Related Experiment Videos
Treatment patterns and costs associated with sessile colorectal polyps
Jane E Onken1, Joëlle Y Friedman, Sujha Subramanian
1Department of Medicine, Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina 27715, USA.
The American Journal of Gastroenterology
|November 12, 2002
Summary
Treating large sessile polyps costs more and requires more procedures. Improving polyp removal efficiency, especially for larger ones, can significantly reduce healthcare expenses.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Health Economics
Background:
- Literature on the treatment and costs of sessile lesions is limited.
- Sessile polyps present unique challenges in diagnosis and management.
- Understanding treatment patterns is crucial for cost-effective care.
Purpose of the Study:
- To analyze patient and polyp characteristics of sessile polyps.
- To determine current treatment patterns for sessile polyps.
- To estimate the economic costs associated with treating sessile polyps.
Main Methods:
- Retrospective, observational cohort study.
- Inclusion of 280 patients with colorectal polyps (sessile or broad-based pedunculated).
- Exclusion of adenocarcinoma greater than stage T1.
Main Results:
- Mean polyp size was 1.3 cm; two-thirds removed in one procedure.
- Repeat procedures increased with polyp size (Kendall T-b = 0.47).
- Polyps ≥2 cm were 5.88 times more likely to require surgery, costing significantly more.
Conclusions:
- One-third of polyps necessitated multiple procedures.
- Surgical interventions dominated resource utilization.
- Focusing on efficient removal for large polyps (≥2 cm) offers the greatest cost-saving potential.