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Treatment of symptomatic cholelithiasis in France. A decision analysis comparing cholecystectomy and biliary lithotripsy.
- Source :
-
International journal of technology assessment in health care [Int J Technol Assess Health Care] 1992 Winter; Vol. 8 (1), pp. 166-84. - Publication Year :
- 1992
-
Abstract
- To determine the potential role of extracorporeal shock wave lithotripsy (ESWL) in the treatment of symptomatic gallstone patients in France, a simulation model evaluated the health and economic effects of three different treatment strategies. Decision analysis of conventional cholecystectomy alone and either of two strategies using a combination of biliary lithotripsy and conventional cholecystectomy reveals that a strategy employing biliary ESWL results in a significant number of successfully treated patients, thus avoiding the risks and costs of abdominal surgery. Moreover, cost analysis shows that expanding the use of lithotripsy to all patients for whom the procedure is indicated increases the average cost per successfully treated patient, but, more importantly, decreases the overall costs incurred by the cohort. From a societal viewpoint, a policy using biliary ESWL in appropriate patients is superior to one of cholecystectomy alone, from both clinical and economic perspectives.
- Subjects :
- Adolescent
Adult
Aged
Cholelithiasis economics
Costs and Cost Analysis
Decision Trees
Female
France
Humans
Male
Middle Aged
Outcome Assessment, Health Care
Recurrence
Sensitivity and Specificity
Cholecystectomy economics
Cholecystectomy methods
Cholelithiasis therapy
Decision Support Techniques
Lithotripsy economics
Technology Assessment, Biomedical methods
Subjects
Details
- Language :
- English
- ISSN :
- 0266-4623
- Volume :
- 8
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- International journal of technology assessment in health care
- Publication Type :
- Academic Journal
- Accession number :
- 1601586
- Full Text :
- https://doi.org/10.1017/s0266462300008023