Costs of sialendoscopy and impact on health-related quality of life

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http://hdl.handle.net/10138/298911

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Jokela , J , Saarinen , R , Mäkitie , A , Sintonen , H & Roine , R 2019 , ' Costs of sialendoscopy and impact on health-related quality of life ' European Archives of Oto-Rhino-Laryngology , vol. 276 , no. 1 , pp. 233-241 . https://doi.org/10.1007/s00405-018-5196-9

Title: Costs of sialendoscopy and impact on health-related quality of life
Author: Jokela, Johanna; Saarinen, Riitta; Mäkitie, Antti; Sintonen, Harri; Roine, Risto
Contributor: University of Helsinki, Department of Ophthalmology and Otorhinolaryngology
University of Helsinki, Department of Ophthalmology and Otorhinolaryngology
University of Helsinki, Clinicum
University of Helsinki, University of Helsinki
Date: 2019-01
Number of pages: 9
Belongs to series: European Archives of Oto-Rhino-Laryngology
ISSN: 0937-4477
URI: http://hdl.handle.net/10138/298911
Abstract: PurposeTo analyse costs related to the diagnosis and treatment of patients with sialolithiasis and sialadenitis managed with sialendoscopy, and to prospectively evaluate the impact of sialendoscopy on health-related quality of life (HRQoL) in a longitudinal follow-up study.MethodsAll patients undergoing sialendoscopy or sialendoscopy-assisted surgery at a tertiary care university hospital between January 2014 and May 2016 were identified from a surgical database, and the direct hospital costs were retrospectively evaluated from 1year before to 1year after the sialendoscopy. The 15D HRQoL questionnaire and a questionnaire exploring the use of health care services during the preceding 3months were mailed to the patients before sialendoscopy as well as at 3 and 12months after the operation.ResultsA total of 260 patients were identified. Mean total hospital costs, costs related to the sialendoscopy, and complications were significantly higher in sialolithiasis patients than in patients with other diagnoses. 74 patients returned the baseline 15D questionnaire, and 51 patients all three 15D questionnaires. At baseline, the dimensions discomfort and symptoms and distress were lower in patients than in age- and gender-standardised general population, but the total 15D score did not differ significantly. The dimension discomfort and symptoms improved significantly at 3 and 12months postoperatively, and the mean total HRQoL score improved in patients with sialolithiasis at 3months postoperatively.ConclusionsThe costs related to sialendoscopy are substantial and the cost-effectiveness of sialendoscopy warrants further studies. However, sialendoscopy seems to reduce patients' discomfort and ailments and to improve HRQoL at least in patients with sialolithiasis.
Subject: Sialendoscopy
Sialadenitis
Quality of life
Health-related quality of life
Costs
Cost-effectiveness
SIALADENITIS SYMPTOMS QUESTIONNAIRE
SALIVARY CALCULI
MANAGEMENT
15D
OUTCOMES
SURGERY
REMOVAL
BENEFIT
3125 Otorhinolaryngology, ophthalmology
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