Comprehensive 1-year cost analysis of open antireflux surgery in Nordic countries
Background Antireflux surgery is a highly effective treatment option in patients with severe gastro‐oesophageal reflux disease. However, because of the increasing pressure of cost containment within health care, cost aspects must also be added to the decision‐making process. Methods The aim of this...
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| Veröffentlicht in: | British journal of surgery 1998-07, Vol.85 (7), p.1002-1005 |
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| container_title | British journal of surgery |
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| creator | Lundell, L. Dalenbäck, J. Janatuinen, E. Hattlebakk, J. Levander, K. Miettinen, P. Myrvold, H. E. Pedersen, S. A. Thor, K. Andersson, A. Stålhammar, N. O. |
| description | Background
Antireflux surgery is a highly effective treatment option in patients with severe gastro‐oesophageal reflux disease. However, because of the increasing pressure of cost containment within health care, cost aspects must also be added to the decision‐making process.
Methods
The aim of this analysis was to assess the total cost of open antireflux surgery during the first year after operation in 178 patients with chronic reflux, who were recruited into a controlled, prospective clinical trial. The study was carried out in 17 hospitals in the Nordic countries.
Results
The cost of the operation represented more than 90 per cent of the direct medical costs which amounted to approximately US $5700. For a patient in the work force the indirect cost, i.e. loss of production, represented 47 per cent of the total cost, which was about US $10 800.
Conclusion
The total cost profile of open antireflux surgery has now been established prospectively and can form a basis for future comparisons. © 1998 British Journal of Surgery Society Ltd |
| doi_str_mv | 10.1046/j.1365-2168.1998.00834.x |
| format | Article |
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Antireflux surgery is a highly effective treatment option in patients with severe gastro‐oesophageal reflux disease. However, because of the increasing pressure of cost containment within health care, cost aspects must also be added to the decision‐making process.
Methods
The aim of this analysis was to assess the total cost of open antireflux surgery during the first year after operation in 178 patients with chronic reflux, who were recruited into a controlled, prospective clinical trial. The study was carried out in 17 hospitals in the Nordic countries.
Results
The cost of the operation represented more than 90 per cent of the direct medical costs which amounted to approximately US $5700. For a patient in the work force the indirect cost, i.e. loss of production, represented 47 per cent of the total cost, which was about US $10 800.
Conclusion
The total cost profile of open antireflux surgery has now been established prospectively and can form a basis for future comparisons. © 1998 British Journal of Surgery Society Ltd</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1046/j.1365-2168.1998.00834.x</identifier><identifier>CODEN: BJSUAM</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Biological and medical sciences ; Esophagus ; Medical sciences ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>British journal of surgery, 1998-07, Vol.85 (7), p.1002-1005</ispartof><rights>1998 British Journal of Surgery Society Ltd</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3285-79dc7a9c0b2cd06632ddeda754a67b316cdeae454db71eafef7ecb241cd7d3603</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2168.1998.00834.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2168.1998.00834.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2301472$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Lundell, L.</creatorcontrib><creatorcontrib>Dalenbäck, J.</creatorcontrib><creatorcontrib>Janatuinen, E.</creatorcontrib><creatorcontrib>Hattlebakk, J.</creatorcontrib><creatorcontrib>Levander, K.</creatorcontrib><creatorcontrib>Miettinen, P.</creatorcontrib><creatorcontrib>Myrvold, H. E.</creatorcontrib><creatorcontrib>Pedersen, S. A.</creatorcontrib><creatorcontrib>Thor, K.</creatorcontrib><creatorcontrib>Andersson, A.</creatorcontrib><creatorcontrib>Stålhammar, N. O.</creatorcontrib><title>Comprehensive 1-year cost analysis of open antireflux surgery in Nordic countries</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Background
Antireflux surgery is a highly effective treatment option in patients with severe gastro‐oesophageal reflux disease. However, because of the increasing pressure of cost containment within health care, cost aspects must also be added to the decision‐making process.
Methods
The aim of this analysis was to assess the total cost of open antireflux surgery during the first year after operation in 178 patients with chronic reflux, who were recruited into a controlled, prospective clinical trial. The study was carried out in 17 hospitals in the Nordic countries.
Results
The cost of the operation represented more than 90 per cent of the direct medical costs which amounted to approximately US $5700. For a patient in the work force the indirect cost, i.e. loss of production, represented 47 per cent of the total cost, which was about US $10 800.
Conclusion
The total cost profile of open antireflux surgery has now been established prospectively and can form a basis for future comparisons. © 1998 British Journal of Surgery Society Ltd</description><subject>Biological and medical sciences</subject><subject>Esophagus</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNo9kF1LwzAUhoMoOKf_IRfetuajTVrwRotOx5joJoI3IUtONbNrR9Jp--_dnOzqwPu-z7l4EMKUxJQk4moZUy7SiFGRxTTPs5iQjCdxd4QGh-IYDQghMqKc8VN0FsKSEMpJygbouWhWaw-fUAf3DZhGPWiPTRNarGtd9cEF3JS4WUO9DVrnoaw2HQ4b_wG-x67G08ZbZ7bIpm69g3COTkpdBbj4v0P0en83Lx6iydPosbiZRIazLI1kbo3UuSELZiwRgjNrwWqZJlrIBafCWNCQpIldSAq6hFKCWbCEGistF4QP0eX-71oHo6vS69q4oNberbTvFeOEJpJtZ9f72Y-roD_UlKidPrVUO0tqZ0nt9Kk_fapTt-MZzdItHu1xF1roDrj2X0pILlP1Nh2p93HxQuU8VzP-C1ZEdtE</recordid><startdate>199807</startdate><enddate>199807</enddate><creator>Lundell, L.</creator><creator>Dalenbäck, J.</creator><creator>Janatuinen, E.</creator><creator>Hattlebakk, J.</creator><creator>Levander, K.</creator><creator>Miettinen, P.</creator><creator>Myrvold, H. E.</creator><creator>Pedersen, S. A.</creator><creator>Thor, K.</creator><creator>Andersson, A.</creator><creator>Stålhammar, N. O.</creator><general>Blackwell Science Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope></search><sort><creationdate>199807</creationdate><title>Comprehensive 1-year cost analysis of open antireflux surgery in Nordic countries</title><author>Lundell, L. ; Dalenbäck, J. ; Janatuinen, E. ; Hattlebakk, J. ; Levander, K. ; Miettinen, P. ; Myrvold, H. E. ; Pedersen, S. A. ; Thor, K. ; Andersson, A. ; Stålhammar, N. O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3285-79dc7a9c0b2cd06632ddeda754a67b316cdeae454db71eafef7ecb241cd7d3603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Biological and medical sciences</topic><topic>Esophagus</topic><topic>Medical sciences</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lundell, L.</creatorcontrib><creatorcontrib>Dalenbäck, J.</creatorcontrib><creatorcontrib>Janatuinen, E.</creatorcontrib><creatorcontrib>Hattlebakk, J.</creatorcontrib><creatorcontrib>Levander, K.</creatorcontrib><creatorcontrib>Miettinen, P.</creatorcontrib><creatorcontrib>Myrvold, H. E.</creatorcontrib><creatorcontrib>Pedersen, S. A.</creatorcontrib><creatorcontrib>Thor, K.</creatorcontrib><creatorcontrib>Andersson, A.</creatorcontrib><creatorcontrib>Stålhammar, N. O.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lundell, L.</au><au>Dalenbäck, J.</au><au>Janatuinen, E.</au><au>Hattlebakk, J.</au><au>Levander, K.</au><au>Miettinen, P.</au><au>Myrvold, H. E.</au><au>Pedersen, S. A.</au><au>Thor, K.</au><au>Andersson, A.</au><au>Stålhammar, N. O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comprehensive 1-year cost analysis of open antireflux surgery in Nordic countries</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1998-07</date><risdate>1998</risdate><volume>85</volume><issue>7</issue><spage>1002</spage><epage>1005</epage><pages>1002-1005</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Background
Antireflux surgery is a highly effective treatment option in patients with severe gastro‐oesophageal reflux disease. However, because of the increasing pressure of cost containment within health care, cost aspects must also be added to the decision‐making process.
Methods
The aim of this analysis was to assess the total cost of open antireflux surgery during the first year after operation in 178 patients with chronic reflux, who were recruited into a controlled, prospective clinical trial. The study was carried out in 17 hospitals in the Nordic countries.
Results
The cost of the operation represented more than 90 per cent of the direct medical costs which amounted to approximately US $5700. For a patient in the work force the indirect cost, i.e. loss of production, represented 47 per cent of the total cost, which was about US $10 800.
Conclusion
The total cost profile of open antireflux surgery has now been established prospectively and can form a basis for future comparisons. © 1998 British Journal of Surgery Society Ltd</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><doi>10.1046/j.1365-2168.1998.00834.x</doi><tpages>4</tpages></addata></record> |
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| ispartof | British journal of surgery, 1998-07, Vol.85 (7), p.1002-1005 |
| issn | 0007-1323 1365-2168 |
| language | eng |
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| source | Wiley Online Library Journals Frontfile Complete; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Biological and medical sciences Esophagus Medical sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Comprehensive 1-year cost analysis of open antireflux surgery in Nordic countries |
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