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Health Economic Cost Analysis for Percutaneous Bone Conduction Devices: The Minimally Invasive Ponto Surgery Versus
Ruben M Strijbos, Louise V Straatman, Inge Stegeman
1Oticon Medical AB, Askim, Sweden.
Summary
Minimally Invasive Ponto Surgery (MIPS) is more cost-effective than linear incision technique with tissue preservation (LITT-P) for bone conduction devices. MIPS demonstrated lower mean costs per patient over 22 months, making it an economically responsible choice.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Health Economics
Background:
- Bone conduction devices are crucial for hearing restoration.
- Traditional surgical techniques for implantation can be associated with significant costs.
- Minimally invasive approaches are increasingly explored to optimize patient care and resource utilization.
Purpose of the Study:
- To compare the mean cost per patient between Minimally Invasive Ponto Surgery (MIPS) and the linear incision technique with tissue preservation (LITT-P).
- To evaluate the economic implications of different surgical approaches for bone conduction device implantation.
Main Methods:
- A health economic cost analysis was conducted.
- Data were gathered from a randomized multicenter controlled trial cohort of adult patients undergoing unilateral bone conduction device surgery.
- Perioperative and postoperative costs associated with MIPS and LITT-P were identified and compared.
Main Results:
- Minimally Invasive Ponto Surgery (MIPS) resulted in a mean cost saving of €77.83 per patient over 22 months compared to LITT-P.
- Lower costs were observed in the MIPS cohort for surgical procedures, outpatient visits, and certain antibiotic therapies.
- While some costs were higher in MIPS (e.g., implant sets, specific topical treatments), the overall economic benefit favored MIPS, even under different anesthesia or survival rate scenarios.
Conclusions:
- Minimally Invasive Ponto Surgery (MIPS) is an economically favorable technique for bone conduction device implantation.
- The observed cost savings suggest MIPS is a responsible and promising surgical option for the future.
- Further economic evaluations can support the adoption of MIPS in clinical practice.
