Cost of Endoscopic Submucosal Dissection Versus Endoscopic Piecemeal Mucosal Resection in the Colorectum

Background Few studies have compared the costs of colorectal endoscopic submucosal dissection (ESD) and endoscopic piecemeal mucosal resection (EPMR). Aims Here, we aimed to investigate the cost-effectiveness of these approaches by analyzing clinical outcomes and costs. Methods Data from patients un...

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Bibliographic Details
Published in:Digestive diseases and sciences 2020-04, Vol.65 (4), p.969-977
Main Authors: Ham, Nam Seok, Kim, Jeongseok, Oh, Eun Hye, Hwang, Sung Wook, Park, Sang Hyoung, Yang, Dong-Hoon, Ye, Byong Duk, Myung, Seung-Jae, Yang, Suk-Kyun, Byeon, Jeong-Sik
Format: Article
Language:English
Subjects:
Biochemistry
Cancer
Clinical outcomes
Colorectal cancer
Comparative analysis
Cost analysis
Economic aspects
Endoscopy
Gastroenterology
Hepatology
Medical colleges
Medicine
Medicine & Public Health
Oncology
Oncology, Experimental
Original Article
Surgery
Transplant Surgery
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Summary:Background Few studies have compared the costs of colorectal endoscopic submucosal dissection (ESD) and endoscopic piecemeal mucosal resection (EPMR). Aims Here, we aimed to investigate the cost-effectiveness of these approaches by analyzing clinical outcomes and costs. Methods Data from patients undergoing colorectal ESD and EPMR were retrospectively reviewed. Clinical outcomes (procedure time, complete resection, and recurrence) were compared, and total direct costs (procedural and follow-up) were assessed. Results Data from 429 ESD and 115 EPMR patients were included in the analysis. The complete resection rate was significantly higher (83.9% vs. 32.2%, p  
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-019-05822-0