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- W1987395737 abstract "To compare the cost of minimally invasive video-assisted thyroidectomy (MIVAT) with conventional thyroidectomy.A cost-effectiveness study and chart review.Academic university hospital.Pediatric and adult patients referred to the Department of Otolaryngology-Head and Neck Surgery for suspicious thyroid nodules, goiters, or known carcinomas. A tertiary care hospital's billing department was queried for all hemithyroidectomies and total thyroidectomies completed by the Department of Otolaryngology-Head and Neck Surgery between January 5, 2006, and November 1, 2007. The charges, including surgery, hospital, pathology, and anesthesia, for minimally invasive video-assisted thyroidectomy (MIVAT) and traditional or minimally invasive open thyroidectomies meeting MIVAT inclusion criteria were then reviewed retrospectively and compared statistically.A total of 185 thyroidectomies were performed, 50.3 percent of which met criteria for MIVAT. Length of stay (days) was significantly shorter for patients undergoing MIVAT hemithyroidectomy (mean difference -0.8; 95% confidence interval [95% CI] -1.08 to -0.52) and not significantly different between groups for total thyroidectomy (mean difference 0.1; 95% CI -0.36 to 0.56). Mean anesthesia cost (U.S.$) was similar between groups for hemi- and total thyroidectomies. MIVAT mean pathology cost was significantly less than open thyroidectomy for hemithyroidectomy (mean difference -89.9; 95% CI -179.01 to -0.79) and approached significance for total thyroidectomy. There was no significant difference in hospital cost and total cost for hemithyroidectomy and total thyroidectomy.In a group of matched cohorts, the cost of MIVAT appears to be equal to that of open thyroidectomy." @default.
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- W1987395737 date "2010-12-01" @default.
- W1987395737 modified "2023-10-10" @default.
- W1987395737 title "Minimally invasive video‐assisted thyroidectomy versus conventional thyroidectomy: A cost‐effective analysis" @default.
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- W1987395737 doi "https://doi.org/10.1016/j.otohns.2010.08.002" @default.
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