scholarly journals Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness

2016 ◽  
Vol 11 (1) ◽  
Author(s):  
Antonio Biondi ◽  
Carla Di Stefano ◽  
Francesco Ferrara ◽  
Angelo Bellia ◽  
Marco Vacante ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cost Effectiveness ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Open Appendectomy ◽  
Laparoscopic Versus Open Appendectomy

scholarly journals How effective and cost-effective is water fluoridation for adults? Protocol for a 10-year retrospective cohort study

BDJ Open ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Deborah Moore ◽  
Thomas Allen ◽  
Stephen Birch ◽  
Martin Tickle ◽  
Tanya Walsh ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cost Effectiveness ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Dental Treatment ◽  
Age Groups ◽  
Cost Effective ◽  
Tooth Decay ◽  
Service Utilisation ◽  
Water Fluoridation

Abstract Background Tooth decay can cause pain, sleepless nights and loss of productive workdays. Fluoridation of drinking water was identified in the 1940s as a cost-effective method of prevention. In the mid-1970s, fluoride toothpastes became widely available. Since then, in high-income countries the prevalence of tooth decay in children has reduced whilst natural tooth retention in older age groups has increased. Most water fluoridation research was carried out before these dramatic changes in fluoride availability and oral health. Furthermore, there is a paucity of evidence in adults. The aim of this study is to assess the clinical and cost-effectiveness of water fluoridation in preventing invasive dental treatment in adults and adolescents aged over 12. Methods/design Retrospective cohort study using 10 years of routinely available dental treatment data. Individuals exposed to water fluoridation will be identified by sampled water fluoride concentration linked to place of residence. Outcomes will be based on the number of invasive dental treatments received per participant (fillings, extractions, root canal treatments). A generalised linear model with clustering by local authority area will be used for analysis. The model will include area level propensity scores and individual-level covariates. The economic evaluation will focus on (1) cost-effectiveness as assessed by the water fluoridation mean cost per invasive treatment avoided and (2) a return on investment from the public sector perspective, capturing the change in cost of dental service utilisation resulting from investment in water fluoridation. Discussions There is a well-recognised need for contemporary evidence regarding the effectiveness and cost-effectiveness of water fluoridation, particularly for adults. The absence of such evidence for all age groups may lead to an underestimation of the potential benefits of a population-wide, rather than targeted, fluoride delivery programme. This study will utilise a pragmatic design to address the information needs of policy makers in a timely manner.

Relative effectiveness and cost-effectiveness of the midwifery-led care in Nova Scotia, Canada: A retrospective, cohort study

Midwifery ◽  
2019 ◽  
Vol 77 ◽  
pp. 144-154 ◽  
Author(s):  
Prosper S. Koto ◽  
John Fahey ◽  
Daniela Meier ◽  
Michelle LeDrew ◽  
Sally Loring
Keyword(s):  
Cohort Study ◽  
Cost Effectiveness ◽  
Nova Scotia ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Relative Effectiveness

scholarly journals Feasibility and cost effectiveness of ambulatory laparoscopic cholecystectomy. A retrospective cohort study

2020 ◽  
Vol 55 ◽  
pp. 56-61
Author(s):  
Tommaso Maria Manzia ◽  
Claudia Quaranta ◽  
Vincenzino Filingeri ◽  
Luca Toti ◽  
Alessandro Anselmo ◽  
...  
Keyword(s):  
Cohort Study ◽  
Laparoscopic Cholecystectomy ◽  
Cost Effectiveness ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort

scholarly journals Day case versus inpatient total shoulder arthroplasty: A retrospective cohort study and cost-effectiveness analysis

2020 ◽  
Author(s):  
Aditya Borakati ◽  
Asad Ali ◽  
Chetana Nagaraj ◽  
Srinivas Gadikoppula ◽  
Michael Kurer
Keyword(s):  
Cohort Study ◽  
Cost Effectiveness ◽  
Adverse Events ◽  
Retrospective Cohort Study ◽  
Shoulder Arthroplasty ◽  
Retrospective Cohort ◽  
Total Shoulder Arthroplasty ◽  
Mean Difference ◽  
Day Case ◽  
Significant Cost

AbstractBackgroundDay case total shoulder arthroplasty (TSA) is a novel approach, not widely practiced in Europe. We conducted a retrospective cohort study of patients comparing elective day case and inpatient TSAs in our UK centre.AimTo evaluate the efficacy and cost-effectiveness of day case total shoulder arthroplasty (TSA) compared to standard inpatient total shoulder arthroplasty.MethodsAll patients undergoing TSA between January 2017 and July 2018 were included. Outcome measures were: change in abduction and extension 3 months postoperatively; 30 day postoperative adverse events and re-admissions in day case and inpatient groups. We also conducted an economic evaluation of outpatient arthroplasty. Multivariate linear and logistic regression were used to adjust for demographic and operative covariates.Results59 patients were included, 18 day cases and 41 inpatients. There were no adverse events or re-admissions at 30 days postoperatively in either group. There were no significant differences in adjusted flexion (mean difference 16.4°; 95% CI -17.6° to 50.5°, p=0.337) or abduction (mean difference 13.2° 95% CI; -18.4° to 44.9°, p=0.405) postoperatively between groups. Median savings with outpatient arthroplasty were GBP 529 (IQR 247.33 to 789, p<0.0001).ConclusionDay case TSA is a safe, effective procedure, with significant cost benefit. Wider use may be warranted in the UK and beyond, with potential for significant cost savings and improved efficiency.Core tipIn this article we show that day case total shoulder arthroplasty is a feasible, safe and effective alternative to inpatient admission for the same procedure, with an associated average cost saving of GBP 529.

Sign in / Sign up

Export Citation Format

Share Document