OcrV1, PascalFrancis, Corpus, bibRecord, 000554

Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer

Identifieur interne : 000554 ( PascalFrancis/Corpus ); précédent : 000553; suivant : 000555

Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer

Auteurs : M. Janson ; I. Björholt ; P. Carlsson ; E. Haglind ; M. Henriksson ; E. Lindholm ; B. Anderberg

Source :

British journal of surgery [ 0007-1323 ] ; 2004.

RBID : Pascal:04-0200819

Descripteurs français

Pascal (Inist)
- Tumeur maligne, Essai clinique, Coût, Economie santé, Aspect économique, Coeliochirurgie, Côlon, Médecine, Chirurgie, Traitement.

English descriptors

KwdEn :
- Clinical trial, Colon, Costs, Economic aspect, Health economy, Laparoscopic surgery, Malignant tumor, Medicine, Surgery, Treatment.

Abstract

Background: There has been no randomized clinical trial of the costs of laparoscopic colonic resection (LCR) compared with those of open colonic resection (OCR) in the treatment of colonic cancer. Methods: A subset of Swedish patients included in the Colon Cancer Open Or Laparoscopic Resection (COLOR) trial was included in a prospective cost analysis; costs were calculated up to 12 weeks after surgery. All relevant costs to society were included. No effects of the procedures, such as quality of life or survival, were taken into account. Results: Two hundred and ten patients were included in the primary analysis, 98 of whom had LCR and 112 OCR. Total costs to society did not differ significantly between groups (difference in means for LCR versus OCR ?1846; P = 0.104). The cost of operation was significantly higher for LCR than for OCR (difference in means ?1171; P < 0.001), as was the cost of the first admission (difference in means ?1556; P = 0.015) and the total cost to the healthcare system (difference in means?2244; P = 0.018). Conclusion: Within 12 weeks of surgery for colonic cancer, there was no difference in total costs to society incurred by LCR and OCR. The LCR procedure, however, was more costly to the healthcare system.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0007-1323`
A02	`01`			`@0 BJSUAM`
A03		`1`		`@0 Br. j. surg.`
A05				`@2 91`
A06				`@2 4`
A08	`01`	`1`	`ENG`	`@1 Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer`
A11	`01`	`1`		`@1 JANSON (M.)`
A11	`02`	`1`		`@1 BJÖRHOLT (I.)`
A11	`03`	`1`		`@1 CARLSSON (P.)`
A11	`04`	`1`		`@1 HAGLIND (E.)`
A11	`05`	`1`		`@1 HENRIKSSON (M.)`
A11	`06`	`1`		`@1 LINDHOLM (E.)`
A11	`07`	`1`		`@1 ANDERBERG (B.)`
A14	`01`			`@1 Department of Surgery, Centre for Surgical Sciences, Karolinska Institutet at Huddinge University Hospital @2 Stockholm @3 USA @Z 1 aut. @Z 7 aut.`
A14	`02`			`@1 Department of Surgery, Institute of Surgical Sciences, Göteborg University, Sahlgrenska University Hospital @2 Göteborg @3 SWE @Z 2 aut. @Z 4 aut. @Z 6 aut.`
A14	`03`			`@1 Centre for Medical Technology Assessment, Linköping University @2 Linköping @3 SWE @Z 3 aut. @Z 5 aut.`
A20				`@1 409-417`
A21				`@1 2004`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 5039 @5 354000116604390050`
A44				`@0 0000 @1 © 2004 INIST-CNRS. All rights reserved.`
A45				`@0 26 ref.`
A47	`01`	`1`		`@0 04-0200819`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 British journal of surgery`
A66	`01`			`@0 GBR`
C01	`01`		`ENG`	@0 Background: There has been no randomized clinical trial of the costs of laparoscopic colonic resection (LCR) compared with those of open colonic resection (OCR) in the treatment of colonic cancer. Methods: A subset of Swedish patients included in the Colon Cancer Open Or Laparoscopic Resection (COLOR) trial was included in a prospective cost analysis; costs were calculated up to 12 weeks after surgery. All relevant costs to society were included. No effects of the procedures, such as quality of life or survival, were taken into account. Results: Two hundred and ten patients were included in the primary analysis, 98 of whom had LCR and 112 OCR. Total costs to society did not differ significantly between groups (difference in means for LCR versus OCR ?1846; P = 0.104). The cost of operation was significantly higher for LCR than for OCR (difference in means ?1171; P < 0.001), as was the cost of the first admission (difference in means ?1556; P = 0.015) and the total cost to the healthcare system (difference in means?2244; P = 0.018). Conclusion: Within 12 weeks of surgery for colonic cancer, there was no difference in total costs to society incurred by LCR and OCR. The LCR procedure, however, was more costly to the healthcare system.
C02	`01`	`X`		`@0 002B01`
C03	`01`	`X`	`FRE`	`@0 Tumeur maligne @5 01`
C03	`01`	`X`	`ENG`	`@0 Malignant tumor @5 01`
C03	`01`	`X`	`SPA`	`@0 Tumor maligno @5 01`
C03	`02`	`X`	`FRE`	`@0 Essai clinique @5 02`
C03	`02`	`X`	`ENG`	`@0 Clinical trial @5 02`
C03	`02`	`X`	`SPA`	`@0 Ensayo clínico @5 02`
C03	`03`	`X`	`FRE`	`@0 Coût @5 03`
C03	`03`	`X`	`ENG`	`@0 Costs @5 03`
C03	`03`	`X`	`SPA`	`@0 Coste @5 03`
C03	`04`	`X`	`FRE`	`@0 Economie santé @5 05`
C03	`04`	`X`	`ENG`	`@0 Health economy @5 05`
C03	`04`	`X`	`SPA`	`@0 Economía salud @5 05`
C03	`05`	`X`	`FRE`	`@0 Aspect économique @5 06`
C03	`05`	`X`	`ENG`	`@0 Economic aspect @5 06`
C03	`05`	`X`	`SPA`	`@0 Aspecto económico @5 06`
C03	`06`	`X`	`FRE`	`@0 Coeliochirurgie @5 08`
C03	`06`	`X`	`ENG`	`@0 Laparoscopic surgery @5 08`
C03	`06`	`X`	`SPA`	`@0 Cirugía laparoscopica @5 08`
C03	`07`	`X`	`FRE`	`@0 Côlon @5 09`
C03	`07`	`X`	`ENG`	`@0 Colon @5 09`
C03	`07`	`X`	`SPA`	`@0 Colón @5 09`
C03	`08`	`X`	`FRE`	`@0 Médecine @5 11`
C03	`08`	`X`	`ENG`	`@0 Medicine @5 11`
C03	`08`	`X`	`SPA`	`@0 Medicina @5 11`
C03	`09`	`X`	`FRE`	`@0 Chirurgie @5 12`
C03	`09`	`X`	`ENG`	`@0 Surgery @5 12`
C03	`09`	`X`	`SPA`	`@0 Cirugía @5 12`
C03	`10`	`X`	`FRE`	`@0 Traitement @5 25`
C03	`10`	`X`	`ENG`	`@0 Treatment @5 25`
C03	`10`	`X`	`SPA`	`@0 Tratamiento @5 25`
C07	`01`	`X`	`FRE`	`@0 Santé publique @5 37`
C07	`01`	`X`	`ENG`	`@0 Public health @5 37`
C07	`01`	`X`	`SPA`	`@0 Salud pública @5 37`
C07	`02`	`X`	`FRE`	`@0 Epidémiologie @5 38`
C07	`02`	`X`	`ENG`	`@0 Epidemiology @5 38`
C07	`02`	`X`	`SPA`	`@0 Epidemiología @5 38`
C07	`03`	`X`	`FRE`	`@0 Appareil digestif @5 39`
C07	`03`	`X`	`ENG`	`@0 Digestive system @5 39`
C07	`03`	`X`	`SPA`	`@0 Aparato digestivo @5 39`
C07	`04`	`X`	`FRE`	`@0 Intestin @5 40`
C07	`04`	`X`	`ENG`	`@0 Gut @5 40`
C07	`04`	`X`	`SPA`	`@0 Intestino @5 40`
N21				`@1 138`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 04-0200819 INIST
ET :	Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer
AU :	JANSON (M.); BJÖRHOLT (I.); CARLSSON (P.); HAGLIND (E.); HENRIKSSON (M.); LINDHOLM (E.); ANDERBERG (B.)
AF :	Department of Surgery, Centre for Surgical Sciences, Karolinska Institutet at Huddinge University Hospital/Stockholm/Etats-Unis (1 aut., 7 aut.); Department of Surgery, Institute of Surgical Sciences, Göteborg University, Sahlgrenska University Hospital/Göteborg/Suède (2 aut., 4 aut., 6 aut.); Centre for Medical Technology Assessment, Linköping University/Linköping/Suède (3 aut., 5 aut.)
DT :	Publication en série; Niveau analytique
SO :	British journal of surgery; ISSN 0007-1323; Coden BJSUAM; Royaume-Uni; Da. 2004; Vol. 91; No. 4; Pp. 409-417; Bibl. 26 ref.
LA :	Anglais
EA :	Background: There has been no randomized clinical trial of the costs of laparoscopic colonic resection (LCR) compared with those of open colonic resection (OCR) in the treatment of colonic cancer. Methods: A subset of Swedish patients included in the Colon Cancer Open Or Laparoscopic Resection (COLOR) trial was included in a prospective cost analysis; costs were calculated up to 12 weeks after surgery. All relevant costs to society were included. No effects of the procedures, such as quality of life or survival, were taken into account. Results: Two hundred and ten patients were included in the primary analysis, 98 of whom had LCR and 112 OCR. Total costs to society did not differ significantly between groups (difference in means for LCR versus OCR ?1846; P = 0.104). The cost of operation was significantly higher for LCR than for OCR (difference in means ?1171; P < 0.001), as was the cost of the first admission (difference in means ?1556; P = 0.015) and the total cost to the healthcare system (difference in means?2244; P = 0.018). Conclusion: Within 12 weeks of surgery for colonic cancer, there was no difference in total costs to society incurred by LCR and OCR. The LCR procedure, however, was more costly to the healthcare system.
CC :	002B01
FD :	Tumeur maligne; Essai clinique; Coût; Economie santé; Aspect économique; Coeliochirurgie; Côlon; Médecine; Chirurgie; Traitement
FG :	Santé publique; Epidémiologie; Appareil digestif; Intestin
ED :	Malignant tumor; Clinical trial; Costs; Health economy; Economic aspect; Laparoscopic surgery; Colon; Medicine; Surgery; Treatment
EG :	Public health; Epidemiology; Digestive system; Gut
SD :	Tumor maligno; Ensayo clínico; Coste; Economía salud; Aspecto económico; Cirugía laparoscopica; Colón; Medicina; Cirugía; Tratamiento
LO :	INIST-5039.354000116604390050
ID :	04-0200819

Links to Exploration step

Pascal:04-0200819

Le document en format XML

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<author><name sortKey="Anderberg, B" sort="Anderberg, B" uniqKey="Anderberg B" first="B." last="Anderberg">B. Anderberg</name>
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<author><name sortKey="Bjorholt, I" sort="Bjorholt, I" uniqKey="Bjorholt I" first="I." last="Björholt">I. Björholt</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical trial</term>
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<term>Laparoscopic surgery</term>
<term>Malignant tumor</term>
<term>Medicine</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Tumeur maligne</term>
<term>Essai clinique</term>
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<front><div type="abstract" xml:lang="en">Background: There has been no randomized clinical trial of the costs of laparoscopic colonic resection (LCR) compared with those of open colonic resection (OCR) in the treatment of colonic cancer. Methods: A subset of Swedish patients included in the Colon Cancer Open Or Laparoscopic Resection (COLOR) trial was included in a prospective cost analysis; costs were calculated up to 12 weeks after surgery. All relevant costs to society were included. No effects of the procedures, such as quality of life or survival, were taken into account. Results: Two hundred and ten patients were included in the primary analysis, 98 of whom had LCR and 112 OCR. Total costs to society did not differ significantly between groups (difference in means for LCR versus OCR ?1846; P = 0.104). The cost of operation was significantly higher for LCR than for OCR (difference in means ?1171; P < 0.001), as was the cost of the first admission (difference in means ?1556; P = 0.015) and the total cost to the healthcare system (difference in means?2244; P = 0.018). Conclusion: Within 12 weeks of surgery for colonic cancer, there was no difference in total costs to society incurred by LCR and OCR. The LCR procedure, however, was more costly to the healthcare system.</div>
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<fA14 i1="02"><s1>Department of Surgery, Institute of Surgical Sciences, Göteborg University, Sahlgrenska University Hospital</s1>
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<fC01 i1="01" l="ENG"><s0>Background: There has been no randomized clinical trial of the costs of laparoscopic colonic resection (LCR) compared with those of open colonic resection (OCR) in the treatment of colonic cancer. Methods: A subset of Swedish patients included in the Colon Cancer Open Or Laparoscopic Resection (COLOR) trial was included in a prospective cost analysis; costs were calculated up to 12 weeks after surgery. All relevant costs to society were included. No effects of the procedures, such as quality of life or survival, were taken into account. Results: Two hundred and ten patients were included in the primary analysis, 98 of whom had LCR and 112 OCR. Total costs to society did not differ significantly between groups (difference in means for LCR versus OCR ?1846; P = 0.104). The cost of operation was significantly higher for LCR than for OCR (difference in means ?1171; P < 0.001), as was the cost of the first admission (difference in means ?1556; P = 0.015) and the total cost to the healthcare system (difference in means?2244; P = 0.018). Conclusion: Within 12 weeks of surgery for colonic cancer, there was no difference in total costs to society incurred by LCR and OCR. The LCR procedure, however, was more costly to the healthcare system.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B01</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Tumeur maligne</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Malignant tumor</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Tumor maligno</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Essai clinique</s0>
<s5>02</s5>
</fC03>
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<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Ensayo clínico</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Coût</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Costs</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Coste</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Economie santé</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Health economy</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Economía salud</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Aspect économique</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Economic aspect</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Aspecto económico</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Coeliochirurgie</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Laparoscopic surgery</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Cirugía laparoscopica</s0>
<s5>08</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Côlon</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Colon</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Colón</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Médecine</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Medicine</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Medicina</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Chirurgie</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Surgery</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Cirugía</s0>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Traitement</s0>
<s5>25</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Treatment</s0>
<s5>25</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>25</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Santé publique</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Public health</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Salud pública</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Epidémiologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Epidemiology</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Epidemiología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Appareil digestif</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Digestive system</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Aparato digestivo</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Intestin</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Gut</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Intestino</s0>
<s5>40</s5>
</fC07>
<fN21><s1>138</s1>
</fN21>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 04-0200819 INIST</NO>
<ET>Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer</ET>
<AU>JANSON (M.); BJÖRHOLT (I.); CARLSSON (P.); HAGLIND (E.); HENRIKSSON (M.); LINDHOLM (E.); ANDERBERG (B.)</AU>
<AF>Department of Surgery, Centre for Surgical Sciences, Karolinska Institutet at Huddinge University Hospital/Stockholm/Etats-Unis (1 aut., 7 aut.); Department of Surgery, Institute of Surgical Sciences, Göteborg University, Sahlgrenska University Hospital/Göteborg/Suède (2 aut., 4 aut., 6 aut.); Centre for Medical Technology Assessment, Linköping University/Linköping/Suède (3 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>British journal of surgery; ISSN 0007-1323; Coden BJSUAM; Royaume-Uni; Da. 2004; Vol. 91; No. 4; Pp. 409-417; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<EA>Background: There has been no randomized clinical trial of the costs of laparoscopic colonic resection (LCR) compared with those of open colonic resection (OCR) in the treatment of colonic cancer. Methods: A subset of Swedish patients included in the Colon Cancer Open Or Laparoscopic Resection (COLOR) trial was included in a prospective cost analysis; costs were calculated up to 12 weeks after surgery. All relevant costs to society were included. No effects of the procedures, such as quality of life or survival, were taken into account. Results: Two hundred and ten patients were included in the primary analysis, 98 of whom had LCR and 112 OCR. Total costs to society did not differ significantly between groups (difference in means for LCR versus OCR ?1846; P = 0.104). The cost of operation was significantly higher for LCR than for OCR (difference in means ?1171; P < 0.001), as was the cost of the first admission (difference in means ?1556; P = 0.015) and the total cost to the healthcare system (difference in means?2244; P = 0.018). Conclusion: Within 12 weeks of surgery for colonic cancer, there was no difference in total costs to society incurred by LCR and OCR. The LCR procedure, however, was more costly to the healthcare system.</EA>
<CC>002B01</CC>
<FD>Tumeur maligne; Essai clinique; Coût; Economie santé; Aspect économique; Coeliochirurgie; Côlon; Médecine; Chirurgie; Traitement</FD>
<FG>Santé publique; Epidémiologie; Appareil digestif; Intestin</FG>
<ED>Malignant tumor; Clinical trial; Costs; Health economy; Economic aspect; Laparoscopic surgery; Colon; Medicine; Surgery; Treatment</ED>
<EG>Public health; Epidemiology; Digestive system; Gut</EG>
<SD>Tumor maligno; Ensayo clínico; Coste; Economía salud; Aspecto económico; Cirugía laparoscopica; Colón; Medicina; Cirugía; Tratamiento</SD>
<LO>INIST-5039.354000116604390050</LO>
<ID>04-0200819</ID>
</server>
</inist>
</record>

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Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer

Randomized clinical trial of the costs of open and laparoscopic surgery for colonic cancer

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