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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 5/2019

Open Access 01-05-2019 | Esophagoscopy | Head & Neck

Cost analysis of office-based transnasal esophagoscopy

Authors: David J. Wellenstein, Jimmie Honings, Henrieke W. Schutte, Jasmijn M. Herruer, Frank J. A. van den Hoogen, Henri A. M. Marres, Robert P. Takes, Guido B. van den Broek

Published in: European Archives of Oto-Rhino-Laryngology | Issue 5/2019

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Abstract

Purpose

Although office-based transnasal esophagoscopy has been investigated extensively, a cost analysis is still lacking. We performed a cost analysis combined with feasibility study for two diagnostic processes: patients with globus pharyngeus and/or dysphagia, and hypopharyngeal carcinoma.

Methods

Prospective cohort study.

Results

Forty-one procedures were performed, of which 35 were fully completed. The procedure was well tolerated with mild complaints such as nasal or pharyngeal pain and burping. Four complications occurred: two minor epistaxis and two vasovagal reactions. In patients with globus pharyngeus and/or dysphagia, transnasal esophagoscopy resulted in a cost saving of €94.43 (p 0.026) per procedure, compared to our regular diagnostic process. In patients with suspicion of hypopharyngeal carcinoma, cost savings were €831.41 (p 0.000) per case.

Conclusions

Cost analysis showed that office-based transnasal esophagoscopy can provide significant cost savings for the current standard of care. Furthermore, this procedure resulted in good patient acceptability and few complications.
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Metadata
Title
Cost analysis of office-based transnasal esophagoscopy
Authors
David J. Wellenstein
Jimmie Honings
Henrieke W. Schutte
Jasmijn M. Herruer
Frank J. A. van den Hoogen
Henri A. M. Marres
Robert P. Takes
Guido B. van den Broek
Publication date
01-05-2019
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 5/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-019-05357-0

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