SciELO - Scientific Electronic Library Online

 
vol.35 número3Pet avoidance in allergy cases: Is it possible to implement it?Trypanosoma cruzi -infected Triatoma gerstaeckeri (Hemiptera: Reduviidae) from Nuevo León, México, and pathogenicity of the regional strain índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google

Compartilhar


Biomédica

versão impressa ISSN 0120-4157

Resumo

SANABRIA, Álvaro  e  RAMIREZ, Adonis. Economic analysis of routine neuromonitoring of recurrent laryngeal nerve in total thyroidectomy. Biomédica [online]. 2015, vol.35, n.3, pp.363-371. ISSN 0120-4157.  https://doi.org/10.7705/biomedica.v35i3.2371.

Introduction: Thyroidectomy is a common surgery. Routine searching of the recurrent laryngeal nerve is the most important strategy to avoid palsy. Neuromonitoring has been recommended to decrease recurrent laryngeal nerve palsy. Objective: To assess if neuromonitoring of recurrent laryngeal nerve during thyroidectomy is cost-effective in a developing country. Materials and methods: We designed a decision analysis to assess the cost-effectiveness of recurrent laryngeal nerve neuromonitoring. For probabilities, we used data from a meta-analysis. Utility was measured using preference values. We considered direct costs. We conducted a deterministic and a probabilistic analysis. Results: We did not find differences in utility between arms. The frequency of recurrent laryngeal nerve injury was 1% in the neuromonitor group and 1.6% for the standard group. Thyroidectomy without monitoring was the less expensive alternative. The incremental cost-effectiveness ratio was COP$ 9,112,065. Conclusion: Routine neuromonitoring in total thyroidectomy with low risk of recurrent laryngeal nerve injury is neither cost-useful nor cost-effective in the Colombian health system.

Palavras-chave : Thyroid gland; thyroidectomy; cost-benefit analysis; meta-analysis.

        · resumo em Espanhol     · texto em Inglês     · Inglês ( pdf )