Home  |   Archive  |   Online Submission  |   News & Events  |   Subscribe  |   APFA  |   Society  |   Contact Us  |   中文版
Search   
 
Journal

Ahead of print
Authors' Accepted
    Manuscripts
new!
Current Issue
Archive
Acknowledgments
Special Issues
Browse by Category

Manuscript Submission

Online Submission
Online Review
Instruction for Authors
Instruction for Reviewers
English Corner new!

About AJA

About AJA
Editorial Board
Contact Us
News

Resources & Services

Advertisement
Subscription
Email alert
Proceedings
Reprints

Download area

Copyright licence
EndNote style file
Manuscript word template
Guidance for AJA figures
    preparation (in English)

Guidance for AJA figures
    preparation (in Chinese)

Proof-reading for the
    authors

AJA Club (in English)
AJA Club (in Chinese)

 
Abstract

Volume 26, Issue 4 (July 2024) 26, 409–414; 10.4103/aja202385

Cost-effectiveness analysis of different anesthesia strategies for transperineal MRI/US fusion prostate biopsy

Jin, Di1,*; Kong, Xiao-Qi1,*; Zhu, Ya-Juan1; Chen, Zong-Xin2; Wang, Xi-Ming3; Xu, Cai-Hua4; Pu, Jin-Xian2,5; Hou, Jian-Quan2,5; Huang, Yu-Hua2; Ji, Fu-Hai1; Huang, Chen2

1Department of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
    
    2Department of Urology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
    
    3Department of Radiology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
    
    4Department of Oncology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
    
    5Department of Urology, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215000, China

Correspondence: Dr. C Huang (sdfyyhc@163.com) or Dr. FH Ji (jifuhai20220228@163.com)

20 February 2024

Abstract

This study aims to conduct a cost-effectiveness analysis of three different anesthesia strategies, namely chatting while under local anesthesia (Chat-LA), total intravenous anesthesia (TIVA), and general anesthesia with laryngeal mask airway (GA-LMA), employed in transperineal magnetic resonance imaging (MRI)/ultrasound (US) fusion prostate biopsy (TP-MUF-PB). A retrospective study was conducted involving 1202 patients who underwent TP-MUF-PB from June 2016 to April 2023 at The First Affiliated Hospital of Soochow University (Suzhou, China). Clinical data and outcomes, including total costs, complications, and quality-adjusted life years (QALYs), were compared. Probability sensitivity and subgroup analyses were also performed. Chat-LA was found to be the most cost-effective option, outperforming both TIVA and GA-LMA. However, subgroup analyses revealed that in younger patients (under 65 years old) and those with smaller prostate volumes (<40 ml), TIVA emerged as a more cost-effective strategy. While Chat-LA may generally be the most cost-effective and safer anesthesia method for TP-MUF-PB, personalization of anesthesia strategies is crucial, considering specific patient demographics such as age and prostate volume.

Full Text | PDF |

 
Browse:  28
 
Asian Journal of Andrology CN 31-1795/R ISSN 1008-682X  Copyright © 2023  Shanghai Materia Medica, Chinese Academy of Sciences.  All rights reserved.