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- Title
Cost-effectiveness analysis of different anesthesia strategies for transperineal MRI/US fusion prostate biopsy.
- Authors
Jin, Di; Kong, Xiao-Qi; Zhu, Ya-Juan; Chen, Zong-Xin; Wang, Xi-Ming; Xu, Cai-Hua; Pu, Jin-Xian; Hou, Jian-Quan; Huang, Yu-Hua; Ji, Fu-Hai; Huang, Chen
- 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.
- Publication
Asian Journal of Andrology, 2024, Vol 26, Issue 4, p409
- ISSN
1008-682X
- Publication type
Article
- DOI
10.4103/aja202385