Cost-Utility Analysis of Intracapsular and Extracapsular Techniques for Pediatric Tonsillectomy.

ABSTRACT:

Objectives

To determine the incremental cost-effectiveness of intracapsular pediatric tonsillectomy.

Methods

A prospective cohort with cost-utility analysis included all ambulatory and observation tonsillectomies on pediatric patients (< 18 years) at a tertiary children's hospital between 2020 and 2024. Intracapsular coblation tonsillectomy (ICT) or extracapsular tonsillectomy (ECT) was performed with 30-day outcomes used for model inputs. Costs were expressed in US dollars from the perspective of a hospital system. Utility was based on published ranges.

Results

There were 5425 tonsillectomies performed (604 ICT [11%] and 4821 ECT [89%]). Among 2614 ambulatory procedures, ICT was associated with lower costs (β: -426.6, 95% CI: -631.7 to -221.4, p < 0.001). Mean ambula

SUBMITTER: Chorney SR 

PROVIDER: S-EPMC12906303 | biostudies-literature | 2026 Mar

REPOSITORIES: biostudies-literature