Linked Life Data

2039296

Source:http://linkedlifedata.com/resource/pubmed/id/2039296

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1991-7-3
pubmed:abstractText
Gallstone lithotripsy (LITHO) was performed on 52 patients who underwent 107 procedures. Two hundred sixty-seven gallstone patients were screened and 215 (81%) were excluded. Excessive stone burden and nonvisualization by oral cholecystogram (OCG) were the most common reasons for exclusion. The hospital course of 100 excluded patients who later underwent elective cholecystectomy was evaluated for length of hospital stay (2.3 days) and total cost of treatment ($3685.00). Successful fragmentation to less than 5 mm was achieved in 43 LITHO patients (83%). Five LITHO patients (10%) required conversion to operative management. Complications of LITHO included acute cholecystitis (1 of 52 patients) and biliary colic (17 of 52 patients, or 33%). Multiple procedures in one patient were common. Costs for LITHO were calculated in two ways: first the individual cost for each of the 52 candidates; second the cost for successful LITHO was calculated by excluding five patients who required operation as well as five patients (10%) who are predicted failures of LITHO. Including the preoperative evaluation, treatment, recovery room, and follow-up, the individual LITHO cost for 52 patients was $8275.00. If the same total expenditure is calculated after excluding patients who required operation and those predicted to fail, the cost per 'successful' LITHO procedure was $10,245. The cost of 1 year of bile acid therapy is $1949.00 or $2413.00 per 'successful' procedure. Follow-up costs were $1232.00 per patient or $1525.00 per 'successful' procedure. The added LITHO cost incurred by screening eventual noncandidates was $904.00 per successful procedure. The sum of these individual costs was $15,087.00 per success, as compared to $3685.00 for cholecystectomy. No allowance was made for cost of stone recurrence. Lithotripsy costs appear to be sufficiently high to render the procedure unlikely to emerge as the treatment of choice.
pubmed:grant
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-10148919, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2215608, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2294845, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2295394, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2346372, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2598767, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2663386, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2672837, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2684058, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2744359, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2792659, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-2897567, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-3340116, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-3421753, http://linkedlifedata.com/resource/pubmed/commentcorrection/2039296-3533701
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0003-4932
pubmed:author
pubmed:issnType
Print
pubmed:volume
213
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
645-9; discussion 649-50
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1991
pubmed:articleTitle
The economic burden of gallstone lithotripsy. Will cost determine its fate?
pubmed:affiliation
Department of Surgery, University of Texas Medical Branch, Galveston 77550.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, U.S. Gov't, P.H.S.