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February 2, 2004British journal of surgeryOpen Access

Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer

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Authors

MJMartin JansonKarolinska InstitutetIBIngela BjörholtSahlgrenska University HospitalPCPer CarlssonLund University

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Implication

Randomized trial reveals higher hospital expenses but similar societal costs for laparoscopic versus open resection in colonic cancer, indicating economic trade-offs in surgical selection.

Key Points

  • To compare the societal and healthcare system costs of laparoscopic colonic resection versus open colonic resection for colonic cancer up to 12 weeks postoperatively.
  • Prospective cost analysis nested within a Swedish patient subset of the randomized multicenter COLOR trial (N=210).
  • Patients underwent either laparoscopic colonic resection (n=98) or open colonic resection (n=112).
  • Calculated total direct healthcare expenses and broader societal costs through 12 weeks after surgery, excluding quality-of-life and survival outcomes.
  • Total societal costs did not differ significantly between laparoscopic and open surgery (difference in means: €1846; P = 0.104).
  • Laparoscopic surgery incurred significantly higher operative costs (mean difference: €1171; P < 0.001) and initial admission costs (mean difference: €1556; P = 0.015).
  • Total healthcare system costs were significantly higher for laparoscopic colonic resection than for open resection (mean difference: €2244; P = 0.018).

Cite This Study

Janson et al. (2004) studied this question.

synapsesocial.com/papers/6a75b151d17bc701ee1618e1https://doi.org/10.1002/bjs.4469
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