Health Care Costs and Cost-effectiveness in Laryngotracheal Stenosis.

ABSTRACT:

Objective

Laryngotracheal stenosis (LTS) is resource-intensive disease. The cost-effectiveness of LTS treatments has not been adequately explored. We aimed to conduct a cost-effectiveness analysis comparing open reconstruction (cricotracheal/tracheal resection [CTR/TR]) with endoscopic dilation in the treatment of LTS.

Study design

Retrospective cohort.

Setting

Tertiary referral center (2013-2017).

Subjects and methods

Thirty-four LTS patients were recruited. Annual costs were derived from the Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University. Cost-effectiveness analysis compared CTR/TR versus endoscopic dilation at a willingness-to-pay threshold of $50,000 per quality-adjusted life year (QALY) over 5- and 10-year time horizons. The i

SUBMITTER: Yin LX 

PROVIDER: S-EPMC6443425 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature