PMID: 9166268May 1, 1997Paper

Comparison of cost affecting parameters and costs of the "closed" and "open" in situ bypass technique

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
L C van DijkC H Wittens

Abstract

The "closed" in situ bypass results in a reduction of wound complications compared to the "open" technique. This advantage is partly diminished by extra costs for the "closed" procedure and a larger percentage of residual arteriovenous (AV)-fistulae. This aim of this study was to analyse costs related to "closed" and "open" procedures. The cost affecting parameters: (1) duration of operation; (2) length of hospital stay; and (3) number of treated residual AV-fistulae, were analysed in a randomised group of 73 patients (35 "closed" and 38 "open") in two centres. In addition, costs of the operation, nursing care and treatment of AV-fistulae were analysed. The "closed" and "open" group showed a median duration of operation of 210 min (range 105-570) and 154 min (range 90-355) (p < 0.05), length of hospital stay of 16 days (range 5-51) and 25 days (range 12-65) (p < 0.01), and a percentage of patients treated for residual AV-fistulae of 40% and 5%, respectively (p < 0.01). The median "closed" operation was US$798 more expensive than the "open". Median postoperative care was US$2664 less for the "closed" group. Mean estimated costs for treatment of AV-fistulae was US$9 in the "open" and US$167 in the "closed" group. The "closed" in ...Continue Reading

References

Jun 1, 1988·European Journal of Vascular Surgery·S K GuptaM L Gliedman
Aug 1, 1995·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L C van DijkC H Wittens
Apr 1, 1994·Journal of Vascular Surgery·M G HuninkM C Donaldson
May 1, 1994·Journal of Vascular Surgery·D F CikritB Solooki
Mar 1, 1994·European Journal of Vascular Surgery·C H WittensH van Urk
May 1, 1997·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L C van DijkC H Wittens

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Citations

May 20, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nomdo S RenkenLukas C van Dijk
Aug 10, 2001·Journal of Vascular Surgery·J B OostenbrinkUNKNOWN Dutch Bypass Oral anticoagulants or Aspirin (BOA) Study Group
Oct 6, 2011·Journal of Vascular Surgery·James P MoriartyUNKNOWN Society for Vascular Surgery Committee on Comparative Effectiveness
May 15, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Linda TangRamon L Varcoe

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