A fém- és muanyag stentek költséghatékonysága malignus epeúti szukületek esetében - Összehasonlító vizsgálat

Daróczi Tímea, Bor Renáta, Fábián Anna, Szabó Ella, Farkas Klaudia, Bálint Anita, Czakó László, Rutka Mariann, Szucs Mónika, Milassin Ágnes, Molnár Tamás, Szepes Zoltán

Research output: Article

1 Citation (Scopus)

Abstract

Introduction: Self-expandable metal and plastic stents can be applied in the palliative endoscopic treatment of patients with unresectable malignant biliary obstruction. The use of metal stentsis recommended if the patient's life expectancy is more than four months. Aim: To compare the therapeutic efficacy and cost-effectiveness of metal and plastic stents in the treatment of malignant biliary obstruction. Method: The authorsretrospectively enrolledpatients who received metal (37 patients) or plastic stent (37 patients). The complication rate, stent patency and cumulative cost of treatment were assessed in the two groups. Results: The complication rate of metal stents was lower (37.84% vs. 56.76%), but the stent patency was higher compared with plastic stents (19.11 vs. 8.29 weeks; p = 0.0041). In the plastic stent group the frequency of hospitalization of patients in context with stent complications (1.18 vs. 2.32; p = 0.05) and the necessity of reintervention for stent dysfunction (17 vs. 27; p = 0.033) were substantially higher. In this group multiple stent implantation raised the stent patency from 7.68 to 10.75 weeks. There was no difference in the total cost of treatment of malignant biliary obstruction between the two groups (p = 0.848). Conclusions: Considering the cost of treatment and the burden of patients the authors recommend self-expandable metal sten timplantation if the life expectancy of patients is more than two months. In short survival cases multiple plastic stent implantation is recommended.

Translated title of the contributionCost-effectiveness trial of self-expandable metal stents and plastic biliary stents in malignant biliary obstruction
Original languageHungarian
Pages (from-to)268-274
Number of pages7
JournalOrvosi hetilap
Volume157
Issue number7
DOIs
Publication statusPublished - febr. 2016

Keywords

  • Biliary obstruction
  • Biliary plastic stent
  • Endoscopic retrograde cholangiopancreatography
  • Pancreatic cancer
  • Self-expandable biliary metal stent

ASJC Scopus subject areas

  • Medicine(all)

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    Tímea, D., Renáta, B., Anna, F., Ella, S., Klaudia, F., Anita, B., László, C., Mariann, R., Mónika, S., Ágnes, M., Tamás, M., & Zoltán, S. (2016). A fém- és muanyag stentek költséghatékonysága malignus epeúti szukületek esetében - Összehasonlító vizsgálat. Orvosi hetilap, 157(7), 268-274. https://doi.org/10.1556/650.2016.30365