Clipping and coiling of intracerebral aneurysms: A cost analysis from a developing country
Neurosurgery Quarterly, cilt.14, sa.3, ss.127-132, 2004 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 14 Sayı: 3
- Basım Tarihi: 2004
- Doi Numarası: 10.1097/01.wnq.0000135756.45404.d3
- Dergi Adı: Neurosurgery Quarterly
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.127-132
- Anahtar Kelimeler: aneurysms, clipping, coiling, cost, subarachnoid hemorrhage, INTRACRANIAL ANEURYSMS, ENDOVASCULAR TREATMENT
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
The purpose of this study was to compare cost-effectiveness between coiling and clipping in patients with ruptured or unruptured cerebral aneurysms during their hospital stay. The authors conducted a retrospective analysis of patients with cerebral aneurysms that were treated by clipping or coiling at Cerrahpasa Medical Faculty Hospital during a 1-year period. Direct hospital-based costs and physicians' fees were calculated and compared between the 2 groups. A total of 76 patients had clipping, and 65 underwent coiling. There were no differences with regard to age or sex in both groups. When comparing major cost categories between the 2 groups, including laboratory tests, medications, blood and blood derivatives, physicians' fees, surgical/embolization supplies, hospital stay, and imaging, a highly statistically significant difference was found in all major cost categories (P < 0.001). The results showed that although coiling allows a shorter hospital stay and results in a low complication rate, the high cost of single-use medical supplies (eg, coil, microcatheters) increased the cost per patient considerably.