1. Cost analysis of office-based transnasal esophagoscopy.
- Author
-
Wellenstein DJ, Honings J, Schutte HW, Herruer JM, van den Hoogen FJA, Marres HAM, Takes RP, and van den Broek GB
- Subjects
- Adult, Aged, Aged, 80 and over, Ambulatory Care methods, Cost Savings statistics & numerical data, Deglutition Disorders etiology, Esophagoscopy economics, Feasibility Studies, Female, Humans, Male, Middle Aged, Netherlands, Nose, Prospective Studies, Ambulatory Care economics, Cost-Benefit Analysis, Deglutition Disorders diagnostic imaging, Esophagoscopy methods, Health Care Costs statistics & numerical data, Hypopharyngeal Neoplasms diagnostic imaging, Pharyngeal Diseases diagnostic imaging
- 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.
- Published
- 2019
- Full Text
- View/download PDF