[Cost analysis of GreenLight photoselective vaporization of the prostate versus standard transurethral resection of the prostate: Benefit of ambulatory care].

Abstract

PURPOSE:

To compare the costs associated with GreenLight XPS 180W photoselective vaporization of the prostate (PVP) for an outpatient versus standard transurethral resection of the prostate (TURP) with a three nights hospitalization in a French private hospital.

MATERIAL AND METHODS:

A retrospective cost minimization analysis was performed between 2017 and 2019 in a French private hospital for the hospital stays associated with TURP and PVP procedures for benign prostatic hyperplasia (BPH). The peri-operative cost-benefit assessment of the two procedures was analyzed from the establishment's point of view according to the micro-costing method.

RESULTS:

871 surgical treatment for BPH had been performed during the period of the study, including 743 photoselective laser vaporization (85%). The average length of stay of patients undergoing TURP was 3,7 days versus 0,9 days for PVP including 64,7% ambulatory. The cost-benefit was more of 500€ per patient in favor of ambulatory PVP compared with TURP in conventional three nights hospitalization for level 1 hospital stays.

CONCLUSION:

In this private hospital center, ambulatory PVP seemed more cost-effective than TURP with a three nights hospitalization for a severity level 1 patient. The financial profit for the establishment was mostly due to reduction of the main length of stay and ambulatory care.

LEVEL OF EVIDENCE:

3.

• Authors: C Richard, G Robert, B Pradère, J Wilisch, S Doizi, S Le Calvez, E D Negra, Comité des Troubles Mictionnels de l’Homme de l’Association Française d’Urologie
• Journal: Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie (Prog Urol) Vol. 31 Issue 5 Pg. 275-281 (Apr 2021) ISSN: 1166-7087 [Print] France
• Vernacular Title: Analyse des coûts de la photovaporisation prostatique au laser Greenlight versus résection transurétrale de la prostate : intérêt de la prise en charge ambulatoire.
• PMID: 33461866 (Publication Type: Comparative Study, Journal Article, Observational Study)
• Copyright: Copyright © 2020 Elsevier Masson SAS. All rights reserved.

Topics

• Ambulatory Surgical Procedures (economics)
• Costs and Cost Analysis
• Hospitalization (economics)
• Humans
• Laser Therapy (economics)
• Male
• Prostatectomy (economics, methods)
• Retrospective Studies
• Transurethral Resection of Prostate (economics)