Cost-effectiveness analysis for trigeminal neuralgia: Cyberknife vs microvascular decompression

Rosanna Tarricone1, Giovanni Aguzzi1, Francesco Musi1, Laura Fariselli2, Andrea Casasco31Economic Evaluation Area, CERGAS Centre for Research on Healthcare Management-Bocconi University, Milan, Italy; 2Radiotherapy Department, Carlo Besta National Neurological Institute, Milan, Italy; 3Centro Diagno...

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Autores principales:	Rosanna Tarricone, Giovanni Aguzzi, Francesco Musi, Laura Fariselli, Andrea Casasco
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/fe9641df2ce7472c981b434396e250b3
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spelling	oai:doaj.org-article:fe9641df2ce7472c981b434396e250b32021-12-02T02:00:54ZCost-effectiveness analysis for trigeminal neuralgia: Cyberknife vs microvascular decompression1176-63281178-2021https://doaj.org/article/fe9641df2ce7472c981b434396e250b32008-06-01T00:00:00Zhttp://www.dovepress.com/cost-effectiveness-analysis-for-trigeminal-neuralgia-cyberknife-vs-mic-a1874https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Rosanna Tarricone1, Giovanni Aguzzi1, Francesco Musi1, Laura Fariselli2, Andrea Casasco31Economic Evaluation Area, CERGAS Centre for Research on Healthcare Management-Bocconi University, Milan, Italy; 2Radiotherapy Department, Carlo Besta National Neurological Institute, Milan, Italy; 3Centro Diagnostico Italiano, Milan, ItalyBackground/Aims: We present the preliminary results of a cost-effectiveness analysis of cyberknife radiosurgery (CKR) versus microvascular decompression (MVD) for patients with medically unresponsive trigeminal neuralgia.Methods: Direct healthcare costs from hospital&rsquo;s perspective attributable to CKR and MVD were collected. Pain level caused by trigeminal neuralgia was measured through the Barrow Neurological Institute pain intensity scoring criteria, at admission and after an average of 6 months follow-up.Results: 20 patients for both arms were enrolled, for a total of 40 patients. The two procedures resulted equally effective at 6 month follow-up, with different resources consumption: CKR reducing hospital costs by an average of 34% per patient. The robustness of these results was confirmed in appropriate sensitivity analyses.Conclusion: CKR resulted to be a cost-saving alternative compared with the surgical intervention.Keywords: decision-making, cost-effectiveness analysis, Cyberknife, microvascular decompression, trigeminal neuralgia Rosanna TarriconeGiovanni AguzziFrancesco MusiLaura FariselliAndrea CasascoDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2008, Iss Issue 3, Pp 647-652 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Rosanna Tarricone Giovanni Aguzzi Francesco Musi Laura Fariselli Andrea Casasco Cost-effectiveness analysis for trigeminal neuralgia: Cyberknife vs microvascular decompression
description	Rosanna Tarricone1, Giovanni Aguzzi1, Francesco Musi1, Laura Fariselli2, Andrea Casasco31Economic Evaluation Area, CERGAS Centre for Research on Healthcare Management-Bocconi University, Milan, Italy; 2Radiotherapy Department, Carlo Besta National Neurological Institute, Milan, Italy; 3Centro Diagnostico Italiano, Milan, ItalyBackground/Aims: We present the preliminary results of a cost-effectiveness analysis of cyberknife radiosurgery (CKR) versus microvascular decompression (MVD) for patients with medically unresponsive trigeminal neuralgia.Methods: Direct healthcare costs from hospital&rsquo;s perspective attributable to CKR and MVD were collected. Pain level caused by trigeminal neuralgia was measured through the Barrow Neurological Institute pain intensity scoring criteria, at admission and after an average of 6 months follow-up.Results: 20 patients for both arms were enrolled, for a total of 40 patients. The two procedures resulted equally effective at 6 month follow-up, with different resources consumption: CKR reducing hospital costs by an average of 34% per patient. The robustness of these results was confirmed in appropriate sensitivity analyses.Conclusion: CKR resulted to be a cost-saving alternative compared with the surgical intervention.Keywords: decision-making, cost-effectiveness analysis, Cyberknife, microvascular decompression, trigeminal neuralgia
format	article
author	Rosanna Tarricone Giovanni Aguzzi Francesco Musi Laura Fariselli Andrea Casasco
author_facet	Rosanna Tarricone Giovanni Aguzzi Francesco Musi Laura Fariselli Andrea Casasco
author_sort	Rosanna Tarricone
title	Cost-effectiveness analysis for trigeminal neuralgia: Cyberknife vs microvascular decompression
title_short	Cost-effectiveness analysis for trigeminal neuralgia: Cyberknife vs microvascular decompression
title_full	Cost-effectiveness analysis for trigeminal neuralgia: Cyberknife vs microvascular decompression
title_fullStr	Cost-effectiveness analysis for trigeminal neuralgia: Cyberknife vs microvascular decompression
title_full_unstemmed	Cost-effectiveness analysis for trigeminal neuralgia: Cyberknife vs microvascular decompression
title_sort	cost-effectiveness analysis for trigeminal neuralgia: cyberknife vs microvascular decompression
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/fe9641df2ce7472c981b434396e250b3
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Cost-effectiveness analysis for trigeminal neuralgia: Cyberknife vs microvascular decompression

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