头颈部重建中虚拟手术规划的成本结果：一项系统评价
Cost Outcomes of Virtual Surgical Planning in Head and Neck Reconstruction: A Systematic Review.
作者信息
Xiao Jenny B, Banyi Norbert, Tran Khanh Linh, Prisman Eitan
机构信息
Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Division of Otolaryngology Head and Neck Surgery, University of British Columbia, Gordon and Leslie Diamond Health Care Center, Vancouver, British Columbia, Canada.
出版信息
Head Neck. 2025 Mar;47(3):1037-1057. doi: 10.1002/hed.28035. Epub 2024 Dec 31.
BACKGROUND
Virtual surgical planning (VSP) is an emerging method in head and neck reconstruction with demonstrated benefits, however, its economic viability is supported with mixed evidence.
METHODS
A structured search was performed in five electronic databases. Studies that performed an economic evaluation on VSP in head and neck reconstruction were included. Data regarding VSP workflow, costs, and variables influencing costs were recorded and synthesized.
RESULTS
Eighteen studies met the final inclusion criteria (n = 733). Fourteen out of 18 studies (78%) found that VSP either generated cost savings or was comparable to freehand surgery (FHS). The majority of cost savings were generated from reduced OR times and LOS/LOH. In addition, greater cost savings were associated with in-house VSP workflows compared to those that are outsourced.
CONCLUSION
VSP is potentially cost-beneficial compared to traditional unplanned surgery, however, substantial heterogeneity amongst methods and outcome measures impedes the generalizability of these findings.
TRIAL REGISTRATION
PROSPERO: CRD42024504398.
背景
虚拟手术规划（VSP）是头颈重建领域一种新兴的方法，已证明具有诸多益处，然而，其经济可行性的证据并不一致。
方法
在五个电子数据库中进行了结构化检索。纳入对头颈重建中VSP进行经济评估的研究。记录并综合了有关VSP工作流程、成本以及影响成本的变量的数据。
结果
18项研究符合最终纳入标准（n = 733）。18项研究中有14项（78%）发现VSP要么节省了成本，要么与徒手手术（FHS）相当。大部分成本节省来自手术时间和住院时间/住院日的减少。此外，与外包的VSP工作流程相比，内部VSP工作流程节省的成本更多。
结论
与传统的非计划性手术相比，VSP可能具有成本效益，然而，方法和结果测量之间存在大量异质性，阻碍了这些结果的普遍性。
试验注册
PROSPERO：CRD42024504398。
Zotero 插件