在尼日利亚的三个三级医院进行 laparoscopic 和开放性尾切除术的前性,观察性成本比较
Adewale Adisa1, Mwayi Kachapila2,3, Christopher Ekwunife4
1Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, 220005, Nigeria. ao.adisa@oauife.edu.ng.
World journal of surgery
|October 11, 2023
概括
与开放式手术相比,尼日利亚的腹腔镜尾切除显示出更高的初始成本,但较低的社会成本和感染率. 这种程序是可行的,应该扩展,以获得更好的患者结果.
科学领域:
- 手术创新 在外科创新.
- 卫生经济学 卫生经济学
- 全球健康 全球健康
背景情况:
- laparoscopic 尾切除术比开放手术具有临床优势.
- 在低收入和中等收入国家 (LMICs) 中,由于高成本,收养是有限的.
- 本研究评估了尼日利亚腹腔镜尾切除术的可行性和成本效益.
研究的目的:
- 评估尼日利亚腹腔镜尾切除术的可行性.
- 为了比较腹腔镜和开放尾切除术的成本.
- 评估患者的结果,包括恢复工作和感染率.
主要方法:
- 一个多中心的前性队列研究在尼日利亚的三个三级医院进行.
- 在17个月的时间里,收集了有关医疗保健费用,恢复工作和手术部位感染的数据.
- 量子回归分析确定了影响成本的因素,以尼日利亚奈拉和美元报告.
主要成果:
- laparoscopic 尾切除术的平均医疗费用较高 (355美元与273美元相比),但返回工作的速度更快 (8天与14天相比).
- 腹腔镜尾切除术时手术部位感染显著降低 (5.1%与22.7%相比).
- 由于更快地返回工作位,社会成本节约估计为24美元.
结论:
- 在尼日利亚, laparoscopic 尾切除术在技术上和经济上都是可行的.
- 尽管初始成本较高,但它提供更低的社会成本和更低的感染率.
- 建议在尼日利亚扩大腹腔镜尾切除服务.
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