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Related Experiment Videos

Biliary lithotripsy versus cholecystectomy: a cost-utility analysis.

U Stengele1, B R Baumgartner, J L Chezmar

  • 1Departments of Radiology and Gastroenterology, Crawford Long Hospital of Emory University, Atlanta, GA 30365.

The Journal of Lithotripsy & Stone Disease
|March 10, 1991
PubMed
Summary

Biliary lithotripsy is more cost-effective than cholecystectomy for gallstones. This cost-utility analysis shows it offers better value for patients meeting specific criteria.

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Area of Science:

  • Health Economics
  • Medical Technology Assessment

Background:

  • Evaluating the economic impact of medical procedures is crucial in healthcare.
  • New medical technologies require thorough cost and outcome assessments.

Purpose of the Study:

  • To compare the cost-utility of biliary lithotripsy with bile acid therapy against cholecystectomy.
  • To evaluate treatment options for solitary gallstones up to 20 mm in diameter.

Main Methods:

  • A cost-utility analysis using a Markov model over a 5-year period.
  • Societal perspective adopted for cost evaluation, including direct and indirect costs.
  • Quality-adjusted survival estimated using combined well-being scales.

Main Results:

  • Biliary lithotripsy is indicated as the preferred procedure from a societal viewpoint.

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  • Analysis focused on patients meeting specific inclusion criteria for lithotripsy.

    • Conclusions:

    • Biliary lithotripsy offers a more favorable cost-utility profile compared to cholecystectomy for eligible patients.
    • This study supports biliary lithotripsy as the procedure of choice based on economic and quality-adjusted survival outcomes.