Health care costs and related socio-economic factors of
cholecystectomy

dc.contributor.author	Καστανιώτη, Κατερίνα Κ.	el
dc.contributor.author	Κουταλιανός, Σταύρος	el
dc.contributor.author	Μαυριδόγλου, Γιώργος	el
dc.contributor.author	Πολύζος, Νικόλαος	el
dc.date.accessioned	2014-07-15T08:19:47Z
dc.date.available	2014-07-15T08:19:47Z
dc.date.issued	2014-07-15
dc.identifier.uri	http://hdl.handle.net/11400/1297
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	www.hsj.gr	en
dc.subject	Εκτίμηση κόστους
dc.subject	Cost evaluation
dc.subject	Laparoscopic cholecystectomy
dc.subject	Cost minimization analysis
dc.title	Health care costs and related socio-economic factors of cholecystectomy	en
heal.type	journalArticle
heal.secondaryTitle	an evaluation of two operative techniques in Greece	en
heal.classification	Medicine
heal.classification	Surgery--Nursing
heal.classification	Ιατρική
heal.classification	Χειρουργική
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh00006614
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh2001008966
heal.classificationURI	N/A-Ιατρική
heal.classificationURI	N/A-Χειρουργική
heal.language	en
heal.access	campus
heal.recordProvider	Τεχνολογικό Εκπαιδευτικό Ίδρυμα Αθήνας.Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Νοσηλευτικής	el
heal.publicationDate	2011-03
heal.bibliographicCitation	Kastanioti, C.K., Koutalianos, S., Mavridoglou, G., Polyzos, N.. (2011). Health care costs and related socio-economic factors of cholecystectomy: an evaluation of two operative techniques in Greece. "Health Science Journal". 5 (1), 48-59.	en
heal.abstract	Background: The laparoscopic cholecystectomy is a safe and effective medical intervention; however its impact on health care costs remains controversial. The aim of this prospective study was to compare costs and related socio-demographic factors that affect the economic outcome of laparoscopic [LC] and open cholecystectomy [MC]. Methods: Sixty-seven patients (pts) treated with either LC or MC cholecystectomies were studied. Direct [fixed and variable] costs were obtained for each treatment group during pre-, intra- and post-operative care as well as indirect cost due to loss of productivity. To obtain data, a structured questionnaire comprising of economic and socio-demographic variables such as gender, age, profession and permanent health insurance plan, was developed. Results: The total direct cost was similar in the two treatment groups [1.676±148 Euros in the LC group versus 1.701±390 Euros in the MC group, p-value =0.645]. The mean intra-operative cost was significantly lower for the LC method [402.7 Euros in the MC group versus 249.7 Euros in the LC group, p <0.001] as well as the mean operative time [107 min in the MC group and 75 min in the LC, p<0.001] and the length of hospital stay [5.06± 6 days for the LC method versus 10.72± 7.3 days for the MC method; p<0.001]. The indirect cost due to loss of productivity was significantly less in the LC group than in MC method because of substantial earlier return to work rate. The total [direct and indirect] cost was slightly less in LC method [1.986, 4±246, 9 Euros for the LC method versus 2.372,2±610,5 Euros for the MC method]. Conclusion: Laparoscopic cholecystectomy is slightly less expensive approach compared to open surgery for treatment of gallstone disease. However, when indirect costs are calculated, LC method is even more a cost saving intervention.	en
heal.publisher	Μαρβάκη, Χριστίνα	el
heal.journalName	Health Science Journal	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	true
heal.dateCreated	2011-01