What is the cost of endoscopic submucosal dissection (ESD)? A medico-economic study.

ABSTRACT:

Introduction

Endoscopic submucosal dissection (ESD) is the gold-standard treatment for superficial lesions of the digestive tract. No medico-economic study has been conducted in Europe.

Material and methods

A monocentric study was conducted including all patients undergoing ESD between January 2015 and December 2017. The global cost of hospital stays was measured by microcosting, and revenue was based on the diagnosis-related group (DRG) system. The primary objective was to assess the cost/revenue balance. A medico-economic comparison with surgery was performed as a secondary outcome.

Results

A total of 193 patients were prospectively included. The cost per procedure was €3463.79, subtracted from a €2726.84 revenue, with a deficit of -€736.96 per stay. Presence of com

SUBMITTER: Dahan M 

PROVIDER: S-EPMC6374836 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature