PMID: 9527115Apr 4, 1998Paper

Economic implications of chronic sinusitis

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
R E Gliklich, R Metson

Abstract

An approach to cost analysis useful in understanding the economic implications of surgical intervention on chronic sinusitis is break-even time analysis. The break-even time is the time until cost savings associated with improved health status after surgery equal the up-front costs of the operation itself. Data from 100 consecutive patients undergoing sinus operation were obtained by survey before surgery and at quarterly intervals for 1 year with statistically validated outcome measures (Medical Outcome Study Short Form 36-Item Health Survey, Chronic Sinusitis Survey). Direct and indirect costs were obtained or derived for this cohort. The cost of sinus medications, including over-the-counter remedies, nasal steroid sprays, and antibiotics, averaged $1220 per patient per year before surgery and $629 after surgery (p < 0.0001), which is a 48% reduction. Surgical costs averaged $6490 per patient. Economic modeling predicted a break-even time of approximately 7 years assuming a 3% surgical revision rate per year, a 3% decrease in sickness-related disability, and a 5% discount rate. The model was sensitive to changes in the total cost of operation, the surgical revision rate, and the anticipated disability benefit. We conclude tha...Continue Reading

References

Jul 1, 1995·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R E Gliklich, R Metson
Jul 1, 1997·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R E Gliklich, R Metson

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Dec 6, 2011·HNO·B A StuckUNKNOWN German Society of Otorhinolaryngology, Head and Neck Surgery
Jan 17, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Pa-Chun WangChih-Jaan Tai
Sep 1, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Wendy M SmithClaire Murphy
Apr 27, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Roberto CastanoMartin Desrosiers
Apr 3, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J D Osguthorpe
Jan 30, 2003·Journal of Occupational and Environmental Medicine·Herbert RiechelmannTom Deutschle
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael P PlattKonstantina M Stankovic
Feb 20, 2016·International Forum of Allergy & Rhinology·Richard R OrlandiDavid W Kennedy
Jun 15, 2011·International Forum of Allergy & Rhinology·Naveen D BhandarkarTimothy L Smith
Mar 19, 2016·International Forum of Allergy & Rhinology·George A ScangasRalph Metson
Oct 22, 2003·Otolaryngologic Clinics of North America·Samuel P GubbelsPeter H Hwang
Feb 3, 2015·The Laryngoscope·Kristine A SmithLuke Rudmik
Apr 14, 2015·International Forum of Allergy & Rhinology·Patricia L PurcellGreg E Davis
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Oct 2, 2012·The Journal of Allergy and Clinical Immunology·Philippe GevaertClaus Bachert
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Jun 18, 2009·Current Opinion in Allergy and Clinical Immunology·Michael PlattKonstantina Stankovic
Aug 25, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Christopher D BrookRalph B Metson
Jun 3, 2006·The Annals of Otology, Rhinology, and Laryngology·Keiji FujiharaNoboru Yamanaka
Nov 27, 2002·The Annals of Otology, Rhinology, and Laryngology·Neil Bhattacharyya, Lynn J Kepnes
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Jan 14, 2017·International Forum of Allergy & Rhinology·Vijay R RamakrishnanTimothy L Smith
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May 5, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·E J Kezirian, B Yueh
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Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Neil BhattacharyyaMelissa Martinson
Sep 6, 2017·International Forum of Allergy & Rhinology·George A ScangasRalph Metson
Nov 7, 2017·The Laryngoscope·Tam RamseyAdam J Folbe
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Mar 17, 2021·Expert Opinion on Biological Therapy·Wytske FokkensSietze Reitsma

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