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A Population-Based Cost Analysis of Thoracoscopic Versus Open Lobectomy in Primary Lung Cancer
- Source :
- Annals of Surgical Oncology
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- Background Thoracoscopic lobectomy for primary lung cancer has become increasingly popular worldwide due to several advantages over open lobectomy including reduced pain, reduced length of hospital stay, and comparable oncologic outcomes. The costs of thoracoscopic versus conventional open lobectomy have been compared in several studies with variable results. We compared the costs of thoracoscopic versus open lobectomy in lung cancer patients in Taiwan. Methods Patients who underwent lobectomy for primary lung cancer from the Taiwan National Health Insurance Research Database (NHIRD) between 2004 and 2010 were identified. Patient characteristics, operative data, and costs for each part of the hospitalization for surgery and 30 days of care after discharge were analyzed. Results A total of 5366 patients with complete clinical data who underwent either conventional open lobectomy (n = 3166, 59 %) or thoracoscopic lobectomy (n = 2200, 41 %) for primary lung cancer were identified from the database. Compared with open lobectomy, thoracoscopic lobectomy was associated with younger age, less comorbidity, shorter anesthesia times, and reduced lengths of hospital stay. Total hospital costs, operative costs, and other costs were significantly higher in the thoracoscopic group. The 30-day after discharge costs were significantly lower in the thoracoscopic group. Conclusions Thoracoscopic lobectomy for primary lung cancer in Taiwan was associated with higher total hospital costs but lower 30 days after discharge costs than open lobectomy. These differences may have resulted from higher operative and instrument costs in the thoracoscopic group.
- Subjects :
- Male
medicine.medical_specialty
Lung Neoplasms
Databases, Factual
medicine.medical_treatment
Taiwan
Comorbidity
Adenocarcinoma
030204 cardiovascular system & hematology
03 medical and health sciences
Pneumonectomy
Postoperative Complications
0302 clinical medicine
Carcinoma
medicine
Humans
Thoracotomy
Hospital Costs
Thoracic Oncology
Lung cancer
Retrospective Studies
Thoracic Surgery, Video-Assisted
business.industry
Retrospective cohort study
Middle Aged
Prognosis
medicine.disease
Small Cell Lung Carcinoma
Surgery
Oncology
Cardiothoracic surgery
030220 oncology & carcinogenesis
Carcinoma, Squamous Cell
Carcinoma, Large Cell
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 15344681 and 10689265
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Annals of Surgical Oncology
- Accession number :
- edsair.doi.dedup.....4facad9113cc6d2d6ef2a24b26b60836