1. Cost analysis of office-based transnasal esophagoscopy.
- Author
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Wellenstein, David J., Honings, Jimmie, Schutte, Henrieke W., Herruer, Jasmijn M., van den Hoogen, Frank J. A., Marres, Henri A. M., Takes, Robert P., and van den Broek, Guido B.
- Subjects
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COST analysis , *ESOPHAGOSCOPY , *DEGLUTITION disorders , *HEAD & neck cancer diagnosis - Abstract
Purpose: Although office-based transnasal esophagoscopy has been investigated extensively, a cost analysis is still lacking. We performed a cost analysis combined with feasibility study for two diagnostic processes: patients with globus pharyngeus and/or dysphagia, and hypopharyngeal carcinoma. Methods: Prospective cohort study. Results: Forty-one procedures were performed, of which 35 were fully completed. The procedure was well tolerated with mild complaints such as nasal or pharyngeal pain and burping. Four complications occurred: two minor epistaxis and two vasovagal reactions. In patients with globus pharyngeus and/or dysphagia, transnasal esophagoscopy resulted in a cost saving of €94.43 (p 0.026) per procedure, compared to our regular diagnostic process. In patients with suspicion of hypopharyngeal carcinoma, cost savings were €831.41 (p 0.000) per case. Conclusions: Cost analysis showed that office-based transnasal esophagoscopy can provide significant cost savings for the current standard of care. Furthermore, this procedure resulted in good patient acceptability and few complications. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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