The cost-effectiveness of 10 selected applications in minimally invasive therapy.
In this article, evidence of effectiveness and cost-effectiveness of the following procedures is reviewed: (1) laser treatment of bladder tumors; (2) extracorporeal shock-wave lithotripsy and percutaneous nephrolithotomy; (3) laparoscopic treatment of endometriosis; (4) laparoscopic removal of ovarian cysts; (5) laparoscopic cholecystectomy; (6) laparoscopic appendectomy; (7) catheter treatment of coronary artery disease; (8) palliation of colon cancer by endoscopic intervention; (9) treatment of upper gastrointestinal (UGI) bleeding by endoscopic intervention; and (10) arthroscopic knee surgery. Despite considerable potential to be effective and cost-effective, evidence is disappointingly limited in these cases. The lack of evidence hampers decision-making in this new field.
Banta
H D
HD
The Netherlands Organization for Applied Scientific Research (TNO), Leiden.
D015906:Angioplasty, Balloon, Coronary / Q000191:economics; D001026:Coronary Artery Bypass / Q000191:economics; D003362:Cost-Benefit Analysis / Q000706:statistics & numerical data; D004724:Endoscopy / Q000191:economics; D005060:Europe; D006291:Health Policy / Q000191:economics; D010535:Laparoscopy; D053685:Laser Therapy / Q000191:economics; D008096:Lithotripsy / Q000191:economics; D009403:Nephrostomy, Percutaneous / Q000191:economics; D013514:Surgical Procedures, Operative / Q000191:economics* / Q000639:trends; D013673:Technology Assessment, Biomedical / Q000191:economics*; D013812:Therapeutics / Q000191:economics* / Q000639:trends