Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Postbus 9101, 6500 HB, Nijmegen, The Netherlands.
Center for Health Services Research, Larner College of Medicine, University of Vermont, Burlington, USA.
Eur Arch Otorhinolaryngol. 2019 Nov;276(11):2963-2973. doi: 10.1007/s00405-019-05617-z. Epub 2019 Sep 5.
Office-based transnasal flexible endoscopic surgery under topical anesthesia has recently been developed as an alternative for transoral laryngopharyngeal surgery under general anesthesia. The aim of this study was to evaluate differences in health care costs between the two surgical settings.
PubMed, EMBASE and Cochrane Library were searched for studies reporting on costs of laryngopharyngeal procedures that could either be performed in the office or operating room (i.e., laser surgery, biopsies, vocal fold injection, or hypopharyngeal or esophageal dilation). Quality assessment of the included references was performed.
Of 2953 identified studies, 13 were included. Quality assessment revealed that methodology differed significantly among the included studies. All studies reported lower costs for procedures performed in the office compared to those performed in the operating room. The variation within reported hospital and physician charges was substantial.
Office-based laryngopharyngeal procedures under topical anesthesia result in lower costs compared to similar procedures performed under general anesthesia.
在局部麻醉下进行的基于办公室的经鼻软性内窥镜手术最近已被开发为全身麻醉下经口咽喉手术的替代方法。本研究旨在评估两种手术环境下的医疗保健成本差异。
检索 PubMed、EMBASE 和 Cochrane Library 中报告可在办公室或手术室进行的咽喉程序成本的研究（即激光手术、活检、声带注射或咽喉或食管扩张）。对纳入的参考文献进行质量评估。
在 2953 项已确定的研究中，有 13 项被纳入。质量评估显示，纳入的研究在方法学上存在显著差异。所有研究均报告在办公室进行的手术比在手术室进行的手术成本更低。报告的医院和医生收费差异很大。
与全身麻醉下进行的类似手术相比，在局部麻醉下进行的基于办公室的咽喉手术成本更低。
