In-Hospital Cost Comparison for Open Versus Endoscopic Endonasal Approach for Meningioma Resection.

IF 2.5 3区 医学 Q1 OTORHINOLARYNGOLOGY American Journal of Rhinology & Allergy Pub Date : 2023-05-01 DOI:10.1177/19458924221145893
Arjun K Parasher, David K Lerner, Stephen P Miranda, Jennifer E Douglas, Jordan T Glicksman, Tyler Alexander, Theodore Lin, Darren Ebesutani, Michael Kohanski, John Y K Lee, Phillip B Storm, Bert W O'Malley, Daniel Yoshor, James N Palmer, M Sean Grady, Nithin D Adappa
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引用次数: 1

Abstract

Objective: To determine the in-hospital cost implications of an endoscopic expanded endonasal approach (EEEA) for meningioma resection relative to the open transcranial approach.

Methods: All anterior skull base meningioma surgeries performed over a period from January 1st, 2015 to October 31th, 2017 were evaluated. The electronic medical record was reviewed for patient factors, tumor characteristics, and cost variables associated with each hospital stay and univariate analysis was performed using R software. All cost data were converted into August 2021-equivalent dollar amounts using the United States Bureau of Labor Statistics consumer price index.

Results: Thirty-five patients met study criteria, including 27 patients undergoing an open transcranial approach and 8 undergoing an EEEA. Average length of stay for patients undergoing an open approach was 9.3 days compared to 5.6 within the EEEA group (P = .126). The average total in-hospital cost of patient undergoing an EEEA was $35417.1 compared to $46406.9 among patients undergoing an open transcranial approach (P = .168). On univariate analysis, the cost of an open transcranial approach relative to the EEEA was $10989.8 (P = .411).

Conclusions: The open transcranial approach remained the dominant surgical approach to anterior skull base meningiomas over our study time period. However, despite limited patient numbers the EEEA was associated with decreased total in-hospital costs.

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开放入路与内镜下鼻内入路脑膜瘤切除术的住院费用比较。
目的:比较经颅开放入路与经鼻内镜扩大入路对脑膜瘤切除术的院内成本影响。方法:对2015年1月1日至2017年10月31日所有颅底前脑膜瘤手术进行回顾性分析。电子病历回顾了患者因素、肿瘤特征和与每次住院相关的成本变量,并使用R软件进行了单变量分析。所有成本数据都使用美国劳工统计局的消费者价格指数转换为相当于2021年8月的美元金额。结果:35例患者符合研究标准,其中27例接受经颅开放入路,8例接受EEEA。开放入路患者的平均住院时间为9.3天,而EEEA组为5.6天(P = .126)。接受EEEA的患者平均住院总费用为35417.1美元,而接受开放经颅入路的患者平均住院总费用为46406.9美元(P = 0.168)。在单变量分析中,相对于EEEA,经颅开放入路的成本为10989.8美元(P = 0.411)。结论:在我们的研究期间,开放经颅入路仍然是治疗前颅底脑膜瘤的主要手术入路。然而,尽管病人数量有限,EEEA与降低住院总费用有关。
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来源期刊
CiteScore
5.60
自引率
11.50%
发文量
82
审稿时长
4-8 weeks
期刊介绍: The American Journal of Rhinology & Allergy is a peer-reviewed, scientific publication committed to expanding knowledge and publishing the best clinical and basic research within the fields of Rhinology & Allergy. Its focus is to publish information which contributes to improved quality of care for patients with nasal and sinus disorders. Its primary readership consists of otolaryngologists, allergists, and plastic surgeons. Published material includes peer-reviewed original research, clinical trials, and review articles.
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