Cost-effectiveness studies in endoscopy: are they worth it?

Cost-effectiveness analysis is currently in great demand. Evaluating the cost-effectiveness of endoscopy in comparison with surgical and radiological alternatives for diagnosis and therapy would appear particularly important, since the costs they incur may be substantial. However, several technical and practical issues may limit the perceived value of cost-effectiveness studies and the applicability of their results to daily practice. Despite this, they are likely to be used to make decisions regarding health-care resource allocation. A better understanding of their limitations by all parties involved and active participation by physicians (as opposed to health-care administrators) in their conception and execution should help optimize our ability to provide excellent patient care at a reasonable price.