A micro-costing evaluation of lobectomy by thoracotomy versus thoracoscopy

Maud Charvin (), Hans Späth, Alain Bernard and Anne-Claire Bertaux
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Maud Charvin: CHU Dijon - Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand
Hans Späth: P2S - Parcours santé systémique - UCBL - Université Claude Bernard Lyon 1 - Université de Lyon
Alain Bernard: CHU Dijon - Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand
Anne-Claire Bertaux: CHU Dijon - Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand

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Abstract: Background: Two surgical strategies called video-assisted thoracoscopy surgery (VATS) and thoracotomy are used for lobectomy following lung cancer diagnosis. The aim of this study was to assess the total cost of each technique (thoracotomy and VATS) during hospitalization in France.Methods: A micro-costing methodology from the hospital perspective was implemented to assess the hospitalization costs, using direct observations, interviews, and data collection based on medical records in four hospitals. The average real cost of each technique was compared.Results: From the hospital perspective, VATS was more expensive than thoracotomy but the difference was not significant (€6,941.30 vs. €5,950.11).Conclusions: According to this micro-costing study, thoracotomy seems to be the less expensive technique for the hospital. Our data will be included in a cost-utility analysis to assess the medico-economic impact of the VATS strategy.

Keywords: Cost analysis lung cancer lobectomy thoracoscopy thoracotomy; Cost analysis; lung cancer; lobectomy; thoracoscopy; thoracotomy (search for similar items in EconPapers)
Date: 2019-04
Note: View the original document on HAL open archive server: https://hal.science/hal-04754388v1
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Published in Journal of Thoracic Disease, 2019, 11, pp.1233 - 1242. ⟨10.21037/jtd.2019.03.67⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04754388

DOI: 10.21037/jtd.2019.03.67

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