Clinical and economic efficiency of the loop ileostomy closure by various methods
Abstract
in the context of optimizing the financial mechanisms of the national healthcare system, introducing the single-channel financial principle and further developing the insurance-based medicine in Russia, a competent financial accounting becomes an important element of the entire healthcare system.
Aim – compare the economic effectiveness of various methods of closing a loop ileostomy.
Materials and methods. The study included 327 patients randomized into 3 groups. in group 1, the closure of an ileostomy was performed manually with the formation of an end-to-end ileo-ileoastomosis; in group 2, the anastomosis was formed in the ”side by side” manner; and in group 3, a semi-automated surgical technique was used for the anastomosis formation.
Results. The average cost of the treatments (per patient) in groups 1 and 2 was 131,704.90 rubles. and 145,473.70 rubles, respectively, while in group 3, the cost was higher – 167,443,60 rubles (p <0,001). This cost increase in Group 3 was mainly due to the cost of a disposable stapler and cassettes.
Conclusion. The formation of a manual ileoileoanastomosis of the end-to-end type was less budget-consuming in comparison with the other methods. The semi-automated procedure based on disposable parts was the most expensive method of closing a loop ileostomy.
About the Authors
A. V. Veselov
State Scientific Centre of Coloproctology named after A. N. Ryzhih.
Russian Federation
Russian Federation
Veselov Aleksej Viktorovich – MD, PhD, Head of Management and development of Coloproctology Care Department.
2 Salyama Adilya Str., Moscow 123423.
S. I. Achkasov
State Scientific Centre of Coloproctology named after A. N. Ryzhih.
Russian Federation
Russian Federation
Achkasov Sergej Ivanovich – MD, Professor & Head, Department of Oncology and Colon Surgery.
2 Salyama Adilya Str., Moscow 123423.
O. I. Sushkov
State Scientific Centre of Coloproctology named after A. N. Ryzhih.
Russian Federation
Russian Federation
Sushkov Oleg Ivanovich – MD, PhD, Senior Researcher, Department of Oncology and Colon Surgery.
2 Salyama Adilya Str., Moscow 123423.
A. I. Moskalev
State Scientific Centre of Coloproctology named after A. N. Ryzhih.
Russian Federation
Russian Federation
Moskalev Aleksej Igorevich – MD, PhD, Head of the Department of Continuing Professional Education.
2 Salyama Adilya Str., Moscow 123423.
I. S. Lantsov
State Scientific Centre of Coloproctology named after A. N. Ryzhih.
Russian Federation
Russian Federation
Lantsov Ivan Sergeevich – Post-graduate Student, Department of Oncology and Colon Surger.
2 Salyama Adilya Str., Moscow 123423.
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For citation:
Veselov A.V., Achkasov S.I., Sushkov O.I., Moskalev A.I., Lantsov I.S. Clinical and economic efficiency of the loop ileostomy closure by various methods. PHARMACOECONOMICS. Modern pharmacoeconomics and pharmacoepidemiology. 2018;11(2):38-43. (In Russ.) https://doi.org/10.17749/2070-4909.2018.11.2.038-043
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