COMPARATIVE ANALYSIS OF THE COST-EFFECTIVENESS OF TURP AND TUMT FOR SYMPTOMATIC BPH

Christer Dahlstrand, Mauritz Walden, Stefan Acosta, Per Carlsson, Silas Pettersson
1998 The Japanese Journal of Urology  
1・ this p... pecti ・e ・a ・ d。mi ・ed・ s重・ dy, w ・ h・ve c・mp ... d・the・he・lth・c 。n 。mi ... ftw ・ m 句。・ 霊 ・e ・1me ・t ・ ・ ltemative 、 、 TURP 跏 d TUMT ft ) r symptomatic benign prosta 宣ic hyperplasia. MATERlAI 」 : The material consisted of70 patients e 印岨 ny randomized to 電hc 重reatmen 重 arms . The patients were f ' )110wed fbr 24 months . All heal 山 care evcnts wcre registered and costs were calc 凵 latod . C 巨 nical ou 重じome was controlled by Madsen score, peak fiow and residual urine . Cost
more » ... veness analysis fbr symptom reliefwas made . 齟 SULTS ・ 俎 ・・ TURP ・ ・ th・ ・ ymPt ・ m ・ed ・・ti ・・ w ・・ 92 % ・ ft ・・ 2・ years compared to B3 % in the TUMT group. The tetat cost fbr TUMT was 60 % of th・ t・ 【 ・ 1 ... t ・fi ・・ TURP Thi・ c ・・l i・c1・d。d ・11 h・ alth ・ca ・e ・... t・ i・d . di 。 g 驚 wcases of retreatments a口d 電 reatments of complications d面 ng 重he 重 wo years . ln the TUMT gr ・ ・ p, there wcre higher c ・sts ・ for re宦 reatments ・whi ] e ・in lhe TURP gro"p、 higher costs for complications . CONCLUS 星 ONS : TUMT has a bwer primary treatmen 仁 cost than TURP . The TURP arm has mgre costfbr cemplications while the TUMT arm has rnore relTeatment eosts . Overa1 ] , TUMT is fi ) und to be mDre cQs 重・ effective than T しRP in relieving symptems durin8 Ihe study period of 2 years. The low retreatment rate currently experienced whh High Energy TUMT 2. 5 shou ] d faver even fUrther the economics ofTUMT .
doi:10.5980/jpnjurol.89.300_1 fatcat:j7xfbupg3bgglc3rs7m5ijp3o4