虚拟手术计划在头颈部重建中的成本结果：系统回顾。

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-12-31 DOI:10.1002/hed.28035

Jenny B. Xiao, Norbert Banyi, Khanh Linh Tran, Eitan Prisman

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引用次数: 0

摘要

背景：虚拟手术计划（VSP）是一种新兴的头颈部重建方法，具有明显的益处，然而，其经济可行性得到了混合证据的支持。方法：对5个电子数据库进行结构化检索。纳入了对VSP在头颈部重建中的经济评价的研究。记录和综合有关VSP工作流程、成本和影响成本的变量的数据。结果：18项研究符合最终纳入标准（n = 733）。18项研究中有14项（78%）发现VSP要么节省了成本，要么与徒手手术（FHS）相当。节省的大部分成本来自于减少的OR时间和LOS/LOH。此外，与外包相比，内部VSP工作流程节省了更多的成本。结论：与传统的计划外手术相比，VSP具有潜在的成本效益，然而，方法和结果测量之间的巨大异质性阻碍了这些发现的推广。试验注册：PROSPERO: CRD42024504398。

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Cost Outcomes of Virtual Surgical Planning in Head and Neck Reconstruction: A Systematic Review

Background

Virtual surgical planning (VSP) is an emerging method in head and neck reconstruction with demonstrated benefits, however, its economic viability is supported with mixed evidence.

Methods

A structured search was performed in five electronic databases. Studies that performed an economic evaluation on VSP in head and neck reconstruction were included. Data regarding VSP workflow, costs, and variables influencing costs were recorded and synthesized.

Results

Eighteen studies met the final inclusion criteria (n = 733). Fourteen out of 18 studies (78%) found that VSP either generated cost savings or was comparable to freehand surgery (FHS). The majority of cost savings were generated from reduced OR times and LOS/LOH. In addition, greater cost savings were associated with in-house VSP workflows compared to those that are outsourced.

Conclusion

VSP is potentially cost-beneficial compared to traditional unplanned surgery, however, substantial heterogeneity amongst methods and outcome measures impedes the generalizability of these findings.

Trial Registration: PROSPERO: CRD42024504398

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.

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