Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis

[EN] Background Colorectal anastomotic leakage causes severe consequences for patients and healthcare system as it will lead to increased consumption of hospital resources and costs. Technological improvements in anastomotic devices could reduce the incidence of leakage and its economic impact. The...

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Autores: Pla-Martí, V., Martín-Arévalo, J., Moro-Valdezate, D., García-Botello, S., Pérez-Santiago, L., Espí-Macías, A., Barrachina Martínez, Isabel|||0000-0003-3710-1190, González-De Julián, Silvia|||0000-0003-0274-6060, Vivas-Consuelo, David|||0000-0003-2945-7525
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Politècnica de València (UPV)
Repositorio:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
Idioma:inglés
OAI Identifier:oai:riunet.upv.es:10251/212967
Acceso en línea:https://riunet.upv.es/handle/10251/212967
Access Level:acceso abierto
Palabra clave:Colorectal anastomosis
Anastomotic leak
Echelon circular stapler
Powered circular stapler
Costefectiveness
ECONOMIA FINANCIERA Y CONTABILIDAD
ECONOMIA APLICADA
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spelling Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysisPla-Martí, V.Martín-Arévalo, J.Moro-Valdezate, D.García-Botello, S.Pérez-Santiago, L.Espí-Macías, A.Barrachina Martínez, Isabel|||0000-0003-3710-1190González-De Julián, Silvia|||0000-0003-0274-6060Vivas-Consuelo, David|||0000-0003-2945-7525Colorectal anastomosisAnastomotic leakEchelon circular staplerPowered circular staplerCostefectivenessECONOMIA FINANCIERA Y CONTABILIDADECONOMIA APLICADA[EN] Background Colorectal anastomotic leakage causes severe consequences for patients and healthcare system as it will lead to increased consumption of hospital resources and costs. Technological improvements in anastomotic devices could reduce the incidence of leakage and its economic impact. The aim of the present study was to assess if the use of a new powered circular stapler is cost-efective. Method This observational study included patients undergoing left-sided circular stapled colorectal anastomosis between January 2018 and December 2021. Propensity score matching was carried out to create two comparable groups depending on whether the anastomosis was performed using a manual or powered circular device. The rate of anastomotic leakage, its severity, the consumption of hospital resources, and its cost were the main outcome measures. A cost-efectiveness analysis comparing the powered circular stapler versus manual circular staplers was performed. Results A total of 330 patients were included in the study, 165 in each group. Anastomotic leakage rates were signifcantly diferent (p=0.012): 22 patients (13.3%) in the manual group versus 8 patients (4.8%) in the powered group. The efectiveness of the powered stapler and manual stapler was 98.27% and 93.69%, respectively. The average cost per patient in the powered group was €6238.38, compared with €9700.12 in the manual group. The incremental cost-efectiveness ratio was ¿€74,915.28 per patient without anastomotic complications. Conclusion The incremental cost of powered circular stapler compared with manual devices was ofset by the savings from lowered incidence and cost of management of anastomotic leaks.Open Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature.SpringerFacultad de Administración y Dirección de EmpresasDepartamento de Economía y Ciencias SocialesEscuela Técnica Superior de Ingeniería Aeroespacial y Diseño IndustrialCentro de Investigación de Ingeniería EconómicaRepositorio Institucional de la Universitat Politècnica de València Riunet20242024-07-02journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://riunet.upv.es/handle/10251/212967reponame:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valénciainstname:Universitat Politècnica de València (UPV)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Reconocimiento (by)http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:riunet.upv.es:10251/2129672026-06-13T07:49:27Z
dc.title.none.fl_str_mv Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis
title Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis
spellingShingle Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis
Pla-Martí, V.
Colorectal anastomosis
Anastomotic leak
Echelon circular stapler
Powered circular stapler
Costefectiveness
ECONOMIA FINANCIERA Y CONTABILIDAD
ECONOMIA APLICADA
title_short Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis
title_full Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis
title_fullStr Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis
title_full_unstemmed Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis
title_sort Incidence of anastomotic leakage using powered circular staplers versus manual circular staplers for left colorectal anastomosis: a cost-effectiveness analysis
dc.creator.none.fl_str_mv Pla-Martí, V.
Martín-Arévalo, J.
Moro-Valdezate, D.
García-Botello, S.
Pérez-Santiago, L.
Espí-Macías, A.
Barrachina Martínez, Isabel|||0000-0003-3710-1190
González-De Julián, Silvia|||0000-0003-0274-6060
Vivas-Consuelo, David|||0000-0003-2945-7525
author Pla-Martí, V.
author_facet Pla-Martí, V.
Martín-Arévalo, J.
Moro-Valdezate, D.
García-Botello, S.
Pérez-Santiago, L.
Espí-Macías, A.
Barrachina Martínez, Isabel|||0000-0003-3710-1190
González-De Julián, Silvia|||0000-0003-0274-6060
Vivas-Consuelo, David|||0000-0003-2945-7525
author_role author
author2 Martín-Arévalo, J.
Moro-Valdezate, D.
García-Botello, S.
Pérez-Santiago, L.
Espí-Macías, A.
Barrachina Martínez, Isabel|||0000-0003-3710-1190
González-De Julián, Silvia|||0000-0003-0274-6060
Vivas-Consuelo, David|||0000-0003-2945-7525
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Facultad de Administración y Dirección de Empresas
Departamento de Economía y Ciencias Sociales
Escuela Técnica Superior de Ingeniería Aeroespacial y Diseño Industrial
Centro de Investigación de Ingeniería Económica
Repositorio Institucional de la Universitat Politècnica de València Riunet
dc.subject.none.fl_str_mv Colorectal anastomosis
Anastomotic leak
Echelon circular stapler
Powered circular stapler
Costefectiveness
ECONOMIA FINANCIERA Y CONTABILIDAD
ECONOMIA APLICADA
topic Colorectal anastomosis
Anastomotic leak
Echelon circular stapler
Powered circular stapler
Costefectiveness
ECONOMIA FINANCIERA Y CONTABILIDAD
ECONOMIA APLICADA
description [EN] Background Colorectal anastomotic leakage causes severe consequences for patients and healthcare system as it will lead to increased consumption of hospital resources and costs. Technological improvements in anastomotic devices could reduce the incidence of leakage and its economic impact. The aim of the present study was to assess if the use of a new powered circular stapler is cost-efective. Method This observational study included patients undergoing left-sided circular stapled colorectal anastomosis between January 2018 and December 2021. Propensity score matching was carried out to create two comparable groups depending on whether the anastomosis was performed using a manual or powered circular device. The rate of anastomotic leakage, its severity, the consumption of hospital resources, and its cost were the main outcome measures. A cost-efectiveness analysis comparing the powered circular stapler versus manual circular staplers was performed. Results A total of 330 patients were included in the study, 165 in each group. Anastomotic leakage rates were signifcantly diferent (p=0.012): 22 patients (13.3%) in the manual group versus 8 patients (4.8%) in the powered group. The efectiveness of the powered stapler and manual stapler was 98.27% and 93.69%, respectively. The average cost per patient in the powered group was €6238.38, compared with €9700.12 in the manual group. The incremental cost-efectiveness ratio was ¿€74,915.28 per patient without anastomotic complications. Conclusion The incremental cost of powered circular stapler compared with manual devices was ofset by the savings from lowered incidence and cost of management of anastomotic leaks.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-07-02
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://riunet.upv.es/handle/10251/212967
url https://riunet.upv.es/handle/10251/212967
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Reconocimiento (by)
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Reconocimiento (by)
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
instname:Universitat Politècnica de València (UPV)
instname_str Universitat Politècnica de València (UPV)
reponame_str RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
collection RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
repository.name.fl_str_mv
repository.mail.fl_str_mv
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