Cost-effectiveness assessment in outpatient sinonasal surgery

Mortuaire, Geoffrey; Theis, Didier; Fackeure, R.; Chevalier, D.; Gengler, I.

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.anorl.2017.08.004

PMID :

28927846

Permalink :

http://hdl.handle.net/20.500.12210/104888

Title :

Cost-effectiveness assessment in outpatient sinonasal surgery

Author(s) :

Mortuaire, Geoffrey [Auteur]

Lille Inflammation Research International Center (LIRIC) - U995
Theis, Didier [Auteur]
Université Lille Nord (France)
Fackeure, R. [Auteur]
Université de Lille
Chevalier, D. [Auteur]
Gengler, I. [Auteur]
Lille Inflammation Research International Center - U 995 [LIRIC]

Journal title :

European Annals of Otorhinolaryngology, Head and Neck Diseases

Abbreviated title :

Eur. Ann. Otorhinolaryngol.-Head Neck Dis.

Volume number :

135

Pages :

11-15

Publication date :

2018-02

ISSN :

1879-7296

English keyword(s) :

Health economics
Outpatient surgery
Medical cost
Sinonasal surgery

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

OBJECTIVE: To assess the cost-effectiveness of outpatient sinonasal surgery in terms of clinical efficacy and control of expenses. METHODS: A retrospective study was conducted from January 2014 to January 2016. Patients ...
Show more >OBJECTIVE: To assess the cost-effectiveness of outpatient sinonasal surgery in terms of clinical efficacy and control of expenses. METHODS: A retrospective study was conducted from January 2014 to January 2016. Patients scheduled for outpatient sinonasal surgery were systematically included. Clinical data were extracted from surgical and anesthesiology computer files. The cost accounting methods applied in our institution were used to evaluate logistic and technical costs. The standardized hospital fees rating system based on hospital stay and severity in diagnosis-related groups (Groupes homogènes de séjours: GHS) was used to estimate institutional revenue. RESULTS: Over 2years, 927 outpatient surgical procedures were performed. The crossover rate to conventional hospital admission was 2.9%. In a day-1 telephone interview, 85% of patients were very satisfied with the procedure. All outpatient cases showed significantly lower costs than estimated for conventional management with overnight admission, while hospital revenue did not differ between the two. CONCLUSIONS: This study confirmed the efficacy of outpatient surgery in this indication. Lower costs could allow savings for the health system by readjusting the rating for the procedure. More precise assessment of cost-effectiveness will require more fine-grained studies based on micro costing at hospital level and assessment of impact on conventional surgical activity and post-discharge community care.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Collections :

Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286

Submission date :

2024-01-30T10:27:22Z
2024-03-06T14:33:44Z

Version	Link	Modification date
2	20.500.12210/104888*	2024-03-06T14:29:12Z
1	20.500.12210/104888.1	2024-01-30T10:27:22Z

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Cost-effectiveness assessment in outpatient ...

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