Advanced

Long-term cost-minimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair

Eklund, A.; Carlsson, P.; Rosenblad, A.; Montgomery, Agneta LU ; Bergkvist, L. and Rudberg, C. (2010) In British Journal of Surgery 97(5). p.765-771
Abstract
Background: Laparoscopic surgery has emerged as a new treatment modality for inguinal hernia repair. The aim of the present study was to analyse its long-term costs in relation to those of open repair. Methods: A randomized multicentre study comparing totally extraperitoneal laparoscopic repair (TEP) with open repair by the Lichtenstein procedure was performed on men with a primary inguinal hernia. Long-term data on recurrences and complications up to 5 years after operation were collected. Taking treatment costs into consideration, a cost-minimization analysis was conducted. Results: A total of 1370 patients had an inguinal hernia repair, 665 in the TEP and 705 in the Lichtenstein group. The total hospital cost for the index operation was... (More)
Background: Laparoscopic surgery has emerged as a new treatment modality for inguinal hernia repair. The aim of the present study was to analyse its long-term costs in relation to those of open repair. Methods: A randomized multicentre study comparing totally extraperitoneal laparoscopic repair (TEP) with open repair by the Lichtenstein procedure was performed on men with a primary inguinal hernia. Long-term data on recurrences and complications up to 5 years after operation were collected. Taking treatment costs into consideration, a cost-minimization analysis was conducted. Results: A total of 1370 patients had an inguinal hernia repair, 665 in the TEP and 705 in the Lichtenstein group. The total hospital cost for the index operation was (sic)710.6 higher for TEP repair (P < 0.001). Including costs associated with recurrences and complications, this difference increased to (sic)795.1 (P < 0.001). Taking community costs into account, the difference decreased by (sic)503.1 to (sic)292.0 (P = 0.024). Conclusion: This cost-minimization analysis, including complications, reoperations and community costs during follow-up of 5 years, showed that laparoscopic inguinal hernia repair had a small but significant increase in overall costs compared with open repair. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Surgery
volume
97
issue
5
pages
765 - 771
publisher
John Wiley & Sons
external identifiers
  • wos:000276947900022
  • scopus:77951862124
ISSN
1365-2168
DOI
10.1002/bjs.6945
language
English
LU publication?
yes
id
3583ad37-df2f-495c-99a3-74ebce7f5346 (old id 1601856)
date added to LUP
2010-05-20 09:38:03
date last changed
2018-07-08 03:04:19
@article{3583ad37-df2f-495c-99a3-74ebce7f5346,
  abstract     = {Background: Laparoscopic surgery has emerged as a new treatment modality for inguinal hernia repair. The aim of the present study was to analyse its long-term costs in relation to those of open repair. Methods: A randomized multicentre study comparing totally extraperitoneal laparoscopic repair (TEP) with open repair by the Lichtenstein procedure was performed on men with a primary inguinal hernia. Long-term data on recurrences and complications up to 5 years after operation were collected. Taking treatment costs into consideration, a cost-minimization analysis was conducted. Results: A total of 1370 patients had an inguinal hernia repair, 665 in the TEP and 705 in the Lichtenstein group. The total hospital cost for the index operation was (sic)710.6 higher for TEP repair (P &lt; 0.001). Including costs associated with recurrences and complications, this difference increased to (sic)795.1 (P &lt; 0.001). Taking community costs into account, the difference decreased by (sic)503.1 to (sic)292.0 (P = 0.024). Conclusion: This cost-minimization analysis, including complications, reoperations and community costs during follow-up of 5 years, showed that laparoscopic inguinal hernia repair had a small but significant increase in overall costs compared with open repair.},
  author       = {Eklund, A. and Carlsson, P. and Rosenblad, A. and Montgomery, Agneta and Bergkvist, L. and Rudberg, C.},
  issn         = {1365-2168},
  language     = {eng},
  number       = {5},
  pages        = {765--771},
  publisher    = {John Wiley & Sons},
  series       = {British Journal of Surgery},
  title        = {Long-term cost-minimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair},
  url          = {http://dx.doi.org/10.1002/bjs.6945},
  volume       = {97},
  year         = {2010},
}