Cost of treating sagittal synostosis in the first year of life

The Journal of Craniofacial Surgery
Megan M AbbottJohn G Meara

Abstract

Endoscopically assisted suturectomy (EAS) has been reported to reduce the morbidity and cost of treating sagittal synostosis when compared with traditional open cranial vault remodeling (CVR) procedures. Whereas the former claim is well substantiated and intuitive, the latter has not been validated by rigorous cost analysis. Patient medical records and financial database reports were culled retrospectively to determine the total cost associated with both EAS and CVR during 1 year of care. Recorded cost data included physician and hospital services, orthotic equipment and fittings, and indirect patient cost. Ten patients treated with CVR were compared with 10 patients who underwent EAS. The CVR patients incurred greater costs in nearly all categories studied, including overall 1-year costs, physician services, hospital services, supplies/equipment, medications/intravenous fluids, and laboratory and blood bank services. Postoperative costs were greater in the EAS group, primarily because of the cost associated with orthotic services and indirect patient costs for travel and lost work. However, overall indirect patient costs for the whole year did not differ between the groups. One-year median costs were $55,121 for CVR and $23,37...Continue Reading

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Citations

Mar 20, 2013·Clinics in Plastic Surgery·Melissa J Shauver, Kevin C Chung
Apr 15, 2014·Paediatric Anaesthesia·Petra M MeierThomas O Erb
Jun 15, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Hans Hendrik Karel DelyeErik Jan van Lindert
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Jan 9, 2015·The Journal of Craniofacial Surgery·Rahel G GhenbotAlbert S Woo
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Aug 28, 2021·Journal of Neurosurgery. Pediatrics·Dang Do Thanh CanJames M Johnston

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