The use and cost‐effectiveness of intraoperative navigation in pediatric sinus surgery

Objectives/Hypothesis There are consensus statements about when to use intraoperative navigation (IN) in adult sinus surgery. However, no corresponding guidelines exist for pediatrics. Our objectives included: 1) assess the demographic and operative factors associated with IN use and 2) calculate th...

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Bibliographic Details
Published in:The Laryngoscope 2020-12, Vol.130 (12), p.E742-E749
Main Authors: Govil, Nandini, Shaffer, Amber D., Stapleton, Amanda L.
Format: Article
Language:English
Subjects:
Child
Clinical practice guidelines
Cost-Benefit Analysis
Decision Trees
Female
Humans
Male
Operative Time
Otorhinolaryngologic Surgical Procedures - economics
Otorhinolaryngologic Surgical Procedures - methods
Outcomes/cost‐effectiveness
Paranasal Sinus Diseases - surgery
pediatric rhinology
pediatric sinus surgery
Pediatrics
Retrospective Studies
Rhinitis
rhinosinusitis
Sinuses
Sinusitis
Surgery
Surgery, Computer-Assisted - economics
Surgery, Computer-Assisted - methods
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Summary:Objectives/Hypothesis There are consensus statements about when to use intraoperative navigation (IN) in adult sinus surgery. However, no corresponding guidelines exist for pediatrics. Our objectives included: 1) assess the demographic and operative factors associated with IN use and 2) calculate the cost‐effectiveness of IN use. Study Design Retrospective chart review. Methods One hundred nineteen pediatric patients undergoing sinus surgery between 2003 and 2016 were reviewed. Demographic and surgical factors were collected from medical records. Costs associated with use of IN were gathered from billing records. Results Of the 119 patients, 60 underwent sinus surgery with navigation (wIN) and 59 underwent surgery without navigation (sIN). Children in the wIN group had more complex surgeries with more sinuses opened (P = .008). Individual attending surgeon and presence of trainee were associated with increased use of IN (P
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.28486