COST-EFFECTIVENESS ANALYSIS OF LAPAROSCOPIC SURGERY VERSUS OPEN SURGERY IN RENAL CELL CARCINOMA AT INNER MONGOLIA MEDICAL UNIVERSITY SUBSIDIARY HOSPITAL IN INNER MONGOLIA, CHINA

Abstract

The purposes of this study are to calculate the treatment cost on the perspective of provider, to assess short outcome (complications avoided) and medium outcome (2 years disease free survival rate) as well as the cost - effectiveness of the surgical treatments for renal cell carcinoma. This study aims to compare the 30 patients of laparoscopic surgery with 30 patients of open surgery in Inner Mongolia Medical University Subsidiary Hospital in Inner Mongolia in China during 2010-2011，The data source is from the medical records and hospital cost accounting bills. The results showed that the cost of laparoscopic surgery is $ 1326.2 / person, the number of complications avoided patients are 24 out of 30 patients. Therefore, the average cost of each complications avoided is $55.25. Moreover, the cost of open surgery is $920.6 / person, the number of complications avoided patients are 26 out of 30 patients and the average cost of each complications avoided is $35.4. In conclusion, from the provider perspective's point of view and based on the limited available database, the effectiveness of open surgery seems to be better than the effectiveness of laparoscopic surgery. However, the interpretation of the study results should be with caution regarding the implementation of a surgical procedure to treat this disease further since this study employed only one hospital data base and a short period of time.