Cost-effectiveness assessment in outpatient sinonasal surgery

Area of Science:

• Otolaryngology
• Health Economics
• Surgical Outcomes

Background:

• Outpatient sinonasal surgery is increasingly utilized.
• Assessing its cost-effectiveness is crucial for healthcare resource allocation.

Purpose of the Study:

• To evaluate the cost-effectiveness of outpatient sinonasal surgery.
• To determine clinical efficacy and control of expenses.

Main Methods:

• Retrospective study (2014-2016) of 927 outpatient sinonasal surgeries.
• Analysis of clinical data and institutional cost accounting.
• Comparison of outpatient costs versus estimated conventional inpatient management costs.

Main Results:

• A low crossover rate (2.9%) to inpatient admission was observed.
• 85% of patients reported high satisfaction via day-1 telephone interviews.
• Outpatient procedures demonstrated significantly lower costs than inpatient management, with comparable hospital revenue.

Conclusions:

• Outpatient sinonasal surgery is clinically effective.
• Significant cost reductions can be achieved, offering potential health system savings.
• Further micro-costing studies are needed to refine cost-effectiveness assessments.