Cost Analysis of Endoscopic Mucosal Resection vs Surgery for Large Laterally Spreading Colorectal Lesions
Mahesh Jayanna, Nicholas G Burgess, Rajvinder Singh, Luke F Hourigan, Gregor J Brown, Simon A Zanati, Alan Moss, James Lim, Rebecca Sonson, Stephen J Williams, Michael J Bourke
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY | ELSEVIER SCIENCE INC | Published : 2016
BACKGROUND & AIMS: Large laterally spreading lesions (LSL) in the colon and rectum can be safely and effectively removed by endoscopic mucosal resection (EMR). However, many patients still undergo surgery. Endoscopic treatment may be more cost effective. We compared the costs of endoscopic versus surgical management of large LSL. METHODS: We performed a prospective, observational, multicenter study of consecutive patients referred to 1 of 7 academic hospitals in Australia for the management of large LSL (≥ 20 mm) from January 2010 to December 2013. We collected data on numbers of patients undergoing EMR, actual endoscopic management costs (index colonoscopy, hospital stay, adverse events, an..View full abstract
Dr Mahesh Jayanna is supported by a grant from the National Health and Medical Research Council of Australia. The Cancer Institute of New South Wales provided funding for a research nurse and data manager to assist with the administration of the study. There was no influence from the National Health and Medical Research Council or the Cancer Institute on study design or conduct, data collection and management, analysis, interpretation, preparation and review, or approval of the manuscript.