Endoscopic third ventriculostomy has no higher costs than ventriculoperitoneal shunt

Arquivos de Neuro-Psiquiatria

Benicio Oton De Lima¹  Riccardo Pratesi¹ 

关键词: hydrocephalus;    ventriculoperitoneal shunt;    neuroendoscopy;    cost analysis;    hidrocefalia;    derivação ventriculoperitoneal;    neuroendoscopia;    análise de custos;   

DOI  :  10.1590/0004-282X20140070

来源: SciELO

【 摘 要 】

Objective:To evaluate the cost of endoscopic third ventriculostomy (ETV) compared to ventriculoperitoneal shunt (VPS) in the treatment of hydrocephalus in children. Method:We studied 103 children with hydrocephalus, 52 of which were treated with ETV and 51 with VPS in a prospective cohort. Treatment costs were compared within the first year after surgery, including subsequent surgery or hospitalization. Results:Twenty (38.4%) of the 52 children treated with VPS needed another procedure due to shunt failure, compared to 11 (21.5%) of 51 children in the ETV group. The average costs per patient in the group treated with ETV was USD$ 2,177,66±517.73 compared to USD$ 2,890.68±2,835.02 for the VPS group. Conclusions:In this series there was no significant difference in costs between the ETV and VPS groups.

【 授权许可】

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