Cost effectiveness of laparoscopic versus mini-incision open donor nephrectomy : A randomized study

Cost-effectiveness remains an issue surrounding the introduction of laparoscopic donor nephrectomy (LDN). In a randomized controlled trial the cost-effectiveness of LDN versus mini-incision open donor nephrectomy (ODN) was determined. Fifty donors were included in each group. All in-hospital costs were documented. Postoperatively, case record forms were sent to the donors during 1-year follow-up to record return-to-work and societal costs. To offset costs against quality of life, the Euroqol-5D questionnaire was administered preoperatively and 3, 7, 14, 28, 90, 180, and 365 days postoperatively. Mean total costs were euro6,090 (US$7,308) after LDN and euro4,818 ($5,782) after ODN (P