 7.8 percent (mean, 14 percent; interquartile range, 6-21 percent). CONCLUSIONS: Operating room costs are greater for laparoscopic colorectal surgery than open surgery. Total hospital costs are similar. There may be societal benefits associated with lower indirect costs for laparoscopic colorectal surgery. Cost should not be a deterrent to performing laparoscopic colorectal surgery.

Item Type: Conference or Workshop Item (UNSPECIFIED)
Authors :
NameEmailORCID
Dowson, HMUNSPECIFIEDUNSPECIFIED
Huang, AUNSPECIFIEDUNSPECIFIED
Soon, YUNSPECIFIEDUNSPECIFIED
Gage, Hh.gage@surrey.ac.ukUNSPECIFIED
Lovell, DPUNSPECIFIEDUNSPECIFIED
Rockall, TAUNSPECIFIEDUNSPECIFIED
Date : 2006
Identification Number : 10.1007/s10350-007-0234-5
Contributors :
ContributionNameEmailORCID
publisherSpringer, UNSPECIFIEDUNSPECIFIED
Uncontrolled Keywords : Laparoscopy laparoscopic surgery colorectal surgery costs health care costs hospital costs
Depositing User : Symplectic Elements
Date Deposited : 16 May 2017 14:47
Last Modified : 17 May 2017 14:27
URI: http://epubs.surrey.ac.uk/id/eprint/814854

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800