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Economic analysis of routine neuromonitoring of recurrent laryngeal nerve in total thyroidectomy / Álvaro Enrique Sanabria Quiroga
Título : Economic analysis of routine neuromonitoring of recurrent laryngeal nerve in total thyroidectomy Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, Fecha de publicación : 2015 Títulos uniformes : 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 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 Reserva
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