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The cost-effectiveness of 10 selected applications in minimally invasive therapy

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Author: Banta, H.D.
Institution: Instituut voor verouderings- en vaatziekten onderzoek TNO
Source:Health Policy, 1-2, 23, 135-151
Identifier: 232214
doi: doi:/10.1016/0168-8510(93)90012-E
Keywords: cost-effectiveness · effectiveness · health policy · minimally invasive therapy · randomized controlled clinical trial · cost effectiveness analysis · extracorporeal lithotripsy · health care policy · laparoscopy · medical decision making · medical technology · priority journal · review · surgical technique · Angioplasty, Transluminal, Percutaneous Coronary · Coronary Artery Bypass · Cost-Benefit Analysis · Endoscopy · Europe · Health Policy · Laparoscopy · Laser Surgery · Lithotripsy · Nephrostomy, Percutaneous · Surgical Procedures, Operative · Technology Assessment, Biomedical · Therapeutics


In this article, evidence of effectiveness and cost-effectiveness of the following procedures is reviewed: (1) laser treatment of bladder tumors; (2) extracorporeal shock-wave lithotripsy and percutaneous nephrolithotomy; (3) laparoscopic treatment of endometriosis; (4) laparoscopic removal of ovarian cysts; (5) laparoscopic cholecystectomy; (6) laparoscopic appendectomy; (7) catheter treatment of coronary artery disease; (8) palliation of colon cancer by endoscopic intervention; (9) treatment of upper gastrointestinal (UGI) bleeding by endoscopic intervention; and (10) arthroscopic knee surgery. Despite considerable potential to be effective and cost-effective, evidence is disappointingly limited in these cases. The lack of evidence hampers decision-making in this new field.