Cost-utility analysis for endoscopic sinus surgery
To undertake cost-utility analysis for endoscopic sinus surgery (ESS) in order to analyze the cost-effectiveness of different chronic sinusitis severity groups. One hundred ninety-two patients with chronic sinusitis were evaluated with a Chronic Sinusitis Survey (CSS) before and 1-year after ESS. Di...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2004, Vol.130 (1), p.31-38 |
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| container_title | Otolaryngology-head and neck surgery |
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| creator | Wang, Pa-Chun Chu, Chia-Chen Liang, Shu-Cheng Tai, Chih-Jaan |
| description | To undertake cost-utility analysis for endoscopic sinus surgery (ESS) in order to analyze the cost-effectiveness of different chronic sinusitis severity groups.
One hundred ninety-two patients with chronic sinusitis were evaluated with a Chronic Sinusitis Survey (CSS) before and 1-year after ESS. Direct health care cost data during the first year after operation were retrieved. The utility gain is defined as change in the CSS total score. The cost-utility ratio was defined as cost per utility gain. Patients are stratified by disease severity using the Harvard Staging System.
The average total direct cost attributable to ESS is NT $40,829 in the first postoperative year and the average cost-utility ratio is NT $2194.42. The high cost-utility ratio of NT $3246.45 for pansinusitis cases is due to the higher cost and limited utility gain.
Treating mild and moderate chronic sinusitis are most cost-effective because of their favorable utility gain and relatively reasonable cost. However, there is no proportional linear relationship between disease severity and cost-utility ratio. |
| doi_str_mv | 10.1016/j.otohns.2003.07.006 |
| format | Article |
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One hundred ninety-two patients with chronic sinusitis were evaluated with a Chronic Sinusitis Survey (CSS) before and 1-year after ESS. Direct health care cost data during the first year after operation were retrieved. The utility gain is defined as change in the CSS total score. The cost-utility ratio was defined as cost per utility gain. Patients are stratified by disease severity using the Harvard Staging System.
The average total direct cost attributable to ESS is NT $40,829 in the first postoperative year and the average cost-utility ratio is NT $2194.42. The high cost-utility ratio of NT $3246.45 for pansinusitis cases is due to the higher cost and limited utility gain.
Treating mild and moderate chronic sinusitis are most cost-effective because of their favorable utility gain and relatively reasonable cost. However, there is no proportional linear relationship between disease severity and cost-utility ratio.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1016/j.otohns.2003.07.006</identifier><identifier>PMID: 14726908</identifier><language>eng</language><publisher>Los Angeles, CA: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Chronic Disease ; Cost-Benefit Analysis ; Endoscopy - economics ; Female ; Humans ; Male ; Middle Aged ; Otorhinolaryngologic Surgical Procedures - economics ; Prospective Studies ; Severity of Illness Index ; Sinusitis - economics ; Sinusitis - surgery ; Taiwan</subject><ispartof>Otolaryngology-head and neck surgery, 2004, Vol.130 (1), p.31-38</ispartof><rights>2004 American Academy of Otolaryngology–Head and Neck Surgery Foundation, Inc.</rights><rights>2004 SAGE Publications</rights><rights>2004 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4535-4173fbc0b6bebddf00cd85e77786be6ebec00d28787fc005c9a25238b364464f3</citedby><cites>FETCH-LOGICAL-c4535-4173fbc0b6bebddf00cd85e77786be6ebec00d28787fc005c9a25238b364464f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/j.otohns.2003.07.006$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1016/j.otohns.2003.07.006$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,1417,4024,21819,27923,27924,27925,43621,43622,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14726908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Pa-Chun</creatorcontrib><creatorcontrib>Chu, Chia-Chen</creatorcontrib><creatorcontrib>Liang, Shu-Cheng</creatorcontrib><creatorcontrib>Tai, Chih-Jaan</creatorcontrib><title>Cost-utility analysis for endoscopic sinus surgery</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>To undertake cost-utility analysis for endoscopic sinus surgery (ESS) in order to analyze the cost-effectiveness of different chronic sinusitis severity groups.
One hundred ninety-two patients with chronic sinusitis were evaluated with a Chronic Sinusitis Survey (CSS) before and 1-year after ESS. Direct health care cost data during the first year after operation were retrieved. The utility gain is defined as change in the CSS total score. The cost-utility ratio was defined as cost per utility gain. Patients are stratified by disease severity using the Harvard Staging System.
The average total direct cost attributable to ESS is NT $40,829 in the first postoperative year and the average cost-utility ratio is NT $2194.42. The high cost-utility ratio of NT $3246.45 for pansinusitis cases is due to the higher cost and limited utility gain.
Treating mild and moderate chronic sinusitis are most cost-effective because of their favorable utility gain and relatively reasonable cost. However, there is no proportional linear relationship between disease severity and cost-utility ratio.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Chronic Disease</subject><subject>Cost-Benefit Analysis</subject><subject>Endoscopy - economics</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Otorhinolaryngologic Surgical Procedures - economics</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Sinusitis - economics</subject><subject>Sinusitis - surgery</subject><subject>Taiwan</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1r3DAQhkVpaDbb_oNSfOrNzsiWJRlCoVmaDwjJJT0LWx6nWrzWVmMn-N9Xixdya3LSIJ73ZeZh7CuHjAOX59vMj_7PQFkOUGSgMgD5ga04VCqVmquPbAW8EmlZVfqUnRFtIRJSqU_slAuVywr0iuUbT2M6ja5345zUQ93P5CjpfEhwaD1Zv3c2ITdMlNAUnjDMn9lJV_eEX47vmv2--vW4uUnvHq5vNz_vUivKokwFV0XXWGhkg03bdgC21SUqpXT8kdigBWhzrbTq4lTaqs7LvNBNIYWQoivW7PvSuw_-74Q0mp0ji31fD-gnMhr44SIVQbGANniigJ3ZB7erw2w4mIMrszWLK3NwZUCZmIuxb8f-qdlh-xo6yonAxQK8uB7nd5Wah5v7y6tc5FHBmvElTvUTmq2fQrRLb-30Y8lgFPvsMBiyDgeLrQtoR9N69_-Cf0sTn7g</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Wang, Pa-Chun</creator><creator>Chu, Chia-Chen</creator><creator>Liang, Shu-Cheng</creator><creator>Tai, Chih-Jaan</creator><general>Mosby, Inc</general><general>SAGE Publications</general><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>7X8</scope><scope>8BM</scope></search><sort><creationdate>2004</creationdate><title>Cost-utility analysis for endoscopic sinus surgery</title><author>Wang, Pa-Chun ; Chu, Chia-Chen ; Liang, Shu-Cheng ; Tai, Chih-Jaan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4535-4173fbc0b6bebddf00cd85e77786be6ebec00d28787fc005c9a25238b364464f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Chronic Disease</topic><topic>Cost-Benefit Analysis</topic><topic>Endoscopy - economics</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Otorhinolaryngologic Surgical Procedures - economics</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sinusitis - economics</topic><topic>Sinusitis - surgery</topic><topic>Taiwan</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Pa-Chun</creatorcontrib><creatorcontrib>Chu, Chia-Chen</creatorcontrib><creatorcontrib>Liang, Shu-Cheng</creatorcontrib><creatorcontrib>Tai, Chih-Jaan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Pa-Chun</au><au>Chu, Chia-Chen</au><au>Liang, Shu-Cheng</au><au>Tai, Chih-Jaan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cost-utility analysis for endoscopic sinus surgery</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2004</date><risdate>2004</risdate><volume>130</volume><issue>1</issue><spage>31</spage><epage>38</epage><pages>31-38</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>To undertake cost-utility analysis for endoscopic sinus surgery (ESS) in order to analyze the cost-effectiveness of different chronic sinusitis severity groups.
One hundred ninety-two patients with chronic sinusitis were evaluated with a Chronic Sinusitis Survey (CSS) before and 1-year after ESS. Direct health care cost data during the first year after operation were retrieved. The utility gain is defined as change in the CSS total score. The cost-utility ratio was defined as cost per utility gain. Patients are stratified by disease severity using the Harvard Staging System.
The average total direct cost attributable to ESS is NT $40,829 in the first postoperative year and the average cost-utility ratio is NT $2194.42. The high cost-utility ratio of NT $3246.45 for pansinusitis cases is due to the higher cost and limited utility gain.
Treating mild and moderate chronic sinusitis are most cost-effective because of their favorable utility gain and relatively reasonable cost. However, there is no proportional linear relationship between disease severity and cost-utility ratio.</abstract><cop>Los Angeles, CA</cop><pub>Mosby, Inc</pub><pmid>14726908</pmid><doi>10.1016/j.otohns.2003.07.006</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Chronic Disease Cost-Benefit Analysis Endoscopy - economics Female Humans Male Middle Aged Otorhinolaryngologic Surgical Procedures - economics Prospective Studies Severity of Illness Index Sinusitis - economics Sinusitis - surgery Taiwan |
| title | Cost-utility analysis for endoscopic sinus surgery |
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