Cost-effectiveness analysis of different anesthesia strategies for transperineal MRI/US fusion prostate biopsy

Author:

Jin Di1,Kong Xiao-Qi1,Zhu Ya-Juan1,Chen Zong-Xin2,Wang Xi-Ming3,Xu Cai-Hua4,Pu Jin-Xian25,Hou Jian-Quan25,Huang Yu-Hua2,Ji Fu-Hai1,Huang Chen2

Affiliation:

1. Department of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China

2. Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China

3. Department of Radiology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China

4. Department of Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China

5. Department of Urology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, China

Abstract

This study aims to conduct a cost-effectiveness analysis of three different anesthesia strategies, namely chatting while under local anesthesia (Chat-LA), total intravenous anesthesia (TIVA), and general anesthesia with laryngeal mask airway (GA-LMA), employed in transperineal magnetic resonance imaging (MRI)/ultrasound (US) fusion prostate biopsy (TP-MUF-PB). A retrospective study was conducted involving 1202 patients who underwent TP-MUF-PB from June 2016 to April 2023 at The First Affiliated Hospital of Soochow University (Suzhou, China). Clinical data and outcomes, including total costs, complications, and quality-adjusted life years (QALYs), were compared. Probability sensitivity and subgroup analyses were also performed. Chat-LA was found to be the most cost-effective option, outperforming both TIVA and GA-LMA. However, subgroup analyses revealed that in younger patients (under 65 years old) and those with smaller prostate volumes (<40 ml), TIVA emerged as a more cost-effective strategy. While Chat-LA may generally be the most cost-effective and safer anesthesia method for TP-MUF-PB, personalization of anesthesia strategies is crucial, considering specific patient demographics such as age and prostate volume.

Publisher

Medknow

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Techniques modernes de biopsies de prostate;Urologie in der Praxis;2024-05-14

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