Perioperative and economic analysis of surgical treatments for benign prostatic hyperplasia: A study of the French committee on LUT.
Prog Urol
; 27(6): 362-368, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-28495071
ABSTRACT
PURPOSE:
To evaluate perioperative cost related to surgical treatments of benign prostatic obstruction (BPO) photoselective vaporization of the prostate (pvp), holmium/thullium laser enucleation (HoLEP/ThuLEP), transurethral resection of the prostate (TURP) and open prostatectomy (OP). MATERIAL ANDMETHODS:
We retrospectively collected data from 237 patients who consecutively underwent a surgical treatment for BPH between January 2012 and June 2013 at nine institutions in France. An economic simulation model was constructed to estimate the cost of hospitalization related to surgical procedure from the hospital perspective and a cost minimization analysis was performed.RESULTS:
TURP, OP, HoLEP/ThuLEP and PVP were performed in 99 (42%), 23 (10%), 64 (27%) and 51 (21%) patients, respectively. For men with prostate size<80mL mean operative time was shorter with mTURP and PVP than HoLEP/thuLEP (P<0.001); Mean postoperative length of stay were 1.9, 3 vs. 3.4 days, for HoLEP/Thulep, PVP and TURP respectively (P=0.006); Costs of first hospitalization were comparable between HoLEP/ThuLEP and TURP but higher with PVP (P<0.001). For men with prostate size≥80mL Compared to PVP and HoLEP/ThuLEP, OP was associated with shorter operative time (P<0.001) but longer length of stay (2.4, 4.2 vs. 7.8 days, respectively, P<0.0001); Costs of first hospitalization were significantly higher with OP than HoLEP/ThuLEP or PVP (P<0.001).CONCLUSIONS:
PVP and HoLEP/ThuLEP were associated with a shorter LOS than TURP and OP. This benefit suggests these procedures could be more cost effective than OP, but still not cheaper alternatives to TURP. LEVEL OF EVIDENCE 5.Palavras-chave
Adénomectomie voie haute; Analyse des coûts; Benign prostatic hyperplasia; Cost analysis; Holmium laser enucleation; Hypertrophie bénigne de prostate; Open prostatectomy; Photoselective vaporization of the prostate; Photovaporisation prostatique; Résection transurétrale de la prostate; Transurethral resection of the prostate; Énucléation au laser holmium/thullium
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Prostatectomia
/
Hiperplasia Prostática
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Assistência Perioperatória
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Custos e Análise de Custo
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
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Risk_factors_studies
Limite:
Aged
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Humans
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Male
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article