门诊经鼻食管镜检查的成本分析
Cost analysis of office-based transnasal esophagoscopy.
作者信息
Wellenstein David J, Honings Jimmie, Schutte Henrieke W, Herruer Jasmijn M, van den Hoogen Frank J A, Marres Henri A M, Takes Robert P, van den Broek Guido B
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Philips van Leydenlaan 15, 6500 HB, Nijmegen, The Netherlands.
出版信息
Eur Arch Otorhinolaryngol. 2019 May;276(5):1457-1463. doi: 10.1007/s00405-019-05357-0. Epub 2019 Feb 26.
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.
目的
尽管门诊经鼻食管镜检查已得到广泛研究，但仍缺乏成本分析。我们对两种诊断流程进行了成本分析并结合可行性研究：咽异感症和/或吞咽困难患者，以及下咽癌患者。
方法
前瞻性队列研究。
结果
共进行了41例手术，其中35例完全完成。该手术耐受性良好，仅有轻微不适，如鼻痛、咽痛和嗳气。发生了4例并发症：2例轻微鼻出血和2例血管迷走神经反应。对于咽异感症和/或吞咽困难患者，与我们常规的诊断流程相比，经鼻食管镜检查每次手术可节省94.43欧元（p=0.026）。对于疑似下咽癌患者，每例可节省831.41欧元（p=0.000）。
结论
成本分析表明，门诊经鼻食管镜检查可为当前的护理标准节省大量成本。此外，该手术患者接受度良好，并发症较少。
Zotero 插件