Three-Year Financial Analysis of Minimally Invasive Radio-guided Parathyroidectomy
Minimally invasive radio-guided parathyroidectomy (MIRP) has had a high success rate in correcting hypercalcemia, along with a low morbidity rate and high patient satisfaction. Our study was conducted in an attempt to analyze the cost-effectiveness of MIRP in patients treated for primary hyperparath...
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| Veröffentlicht in: | The American surgeon 2004-12, Vol.70 (12), p.1112-1115 |
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| creator | Hutchinson, Julie R. Yandell, David W. Bumpous, Jeffrey M. Fleming, Muffin M. Flynn, Michael B. |
| description | Minimally invasive radio-guided parathyroidectomy (MIRP) has had a high success rate in correcting hypercalcemia, along with a low morbidity rate and high patient satisfaction. Our study was conducted in an attempt to analyze the cost-effectiveness of MIRP in patients treated for primary hyperparathyroidism. We conducted a retrospective study of the total charges of three groups of patients undergoing surgery for previously untreated hyperparathyroidism in a single health care system. The three study groups included patients undergoing traditional bilateral neck exploration, MIRP, and neck exploration guided by intraoperative parathormone (PTH) assay. Charges were stratified into preoperative, intraoperative, and postoperative categories. The average total charge was $8,512 for MIRP, $12,723 for traditional neck exploration, and $13,011 for bilateral neck exploration with PTH assay. The decreased charge for MIRP was due to reduced operating room time, anesthesia costs, length of hospitalization, and an avoidance of the use of intraoperative tissue analysis and PTH assay. There was a greater than $4,000 savings with MIRP as compared with the more extensive neck exploration. These savings more than compensate for the cost of technology (preoperative sestamibi scan and intraoperative gamma probe) necessary to perform radio-guided parathyroidectomy. |
| doi_str_mv | 10.1177/000313480407001217 |
| format | Article |
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Our study was conducted in an attempt to analyze the cost-effectiveness of MIRP in patients treated for primary hyperparathyroidism. We conducted a retrospective study of the total charges of three groups of patients undergoing surgery for previously untreated hyperparathyroidism in a single health care system. The three study groups included patients undergoing traditional bilateral neck exploration, MIRP, and neck exploration guided by intraoperative parathormone (PTH) assay. Charges were stratified into preoperative, intraoperative, and postoperative categories. The average total charge was $8,512 for MIRP, $12,723 for traditional neck exploration, and $13,011 for bilateral neck exploration with PTH assay. The decreased charge for MIRP was due to reduced operating room time, anesthesia costs, length of hospitalization, and an avoidance of the use of intraoperative tissue analysis and PTH assay. There was a greater than $4,000 savings with MIRP as compared with the more extensive neck exploration. These savings more than compensate for the cost of technology (preoperative sestamibi scan and intraoperative gamma probe) necessary to perform radio-guided parathyroidectomy.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313480407001217</identifier><identifier>PMID: 15663056</identifier><identifier>CODEN: AMSUAW</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Benefit cost analysis ; Biological and medical sciences ; Cost-Benefit Analysis ; Effectiveness studies ; Female ; Financial analysis ; General aspects ; Humans ; Hyperparathyroidism - blood ; Hyperparathyroidism - surgery ; Male ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures - economics ; Minimally Invasive Surgical Procedures - methods ; Parathyroid Hormone - blood ; Parathyroidectomy - economics ; Parathyroidectomy - methods ; Radio frequency ; Retrospective Studies ; Surgery ; Thyroid gland ; Time Factors</subject><ispartof>The American surgeon, 2004-12, Vol.70 (12), p.1112-1115</ispartof><rights>2004 Southeastern Surgical Congress</rights><rights>2005 INIST-CNRS</rights><rights>Copyright The Southeastern Surgical Congress Dec 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-ceccd79df64f8e8eb0c1829c0ee571e98b09e37d6796b3007e3c553208bae41b3</citedby><cites>FETCH-LOGICAL-c398t-ceccd79df64f8e8eb0c1829c0ee571e98b09e37d6796b3007e3c553208bae41b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000313480407001217$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000313480407001217$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,21798,23909,23910,25118,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16400901$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15663056$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hutchinson, Julie R.</creatorcontrib><creatorcontrib>Yandell, David W.</creatorcontrib><creatorcontrib>Bumpous, Jeffrey M.</creatorcontrib><creatorcontrib>Fleming, Muffin M.</creatorcontrib><creatorcontrib>Flynn, Michael B.</creatorcontrib><title>Three-Year Financial Analysis of Minimally Invasive Radio-guided Parathyroidectomy</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Minimally invasive radio-guided parathyroidectomy (MIRP) has had a high success rate in correcting hypercalcemia, along with a low morbidity rate and high patient satisfaction. Our study was conducted in an attempt to analyze the cost-effectiveness of MIRP in patients treated for primary hyperparathyroidism. We conducted a retrospective study of the total charges of three groups of patients undergoing surgery for previously untreated hyperparathyroidism in a single health care system. The three study groups included patients undergoing traditional bilateral neck exploration, MIRP, and neck exploration guided by intraoperative parathormone (PTH) assay. Charges were stratified into preoperative, intraoperative, and postoperative categories. The average total charge was $8,512 for MIRP, $12,723 for traditional neck exploration, and $13,011 for bilateral neck exploration with PTH assay. The decreased charge for MIRP was due to reduced operating room time, anesthesia costs, length of hospitalization, and an avoidance of the use of intraoperative tissue analysis and PTH assay. There was a greater than $4,000 savings with MIRP as compared with the more extensive neck exploration. These savings more than compensate for the cost of technology (preoperative sestamibi scan and intraoperative gamma probe) necessary to perform radio-guided parathyroidectomy.</description><subject>Benefit cost analysis</subject><subject>Biological and medical sciences</subject><subject>Cost-Benefit Analysis</subject><subject>Effectiveness studies</subject><subject>Female</subject><subject>Financial analysis</subject><subject>General aspects</subject><subject>Humans</subject><subject>Hyperparathyroidism - blood</subject><subject>Hyperparathyroidism - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - economics</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Parathyroid Hormone - blood</subject><subject>Parathyroidectomy - economics</subject><subject>Parathyroidectomy - methods</subject><subject>Radio frequency</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Thyroid gland</subject><subject>Time Factors</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp90EtLxDAQB_Agiq6PL-BBiqC36iRpHj3K4mNBUWQ9eCppOl0j3VaT7UK_vVl2YUHBUxj4zUzmT8gphStKlboGAE55piEDBUAZVTtkRIUQaa4Z3yWjFUhX4oAchvAZy0wKuk8OqJCSg5Aj8jr98IjpOxqf3LnWtNaZJrlpTTMEF5KuTp5c6-amaYZk0i5NcEtMXk3lunTWuwqr5MV4s_gYfBcru-jmwzHZq00T8GTzHpG3u9vp-CF9fL6fjG8eU8tzvUgtWlupvKplVmvUWIKlmuUWEIWimOsScuSqkiqXJQdQyK0QnIEuDWa05Efkcj33y3ffPYZFMXfBYtOYFrs-FFKxjHPQEZ7_gp9d7-OJoWCUaaaYgojYGlnfheCxLr58vNsPBYViFXfxN-7YdLaZ3JdzrLYtm3wjuNgAE6xpar8KOGydzAByoNFdr10wM9x-75_VP95pk9A</recordid><startdate>20041201</startdate><enddate>20041201</enddate><creator>Hutchinson, Julie R.</creator><creator>Yandell, David W.</creator><creator>Bumpous, Jeffrey M.</creator><creator>Fleming, Muffin M.</creator><creator>Flynn, Michael B.</creator><general>SAGE Publications</general><general>Southeastern Surgical Congress</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20041201</creationdate><title>Three-Year Financial Analysis of Minimally Invasive Radio-guided Parathyroidectomy</title><author>Hutchinson, Julie R. ; Yandell, David W. ; Bumpous, Jeffrey M. ; Fleming, Muffin M. ; Flynn, Michael B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-ceccd79df64f8e8eb0c1829c0ee571e98b09e37d6796b3007e3c553208bae41b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Benefit cost analysis</topic><topic>Biological and medical sciences</topic><topic>Cost-Benefit Analysis</topic><topic>Effectiveness studies</topic><topic>Female</topic><topic>Financial analysis</topic><topic>General aspects</topic><topic>Humans</topic><topic>Hyperparathyroidism - 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Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hutchinson, Julie R.</au><au>Yandell, David W.</au><au>Bumpous, Jeffrey M.</au><au>Fleming, Muffin M.</au><au>Flynn, Michael B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three-Year Financial Analysis of Minimally Invasive Radio-guided Parathyroidectomy</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2004-12-01</date><risdate>2004</risdate><volume>70</volume><issue>12</issue><spage>1112</spage><epage>1115</epage><pages>1112-1115</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><coden>AMSUAW</coden><abstract>Minimally invasive radio-guided parathyroidectomy (MIRP) has had a high success rate in correcting hypercalcemia, along with a low morbidity rate and high patient satisfaction. Our study was conducted in an attempt to analyze the cost-effectiveness of MIRP in patients treated for primary hyperparathyroidism. We conducted a retrospective study of the total charges of three groups of patients undergoing surgery for previously untreated hyperparathyroidism in a single health care system. The three study groups included patients undergoing traditional bilateral neck exploration, MIRP, and neck exploration guided by intraoperative parathormone (PTH) assay. Charges were stratified into preoperative, intraoperative, and postoperative categories. The average total charge was $8,512 for MIRP, $12,723 for traditional neck exploration, and $13,011 for bilateral neck exploration with PTH assay. The decreased charge for MIRP was due to reduced operating room time, anesthesia costs, length of hospitalization, and an avoidance of the use of intraoperative tissue analysis and PTH assay. There was a greater than $4,000 savings with MIRP as compared with the more extensive neck exploration. These savings more than compensate for the cost of technology (preoperative sestamibi scan and intraoperative gamma probe) necessary to perform radio-guided parathyroidectomy.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>15663056</pmid><doi>10.1177/000313480407001217</doi><tpages>4</tpages></addata></record> |
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| subjects | Benefit cost analysis Biological and medical sciences Cost-Benefit Analysis Effectiveness studies Female Financial analysis General aspects Humans Hyperparathyroidism - blood Hyperparathyroidism - surgery Male Medical sciences Middle Aged Minimally Invasive Surgical Procedures - economics Minimally Invasive Surgical Procedures - methods Parathyroid Hormone - blood Parathyroidectomy - economics Parathyroidectomy - methods Radio frequency Retrospective Studies Surgery Thyroid gland Time Factors |
| title | Three-Year Financial Analysis of Minimally Invasive Radio-guided Parathyroidectomy |
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