Cost-minimisation Analysis of Laparoscopic and Open Appendicectomy

Anders Kald From the Department of Surgery, University Hospital, Linkoping, Centre for Medical Technology Assessment, Linkoping, Department of Surgery and Department of Research, Central Hospital of Vasteras, Vasteras, Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Stockholm, Sweden

Eric Kullman From the Department of Surgery, University Hospital, Linkoping, Centre for Medical Technology Assessment, Linkoping, Department of Surgery and Department of Research, Central Hospital of Vasteras, Vasteras, Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Stockholm, Sweden

Bo Anderberg From the Department of Surgery, University Hospital, Linkoping, Centre for Medical Technology Assessment, Linkoping, Department of Surgery and Department of Research, Central Hospital of Vasteras, Vasteras, Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Stockholm, Sweden

Mikael Wirén From the Department of Surgery, University Hospital, Linkoping, Centre for Medical Technology Assessment, Linkoping, Department of Surgery and Department of Research, Central Hospital of Vasteras, Vasteras, Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Stockholm, Sweden

Per Carlsson From the Department of Surgery, University Hospital, Linkoping, Centre for Medical Technology Assessment, Linkoping, Department of Surgery and Department of Research, Central Hospital of Vasteras, Vasteras, Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Stockholm, Sweden

Ivar Ringqvist From the Department of Surgery, University Hospital, Linkoping, Centre for Medical Technology Assessment, Linkoping, Department of Surgery and Department of Research, Central Hospital of Vasteras, Vasteras, Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Stockholm, Sweden

Claes Rudberg From the Department of Surgery, University Hospital, Linkoping, Centre for Medical Technology Assessment, Linkoping, Department of Surgery and Department of Research, Central Hospital of Vasteras, Vasteras, Department of Surgery, Karolinska Institutet at Huddinge University Hospital, Stockholm, Sweden

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Abstract

Objective: To compare the direct and indirect costs of laparoscopic and open appendicectomy.

Design: Randomised study.

Setting: University hospital, Sweden.

Main outcome measures: Total costs for a defined period of time for each option.

Results: 102 patients were randomised and 99 were included in the final analysis. All patients had completely recovered within two months of operation. Disposable extra material used for the laparoscopic operation and longer operating time raised its median cost by SEK 912 and 1785, respectively. The mean duration of hospital stay, period off work (indirect costs), and time to complete recovery did not differ between the groups.

Conclusion: Laparoscopic appendicectomy has higher direct costs than open operation and is not as cost-effective when the longterm outcome is the same in both groups.

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Cost-minimisation Analysis of Laparoscopic and Open Appendicectomy

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Cost-minimisation Analysis of Laparoscopic and Open Appendicectomy

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