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Clipping and Coiling of Intracerebral Aneurysms: A Cost Analysis From a Developing Country

Yentur, Ercument MD*; Gurbuz, Sengul; Tanriverdi, Taner MD; Kaynar, Mehmet Yasar MD; Kocer, Naci MD; Islak, Civan MD

doi: 10.1097/01.wnq.0000135756.45404.d3
Original Article
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The purpose of this study was to compare cost-effectiveness between coiling and clipping in patients with ruptured or unruptured cerebral aneurysms during their hospital stay. The authors conducted a retrospective analysis of patients with cerebral aneurysms that were treated by clipping or coiling at Cerrahpasa Medical Faculty Hospital during a 1-year period. Direct hospital-based costs and physicians’ fees were calculated and compared between the 2 groups. A total of 76 patients had clipping, and 65 underwent coiling. There were no differences with regard to age or sex in both groups. When comparing major cost categories between the 2 groups, including laboratory tests, medications, blood and blood derivatives, physicians’ fees, surgical/embolization supplies, hospital stay, and imaging, a highly statistically significant difference was found in all major cost categories (P < 0.001). The results showed that although coiling allows a shorter hospital stay and results in a low complication rate, the high cost of single-use medical supplies (eg, coil, microcatheters) increased the cost per patient considerably.

From the *Department of Anesthesiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey, †Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey, and ‡Department of Radiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

None of the authors in this study had any personal or institutional financial interest in any of the drugs, materials, or devices mentioned in this article.

Reprints: Taner Tanriverdi, MD, PK 4, Cerrahpasa, 34301 Istanbul, Turkey (e-mail: tanerato2000@yahoo.com).

© 2004 Lippincott Williams & Wilkins, Inc.