title: Costs and effects of tracheoesophageal speech compared with esophageal speech in laryngectomy patients.
abstract: The hospital costs and the effects on speech are compared for tracheoesophageal (TE) speech and esophageal (E) speech in laryngectomy patients. TE-speech is more intelligible and the rehabilitation is faster (four versus nine months), but it is more expensive for the hospital. E-speech needs more speech rehabilitation sessions (average of 23,422 BF/patient) than TE-speech (7,157 BF). TE-speech involves primary (6,192 BF) or secondary placement (25,357 BF), replacement (average of 19,443 BF/patient/year) and in about ten percent closure of the fistula (39,135 BF/patient) and switching over to E-speech. On the basis of these data the expected average costs per patient can be calculated. These are definitely higher for the TE-speech than for E-speech.
authors: Center for Health Services Research, K. U. Leuven, Belgium.
authors: K
authors: K
authors: Kesteloot
authors: I
authors: I
authors: Nolis
authors: J
authors: J
authors: Huygh
authors: P
authors: P
authors: Delaere
authors: L
authors: L
authors: Feenstra
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000191:economics / Q000534:rehabilitation*; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D013065:Speech Intelligibility; D013072:Speech, Esophageal / Q000379:methods*