Health Economic Evaluation of Laparoscopic Cholecystectomy in Day Surgery: A Case Study From a No-Smoking Hospital in China

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Yang Liu, Ting Cai, Ling Liu, Hong-Sheng Ma, Hui Ye, Nan-Sheng Cheng

Abstract

Health economic evaluation of day surgery is helpful for patients and hospitals to choose reasonable surgery modes.By taking laparoscopic cholecystectomy (LC) in a no-smoking hospital, the top 2 hospital in China (West China hospital), as a case, this paper conducted a health economic evaluation of day surgery mode of no-smoking environment in China. The clinical data of patients undergoing LC with benign gallbladder diseases was collected in the case hospital, in which 838 patients were included in the day surgery group and 1,620 patients were included in the control group. Results showed that there was no statistically significant difference between the two groups in terms of gender and discharge approaches (p> 0.05). The age, hospitalization expenses, and LOS in the day surgery group were significantly lower than those in the control groupatp< 0.05. The cost-effectiveness ratiosof the day surgery group and the control group were 8,046.40 and 29,558.25, respectively.The day surgery mode for LC is more cost-effective than inpatient surgery mode, andday surgery is recommended for LC patients who meet the indications of day surgery in China.

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