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鼻竇內視鏡手術後一年內累積費用之分析

Analysis of One-Year Cumulative Expenses for Endoscopic Sinus Surgery

摘要


Objectives. The purpose of this study was to analyze the incurred cumulative expenses one year after endoscopic sinus surgery (ESS) in order to understand the expense structure of different chronic sinusitis severity groups. Methods. We prospectively enrolled 192 patients with chronic sinusitis who underwent ESS. Health care expenses during the first year following operation were retrieved. The patients were stratified according to disease severity by the Harvard Staging System. Results. The average total health care expense attributable to ESS was NT$40,829 in the first post-operative year and included the costs of admission NT$28,903.9 (70.8%), out-patient services NT$10,377.0 (25.4%), and readmission NT$1,548.1 (3.8%). The 1-year cumulative expenses were significantly different between different severity groups (p<0.05). Conclusions. The differences in cumulative expenses between chronic sinusitis groups following ESS were attributed to out-patient services after surgery rather than to the upfront admission expenses.

並列摘要


Objectives. The purpose of this study was to analyze the incurred cumulative expenses one year after endoscopic sinus surgery (ESS) in order to understand the expense structure of different chronic sinusitis severity groups. Methods. We prospectively enrolled 192 patients with chronic sinusitis who underwent ESS. Health care expenses during the first year following operation were retrieved. The patients were stratified according to disease severity by the Harvard Staging System. Results. The average total health care expense attributable to ESS was NT$40,829 in the first post-operative year and included the costs of admission NT$28,903.9 (70.8%), out-patient services NT$10,377.0 (25.4%), and readmission NT$1,548.1 (3.8%). The 1-year cumulative expenses were significantly different between different severity groups (p<0.05). Conclusions. The differences in cumulative expenses between chronic sinusitis groups following ESS were attributed to out-patient services after surgery rather than to the upfront admission expenses.

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