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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 11/2019

Open Access 01-11-2019 | Surgery on the Pharynx | Review Article

Office-based vs. operating room-performed laryngopharyngeal surgery: a review of cost differences

Authors: Anouk S. Schimberg, David J. Wellenstein, Eline M. van den Broek, Jimmie Honings, 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 11/2019

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Abstract

Purpose

Office-based transnasal flexible endoscopic surgery under topical anesthesia has recently been developed as an alternative for transoral laryngopharyngeal surgery under general anesthesia. The aim of this study was to evaluate differences in health care costs between the two surgical settings.

Methods

PubMed, EMBASE and Cochrane Library were searched for studies reporting on costs of laryngopharyngeal procedures that could either be performed in the office or operating room (i.e., laser surgery, biopsies, vocal fold injection, or hypopharyngeal or esophageal dilation). Quality assessment of the included references was performed.

Results

Of 2953 identified studies, 13 were included. Quality assessment revealed that methodology differed significantly among the included studies. All studies reported lower costs for procedures performed in the office compared to those performed in the operating room. The variation within reported hospital and physician charges was substantial.

Conclusion

Office-based laryngopharyngeal procedures under topical anesthesia result in lower costs compared to similar procedures performed under general anesthesia.
Appendix
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Metadata
Title
Office-based vs. operating room-performed laryngopharyngeal surgery: a review of cost differences
Authors
Anouk S. Schimberg
David J. Wellenstein
Eline M. van den Broek
Jimmie Honings
Frank J. A. van den Hoogen
Henri A. M. Marres
Robert P. Takes
Guido B. van den Broek
Publication date
01-11-2019
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 11/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-019-05617-z

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