Department of Gastroenterology, Hospital Universitari MútuaTerrassa, Fundació per la Recerca Mútua Terrassa, Terrassa, Catalonia, Spain; Biomedical Research Networking Centres, Spain.
Hospital Controller, Hospital Universitari Mútua Terrassa, Terrassa, Catalonia, Spain.
Dig Liver Dis. 2018 Jul;50(7):689-697. doi: 10.1016/j.dld.2018.03.002. Epub 2018 Mar 12.
The complexity of endoscopy has carried out an increase in cost that has a direct effect on the healthcare systems. However, few studies have analyzed the cost of advanced endoscopic procedures (AEP).
To carry out a calculation of the standard direct costs of AEP, and to make a financial comparison with their surgical alternatives.
Calculation of the standard direct cost in carrying out each procedure. An endoscopist detailed the time, personnel, materials, consumables, recovery room time, stents, pathology and medication used. The cost of surgical procedures was the average cost recorded in the hospital.
Thirty-eight AEP were analyzed. The technique showing lowest cost was gastroscopy + APC (€116.57), while that with greatest cost was ERCP with cholangioscopy + stent placement (€5083.65). Some 34.2% of the procedures registered average costs of €1000-2000. In 57% of cases, the endoscopic alternative was 2-5 times more cost-efficient than surgery, in 31% of cases indistinguishable or up to 1.4 times more costly.
Standard direct cost of the majority of AEP is reported using a methodology that enables easy application in other centers. For the most part, endoscopic procedures are more cost-efficient than the corresponding surgical procedure.
内镜操作的复杂性导致成本增加，这对医疗保健系统有直接影响。然而，很少有研究分析过高级内镜操作（AEP）的成本。
计算 AEP 的标准直接成本，并与手术替代方案进行财务比较。
计算实施每项操作的标准直接成本。内镜医生详细记录了时间、人员、材料、耗材、恢复室时间、支架、病理和所用药物。手术的成本是医院记录的平均成本。
分析了 38 项 AEP。成本最低的技术是胃镜检查+APC（€116.57），而成本最高的是 ERCP 联合胆管镜检查+支架放置（€5083.65）。约 34.2%的手术记录的平均费用在 1000-2000 欧元之间。在 57%的情况下，内镜治疗的成本效率比手术高 2-5 倍，在 31%的情况下，内镜治疗与手术的成本相当或高 1.4 倍。
使用一种易于在其他中心应用的方法，报告了大多数 AEP 的标准直接成本。在大多数情况下，内镜治疗比相应的手术治疗更具成本效益。
