Economic analysis of routine neuromonitoring of recurrent laryngeal nerve in total thyroidectomy [documento electrónico] / Álvaro Enrique Sanabria Quiroga,  . - 2015.
Obra : Biomédica

Idioma : Inglés (eng)

Palabras clave :	Thyroid gland  thyroidectomy  cost-benefit analysis  meta-analysis
Resumen :	Introduction: Thyroidectomy is a common surgery. Routine searching of the recurrent laryngeal nerve is the most important strategy to avoid palsy. Neuromonitoring has been recommended to decrease recurrent laryngeal nerve palsy. Objective: To assess if neuromonitoring of recurrent laryngeal nerve during thyroidectomy is cost-effective in a developing country. Materials and methods: We designed a decision analysis to assess the cost-effectiveness of recurrent laryngeal nerve neuromonitoring. For probabilities, we used data from a meta-analysis. Utility was measured using preference values. We considered direct costs. We conducted a deterministic and a probabilistic analysis. Results: We did not find differences in utility between arms. The frequency of recurrent laryngeal nerve injury was 1% in the neuromonitor group and 1.6% for the standard group. Thyroidectomy without monitoring was the less expensive alternative. The incremental cost-effectiveness ratio was COP$ 9,112,065. Conclusion: Routine neuromonitoring in total thyroidectomy with low risk of recurrent laryngeal nerve injury is neither cost-useful nor cost-effective in the Colombian health system.
Mención de responsabilidad :	Álvaro Sanabria, Adonis Ramírez
Referencia :	Biomedica. 2015 Jul-Sep;35(3):363-71.
DOI (Digital Object Identifier) :	10.7705/biomedica.v35i3.2371
PMID :	26849698
En línea :	https://www.revistabiomedica.org/index.php/biomedica/article/view/2371
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3929