Gut Liver.
2015 Mar;9(2):174-180. 10.5009/gnl13299.
Cost Comparison between Surgical Treatments and Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer in Korea
- Affiliations
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- 1National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
- 2Institute of Health and Environment, Seoul National University, Seoul, Korea.
- 3Center for Gastric Cancer, National Cancer Center, Goyang, Korea.
- 4Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
- 5College of Pharmacy, Kyungpook National University, Daegu, Korea.
- 6Department of Internal Medicine, Inje University Busan Paik Hospital, Busan, Korea. seolsymd@hanmail.net
- KMID: 2380761
- DOI: http://doi.org/10.5009/gnl13299
Abstract
- BACKGROUND/AIMS
This study was conducted to evaluate whether medical costs can be reduced using endoscopic submucosal dissection (ESD) instead of conventional surgeries in patients with early gastric cancer (EGC).
METHODS
Patients who underwent open gastrectomy (OG), laparoscopy-assisted gastrectomy (LAG), and ESD for EGC were recruited from three medical institutions in 2009. For macro-costing, the medical costs for each patient were derived from the expenses incurred during the patient's hospital stay and 1-year follow-up. The overall costs in micro-costing were determined by multiplying the unit cost with the resources used during the patients' hospitalization.
RESULTS
A total of 194 patients were included in this study. The hospital stay for ESD was 5 to 8 days and was significantly shorter than the 12-day hospital stay for OG or the 11- to 17-day stay for LAG. Using macro-costing, the average medical costs for ESD during the hospital stay ranged from 2.1 to 3.4 million Korean Won (KRW) per patient, and the medical costs for conventional surgeries were estimated to be between 5.1 million and 8.2 million KRW. There were no significant differences in the 1-year follow-up costs between ESD and conventional surgeries.
CONCLUSIONS
ESD patients had lower medical costs than those patients who had conventional surgeries for EGC with conservative indications.
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