Outcome and cost analysis of sacral nerve stimulation for faecal incontinence.

Details

Serval ID
serval:BIB_607FF3AB5173
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Outcome and cost analysis of sacral nerve stimulation for faecal incontinence.
Journal
British Journal of Surgery
Author(s)
Hetzer F.H., Bieler A., Hahnloser D., Löhlein F., Clavien P.A., Demartines N.
ISSN
0007-1323 (Print)
ISSN-L
0007-1323
Publication state
Published
Issued date
2006
Volume
93
Number
11
Pages
1411-1417
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
BACKGROUND: Sacral nerve stimulation (SNS) may be successful in treating incapacitating faecal incontinence. The technique is expensive, and no cost analysis is currently available. The aim of this study was to assess clinical outcome and analyse cost-effectiveness.
METHODS: Thirty-six consecutive patients underwent a two-stage SNS procedure. Outcome parameters and real costs were assessed prospectively.
RESULTS: SNS was tested successfully in 33 of 36 patients, and 31 patients were stimulated permanently. In the first stage, eight of 36 patients reported minor complications (pain, infection or electrode dislocation), resulting in a cost of euro 4053 (range euro 2838-7273) per patient. For the second stage (permanent stimulation), eight of 33 patients had an infection, pain or loss of effectiveness, resulting in a cost of euro 11,292 (range euro 7406-20,274) per patient. Estimated costs for further follow-up were euro 997 per year. The 5-year cumulative cost for SNS was euro 22,150 per patient, compared with euro 33,996 for colostomy, euro 31,590 for dynamic graciloplasty and euro 3234 for conservative treatment.
CONCLUSION: SNS is a highly cost-effective treatment for faecal incontinence. Options for further reduction of SNS costs include strict patient selection, treatment in an outpatient setting and using cheaper devices.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Cost-Benefit Analysis, Electric Stimulation Therapy/economics, Electric Stimulation Therapy/methods, Electrodes, Implanted, Fecal Incontinence/economics, Fecal Incontinence/therapy, Female, Humans, Lumbosacral Plexus, Male, Middle Aged, Transcutaneous Electric Nerve Stimulation/economics, Transcutaneous Electric Nerve Stimulation/methods, Treatment Outcome
Pubmed
Web of science
Create date
28/01/2008 8:53
Last modification date
20/08/2019 14:17
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