BACKGROUND: There has been no randomized clinical trial of the costs of laparoscopic colonic resection (LCR) compared with those of open colonic resection (OCR) in the treatment of colonic cancer. METHODS: A subset of Swedish patients included in the Colon Cancer Open Or Laparoscopic Resection (COLOR) trial was included in a prospective cost analysis; costs were calculated up to 12 weeks after surgery. All relevant costs to society were included. No effects of the procedures, such as quality of life or survival, were taken into account. RESULTS:Two hundred and ten patients were included in the primary analysis, 98 of whom had LCR and 112 OCR. Total costs to society did not differ significantly between groups (difference in means for LCR versus OCR euro1846; P = 0.104). The cost of operation was significantly higher for LCR than for OCR (difference in means euro1171; P < 0.001), as was the cost of the first admission (difference in means euro1556; P = 0.015) and the total cost to the healthcare system (difference in means euro2244; P = 0.018). CONCLUSION: Within 12 weeks of surgery for colonic cancer, there was no difference in total costs to society incurred by LCR and OCR. The LCR procedure, however, was more costly to the healthcare system. Copyright 2004 British Journal of Surgery Society Ltd.
RCT Entities:
BACKGROUND: There has been no randomized clinical trial of the costs of laparoscopic colonic resection (LCR) compared with those of open colonic resection (OCR) in the treatment of colonic cancer. METHODS: A subset of Swedish patients included in the Colon Cancer Open Or Laparoscopic Resection (COLOR) trial was included in a prospective cost analysis; costs were calculated up to 12 weeks after surgery. All relevant costs to society were included. No effects of the procedures, such as quality of life or survival, were taken into account. RESULTS: Two hundred and ten patients were included in the primary analysis, 98 of whom had LCR and 112 OCR. Total costs to society did not differ significantly between groups (difference in means for LCR versus OCR euro1846; P = 0.104). The cost of operation was significantly higher for LCR than for OCR (difference in means euro1171; P < 0.001), as was the cost of the first admission (difference in means euro1556; P = 0.015) and the total cost to the healthcare system (difference in means euro2244; P = 0.018). CONCLUSION: Within 12 weeks of surgery for colonic cancer, there was no difference in total costs to society incurred by LCR and OCR. The LCR procedure, however, was more costly to the healthcare system. Copyright 2004 British Journal of Surgery Society Ltd.
Authors: David P Eisenberg; Jane Wey; Philip Q Bao; Melissa Saul; Andrew R Watson; Wolfgang H Schraut; Kenneth K W Lee; A James Moser; Steven J Hughes Journal: Surg Endosc Date: 2010-02-21 Impact factor: 4.584
Authors: Marco Braga; Andrea Vignali; Walter Zuliani; Matteo Frasson; Clelia Di Serio; Valerio Di Carlo Journal: Ann Surg Date: 2005-12 Impact factor: 12.969
Authors: Stefan Maartense; Mich S Dunker; J Frederik M Slors; Miguel A Cuesta; Erik G J M Pierik; Dirk J Gouma; Daan W Hommes; Miriam A Sprangers; Willem A Bemelman Journal: Ann Surg Date: 2006-02 Impact factor: 12.969
Authors: Paul J Karanicolas; Shona E Smith; Richard I Inculet; Richard A Malthaner; Richard P Reynolds; Ron Goeree; Amiram Gafni Journal: Surg Endosc Date: 2007-05-04 Impact factor: 4.584