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In-office vs. operating room procedures for recurrent respiratory papillomatosis
Anya J Miller1, Glendon M Gardner
1ENT of Denver, 4500 E. 9th Ave., Suite 610, Denver, CO 80220, USA. anya@entdenver.com.
Ear, Nose, & Throat Journal
|May 11, 2017
Summary
In-office procedures for recurrent respiratory papillomatosis are more cost-effective than operating room procedures. However, patient tolerance and increased frequency may limit their use.
Area of Science:
- Otolaryngology
- Medical Economics
Background:
- Recurrent respiratory papillomatosis (RRP) requires frequent treatment.
- Treatment options include in-office and operating room procedures.
Purpose of the Study:
- To compare costs, outcomes, and patient satisfaction for in-office versus operating room procedures for RRP.
Main Methods:
- Retrospective analysis of 17 adult RRP patients.
- Comparison of costs, complication rates, and patient-reported anxiety and discomfort.
Main Results:
- In-office procedures cost significantly less per procedure ($3,413 vs. $12,382).
- Complication rates were similar (5 each).
- Patients reported more anxiety and discomfort with in-office procedures and preferred operating room procedures.
Conclusions:
- Office procedures are more cost-effective for RRP treatment.
- Increased frequency and patient tolerance are key considerations for in-office procedures.
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