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LOS and total procedure cost were lower for ORC patients for both the carotid endarterectomy and cholecystectomy procedures.
The primary endpoints for this study were LOS, adjunctive topical hemostatic product units per procedure, total procedure cost, transfusions during hospitalization, and mortality.
If two Pipeline embolisation devices are used the total procedure cost is estimated as £30,354 compared with £30,775 for the use of 29 coils for stent-assisted coiling (a saving of £421 using the Pipeline embolisation device).
Conversely, in the cardiovascular group, a non-statistically significant 0.2-day longer LOS for procedures where ORCs were used (P=0.948) was observed alongside a 3% higher total procedure cost for ORCs (P=0.003).
If two Pipeline embolisation devices are used the total procedure cost is estimated as £30,346 compared with £30,838 for the use of 32 coils for stent assisted coiling (a saving of £492 using the Pipeline embolisation device)." There were several challenges and learning points identified throughout the evaluation process.
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Total procedure costs were linked to LOS.
Statistical differences for total procedure costs were calculated using Student's t-tests.
The base-case scenario illustrated total procedure costs over the 10-year time horizon for PED as £24,341.
In carotid endarterectomy and cholecystectomy procedures, the shorter LOS for ORCs (Table 2; P<0.001 for both procedure groups) aligned with the lower total procedure costs associated with the ORC cohorts in carotid endarterectomy (6% lower; P<0.001) and cholecystectomy (14% lower; P<0.001).
Hysterectomy procedures displayed an interesting trend, whereby a longer LOS associated with ORCs (P<0.001) was observed in conjunction with almost equivalent total procedure costs for the ORC and OAH cohorts (P=0.542).
Length of stay and total procedure costs for patients treated with ORCs were lower for carotid endarterectomy patients (0.3 days and US$700) and for cholecystectomy patients (1 day and US$3,350) (all P<0.001).
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