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THE HARMONIC STUDY: COST-EFFECTIVENESS EVALUATION OF THE USE OF THE ULTRASONIC SCALPEL IN TOTAL THYROIDECTOMY

Published online by Cambridge University Press:  14 September 2012

Matteo Ruggeri ,
Rossella Dibidino ,
Marco Marchetti ,
Celestino Pio Lombardi ,
Marco Raffaelli  and
Americo Cicchetti
Matteo Ruggeri
Affiliation:
Università Cattolica del Sacro Cuore email: [email protected]
Rossella Dibidino
Affiliation:
Università Cattolica del Sacro Cuore
Marco Marchetti
Affiliation:
Università Cattolica del Sacro Cuore
Celestino Pio Lombardi
Affiliation:
Università Cattolica del Sacro Cuore
Marco Raffaelli
Affiliation:
Università Cattolica del Sacro Cuore
Americo Cicchetti
Affiliation:
Università Cattolica del Sacro Cuore
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Abstract

Background: Total thyroidectomy (TT) can be performed either with the traditional technique or using the ultrasound scalpel. Here, the use of the ultrasound scalpel is investigated in order to assess cost-effectiveness from an hospital, third party payer and societal perspective.

Methods: A randomized controlled trial was conducted at the University Hospital A. Gemelli in Rome. Data refer to 198 patients, randomized to either surgery with the ultrasound scalpel (n = 96) or traditional (n = 102) and followed for 3 months after hospital discharge. Operation time (OT) and resource consumption were recorded. Main clinical outcome investigated was quality of life (evaluated with EQ-5D).

Results: A shorter operation time (traditional: 76.36 vs ultrasound: 54.16 minutes, p < 0.001) was observed. 3 months after surgery, differences in QoL were significant (0.91 vs 0.84, p = 0.002). Concerning the hospital perspective, ultrasound scalpel allows savings of 119 EUR per patient. From a societal perspective, ultrasound scalpel is also related to lower medical resource consumption during a 3 month follow-up after discharge (traditional: 129.03 EUR vs ultrasound: 107.82 EUR) and lower non-medical resource utilization (transport/hotels costs traditional:535.51 EUR vs ultrasound: 342.77 EUR. No statistical difference was found in productivity losses up to 3 months (traditional: 377.71 EUR vs ultrasound: 385.51 EUR).

Conclusion: Allowing an overall saving of 325.36 EUR per patient, Ultrasound scalpel should be adopted for TT procedures in the “A.Gemelli” University hospital.

Type
ASSESSMENTS
Information
International Journal of Technology Assessment in Health Care , Volume 28 , Issue 3 , July 2012 , pp. 259 - 264
Copyright
Copyright © Cambridge University Press 2012

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References

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