Routine operative cholangiography or pre-operative infusion cholangiography at elective cholecystectomy--a cost-effectiveness analysis.
Previous data from our surgical department suggests that routine operative cholangiography (strategy I) can be replaced by a combination of pre-operative intravenous infusion cholangiography and selective operative cholangiography (strategy II). The general clinical results with the two strategies were similar during a follow-up period of one year. The present study compares the costs for the two strategies through cost-effectiveness analysis. The calculated average total hospital costs with the two strategies did not differ significantly. The costs obtained were SEK 9,150 for strategy I and SEK 9,430 for strategy II. These findings support the opinion that strategy II is approximately as cost-effective as strategy I in the management of patients subjected to cholecystectomy.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002758:Cholangiography / Q000191:economics*; D002763:Cholecystectomy / Q000191:economics*; D003135:Common Bile Duct / Q000601:surgery; D003362:Cost-Benefit Analysis; D005260:Female; D042882:Gallstones / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care / Q000191:economics; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care / Q000191:economics; D013548:Sweden