1. Cost-effectiveness analysis of different anesthesia strategies for transperineal MRI/US fusion prostate biopsy
- Author
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Di Jin, Xiao-Qi Kong, Ya-Juan Zhu, Zong-Xin Chen, Xi-Ming Wang, Cai-Hua Xu, Jin-Xian Pu, Jian-Quan Hou, Yu-Hua Huang, Fu-Hai Ji, and Chen Huang
- Subjects
anesthesia strategy ,cost-effectiveness analysis ,economic evaluation ,prostate biopsy ,prostate cancer ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
This study aims to conduct a cost-effectiveness analysis of three different anesthesia strategies, namely chatting while under local anesthesia (Chat-LA), total intravenous anesthesia (TIVA), and general anesthesia with laryngeal mask airway (GA-LMA), employed in transperineal magnetic resonance imaging (MRI)/ultrasound (US) fusion prostate biopsy (TP-MUF-PB). A retrospective study was conducted involving 1202 patients who underwent TP-MUF-PB from June 2016 to April 2023 at The First Affiliated Hospital of Soochow University (Suzhou, China). Clinical data and outcomes, including total costs, complications, and quality-adjusted life years (QALYs), were compared. Probability sensitivity and subgroup analyses were also performed. Chat-LA was found to be the most cost-effective option, outperforming both TIVA and GA-LMA. However, subgroup analyses revealed that in younger patients (under 65 years old) and those with smaller prostate volumes (
- Published
- 2024
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