Dirksen C D, Ament A J, Adang E M, Beets G L, Go P M, Baeten C G, Kootstra G
University Hospital Maastricht.
Int J Technol Assess Health Care. 1998 Summer;14(3):472-83. doi: 10.1017/s0266462300011454.
A cost-effectiveness (CE) analysis was performed of Bassini versus laparoscopic repair for primary inguinal hernia. Incremental costs per 1-year recurrence-free patient were calculated for the societal and hospital perspective. From the hospital perspective, the incremental CE ratio of laparoscopic repair is 5.348 guilders. From the societal perspective, laparoscopic repair is both less costly and more effective than Bassini repair. Results were sensitive to assumptions about recurrence rates, laparoscopic operating time, and return to work. Laparoscopic repair should replace Bassini repair in order to benefit society. From the hospital perspective, the decision to accept laparoscopic repair depends on the willingness to pay.
对原发性腹股沟疝采用巴西尼修补术与腹腔镜修补术进行了成本效益（CE）分析。从社会和医院角度计算了每例无复发1年患者的增量成本。从医院角度看，腹腔镜修补术的增量成本效益比为5.348荷兰盾。从社会角度看，腹腔镜修补术比巴西尼修补术成本更低且更有效。结果对复发率、腹腔镜手术时间和恢复工作的假设敏感。为使社会受益，腹腔镜修补术应取代巴西尼修补术。从医院角度看，是否接受腹腔镜修补术的决定取决于支付意愿。
