Cost analysis of office-based transnasal esophagoscopy.
Eur Arch Otorhinolaryngol
; 276(5): 1457-1463, 2019 May.
Article
en En
| MEDLINE
| ID: mdl-30806806
ABSTRACT
PURPOSE:
Although office-based transnasal esophagoscopy has been investigated extensively, a cost analysis is still lacking. We performed a cost analysis combined with feasibility study for two diagnostic processes patients with globus pharyngeus and/or dysphagia, and hypopharyngeal carcinoma.METHODS:
Prospective cohort study.RESULTS:
Forty-one procedures were performed, of which 35 were fully completed. The procedure was well tolerated with mild complaints such as nasal or pharyngeal pain and burping. Four complications occurred two minor epistaxis and two vasovagal reactions. In patients with globus pharyngeus and/or dysphagia, transnasal esophagoscopy resulted in a cost saving of 94.43 (p 0.026) per procedure, compared to our regular diagnostic process. In patients with suspicion of hypopharyngeal carcinoma, cost savings were 831.41 (p 0.000) per case.CONCLUSIONS:
Cost analysis showed that office-based transnasal esophagoscopy can provide significant cost savings for the current standard of care. Furthermore, this procedure resulted in good patient acceptability and few complications.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Trastornos de Deglución
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Neoplasias Hipofaríngeas
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Enfermedades Faríngeas
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Esofagoscopía
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Costos de la Atención en Salud
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Análisis Costo-Beneficio
/
Atención Ambulatoria
Tipo de estudio:
Etiology_studies
/
Health_economic_evaluation
/
Observational_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Eur Arch Otorhinolaryngol
Asunto de la revista:
OTORRINOLARINGOLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Países Bajos