Economic evaluation of the randomized European Achalasia trial comparing pneumodilation with Laparoscopic Heller myotomy

• DOI: 10.1111/nmo.13115
• Publication Date: 2017-05-26T04:42:40Z
• Authors: A. Moonen; O. Busch; M. Costantini; E. Finotti; J. Tack; R. Salvador; G. Boeckxstaens; G. Zaninotto
• Keywords: Heller myotomy

Abstract Background A recent multicenter randomized trial in achalasia patients has shown that pneumatic dilation resulted equivalent relief of symptoms compared to laparoscopic Heller myotomy. Additionally, the cost each treatment should be also taken consideration. Therefore, aim present study was perform an economic analysis European trial. Methods Patients with newly diagnosed were enrolled from 2003 2008 14 centers five countries and randomly assigned either ( PD ) or LHM ). The performed three different where most (Amsterdam [ NL ], Leuven, [B] Padova [I]) then applied all included study. total raw costs two treatments per patient include initial costs, complications, retreatments. Results Two hundred one patients, 107 (57 males 50 females, mean age 46 CI : 43‐49 years) 94 (59 34 43‐50 . quite comparable centers; €3397 Padova, €3259 Amsterdam €3792 Leuven. For , highest Amsterdam: €4488 €6720 Amsterdam, €5856 Conclusion In conclusion, strategy treating starting appears approach, independent health system.