Video-assisted thoracic surgery versus pleural drainage in the management of the first episode of primary spontaneous pneumothorax

American Journal of Surgery
D DivisiR Crisci

Abstract

The aim of the study was to analyze the cost-effectiveness outcomes of video-assisted thoracic surgery (VATS) in the treatment of primary spontaneous pneumothorax (PSP), comparing the minimally invasive procedure with pleural drainage (PD). Between July 2006 and October 2012, we treated 122 patients with a first episode of PSP by VATS (61 patients) or pleural drainage (61 patients). We established the relationship between costs and quality-adjusted life (QAL) for both techniques. The total cost per patient of minimally invasive procedure was more advantageous than that of chest tube (€2,422.96 vs €4,855.12). The QAL expectancy of VATS was longer than that of PD (57.00 vs 40.80 at 60 months). The QAL year of VATS (.32 at 1st year and .25 at 5th year) was better than that of PD. Incremental cost-effectiveness ratio of VATS versus PD was between €7,600.00 (1st year) and €10,045.00 (5th year), remaining well below the threshold of acceptability. VATS as the first-line treatment for PSP allowed low morbidity, short hospitalization, and excellent quality of life.

References

Mar 28, 1996·The New England Journal of Medicine·M A Testa, D C Simonson
Oct 9, 1996·JAMA : the Journal of the American Medical Association·L B RussellM C Weinstein
Aug 6, 2000·The New England Journal of Medicine·G Taylor
Jun 26, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G TorresiniR Crisci
Nov 7, 2003·The Annals of Thoracic Surgery·Marc MargolisE Pendleton Alexander
Jun 12, 2004·American Journal of Surgery·Takeshi MorimotoTsuguya Fukui
Mar 17, 2006·Archivos de bronconeumología·A Gómez-CaroJ L Martín de Nicolás
Jan 12, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sung Hyuk ChoiSung Woo Moon
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Shah Hwa ChouEing Long Kao
May 24, 2008·The Annals of Thoracic Surgery·Jin-Shing ChenYung-Chie Lee
Aug 28, 2010·Thorax·Andrew MacDuffUNKNOWN BTS Pleural Disease Guideline Group
Dec 1, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kasra ShaikhrezaiWilliam S Walker
Aug 4, 2011·Journal of Clinical Medicine Research·Cristiana SousaErnestina Reis
Nov 3, 2012·Interactive Cardiovascular and Thoracic Surgery·Hiroyuki KanedaYukihito Saito

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Citations

Jul 17, 2016·Thorax·Giuseppe CardilloNick A Maskell
Jul 23, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jean H T DaemenErik R de Loos

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