Economic Evaluation of Laparoscopic Cholecystectomy Versus Open Cholecystectomy

Authors

  • Attasit Srisubat Institute of Medical Research and Technology Assessment, Department of Medical Services
  • Arunee Thaiyakul Institute of Medical Research and Technology Assessment, Department of Medical Services
  • Suthaluk Kwanjaroensub Institute of Medical Research and Technology Assessment, Department of Medical Services
  • Nattaya Sa-nga Institute of Medical Research and Technology Assessment, Department of Medical Services
  • Surawut Paiprarert Nopparat Rajathanee Hospital
  • Ratchamon Pinyoteppratarn Rajavithi Hospital
  • Ongaraj Wijinthanasan Lerdsin Hospital
  • Taweechai Wisanuyothin Maharat Nakhon Ratchasima Hospital
  • Phaiwit Sriphatphiriyakul Surat Thani Hospital
  • Phichai Phongmanjit Chiangrai Prachanukroh Hospital
  • Chaloemphon Boonmee Thabo Crown Prince Hospital
  • Wibun Phanthabordeekorn Phahonphonphayuhasena Hospital
  • Annop Wisetchu Phahonphonphayuhasena Hospital
  • Wiriya Kulapapuk Kamphaeng Phet Hospital
  • Yot Teerawattananon Health Intervention and Technology Assessment

Keywords:

Economic evaluation, Gall stone, Laparoscopic cholecystectomy, Open cholecystectomy, Cost-effectiveness

Abstract

Background: Laparoscopic cholecystectomy is a popular surgical procedure and more effective than open cholecystectomy. However, laparoscopic surgery is more expensive than open surgery. Objective: To assess the cost-effectiveness of laparoscopic cholecystectomy compared with open cholecystectomy in patients with gallstones. Method: A decision tree model was used for the cost-utility analysis from healthcare provider and societal perspective. The cost data of cholecystectomy were collected from 9 hospitals. The utility and other variables of both surgeries were collected from literature review. Results: The average cost of open cholecystectomy in healthcare provider and society perspective were 11,185.42 THB and 19,340.50 THB respectively, which was lower than of laparoscopic cholecystectomy at 21,011.14 THB in healthcare provider perspective and 23,963.60 THB in societal perspective. The cost differences between laparoscopic cholecystectomy and open cholecystectomy was 9,825.72 THB in healthcare provider perspective and 4,623.10 THB in society perspective. Based on literature review, the quality adjusted life year (QALY) of laparoscopic surgery was 0.894 and open surgery was 0.800. The incremental cost-effectiveness ratio (ICER) was 104,528.94 THB per QALY in healthcare provider perspective and 49,181.91 THB per QALY in societal perspective. Conclusion: Laparoscopic cholecystectomy was cost-effective because ICER was lower than the identified cost-effectiveness thresholds in Thailand 160,000 THB per QALY according to societal perspective.

References

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Published

27-03-2023

How to Cite

1.
Srisubat A, Thaiyakul A, Kwanjaroensub S, Sa-nga N, Paiprarert S, Pinyoteppratarn R, Wijinthanasan O, Wisanuyothin T, Sriphatphiriyakul P, Phongmanjit P, Boonmee C, Phanthabordeekorn W, Wisetchu A, Kulapapuk W, Teerawattananon Y. Economic Evaluation of Laparoscopic Cholecystectomy Versus Open Cholecystectomy. J DMS [Internet]. 2023 Mar. 27 [cited 2024 May 17];48(1):93-103. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/251955

Issue

Vol. 48 No. 1 (2023): January-March 2023

Section

Original Article

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Copyright (c) 2023 Department of Medical Services, Ministry of Public Health

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