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Cost consequences or preoperative duplex examination before varicose vein surgery: a randomozed clnical trial
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences. (Vascular Surgery)
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2006 (English)In: Phlebology, ISSN 0268-3555, E-ISSN 1758-1125, Vol. 21, no 2, 90-95 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: To investigate the cost consequences of the addition of a duplex scan to the routine clinical examination prior to surgery for varicose veins (VV). Methods: Cost data are based on a prospective study, which randomized 293 VV patients for surgery either with or without a preoperative duplex scan. Costs are collected during a two-year follow-up time and include direct costs for primary surgery and reoperation. Results: The mean cost for the primary operation was SEK 12,827 (E1410) in the duplex group and SEK 9856 (E1083) in the control group (P < 0.001). A significant part of this increase was due to more extensive primary surgery. Costs for redo surgery decreased by SEK 1131 (E124) (P = 0.011). The mean net cost increase because of duplex is estimated to be SEK 1840 (E202) (P < 0.003). Conclusion: The savings in costs for redo surgery did not offset the costs for preoperative duplex examination before VV surgery during a two-year follow-up period.

Place, publisher, year, edition, pages
2006. Vol. 21, no 2, 90-95 p.
Keyword [en]
varicose veins; surgery; duplex; cost analysis; randomized clinical trial
National Category
Cardiac and Cardiovascular Systems Surgery
Identifiers
URN: urn:nbn:se:uu:diva-21371DOI: 10.1258/026835506777304728ISI: 000238754000009OAI: oai:DiVA.org:uu-21371DiVA: diva2:49144
Available from: 2006-12-27 Created: 2006-12-27 Last updated: 2017-12-08Bibliographically approved

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Bergqvist, David

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