Cost Comparison of Benign Prostatic Hyperplasia Treatment Options

被引:25
作者
DeWitt-Foy, Molly E. [1 ,2 ]
Gill, Bradley C. [1 ,2 ,3 ]
Ulchaker, James C. [1 ,2 ]
机构
[1] Cleveland Clin, Dept Urol, Glickman Urol & Kidney Inst, Mail Stop Q10-1 9500 Euclid Ave, Cleveland, OH 44195 USA
[2] Cleveland Clin, Educ Inst, Lerner Coll Med, Mail Stop NA21 9500 Euclid Ave, Cleveland, OH 44195 USA
[3] Cleveland Clin, Dept Biomed Engn, Lerner Res Inst, Cleveland, OH 44106 USA
关键词
Benign prostatic hyperplasia; Lower urinary tract symptoms; Cost analysis; Medication therapy management; URINARY-TRACT SYMPTOMS; COMBINATION THERAPY; PREVALENCE;
D O I
10.1007/s11934-019-0907-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose of ReviewTo provide an economic context within which to consider treatment options for benign prostatic hyperplasia (BPH). To this end, this review provides a comparison of the costs of combination medical therapy, operative treatment, and office-based therapies for BPH from a payer perspective.Recent FindingsAnalysis of Medicare charges from the authors' institution, as well as local retail costs of medication, demonstrated a wide range in costs of commonly used BPH treatments. In this study, interventions for BPH reached cost equivalence with combination medical therapy within 6months to 8years.SummaryA myriad of options for managing men with symptomatic BPH exist. It is prudent not only to consider surgeon preference and patient-specific factors when selecting a treatment but also to understand the economic impact different BPH therapies confer.
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页数:7
相关论文
共 27 条
[1]   Cost-effectiveness analysis at 2 years of surgical treatment of benign prostatic hyperplasia by photoselective vaporization of the prostate with GreenLight-Photo vaporization 120W versus transurethral resection of the prostate [J].
Benejam-Gual, J. M. ;
Sanz-Granda, A. ;
Garcia-Miralles Gravalos, R. ;
Severa-Ruiz de Velasco, A. ;
Pons-Viver, J. .
ACTAS UROLOGICAS ESPANOLAS, 2014, 38 (04) :238-243
[2]  
Brown AD, 2019, CARDIOVASC INTER RAD, V42, P520, DOI 10.1007/s00270-018-2132-8
[3]   Update on minimally invasive surgery and benign prostatic hyperplasia [J].
Chung, Amanda S. J. ;
Woo, Henry H. .
ASIAN JOURNAL OF UROLOGY, 2018, 5 (01) :22-27
[4]   Robot-Assisted Simple Prostatectomy: Expanding on an Established Operative Approach [J].
Cockrell, Ross ;
Lee, David I. .
CURRENT UROLOGY REPORTS, 2017, 18 (05)
[5]   Medical therapy versus transurethral resection of the prostate (TURP) for the treatment of symptomatic benign prostatic enlargement (BPE): a cost minimisation analysis [J].
Davis, Niall F. ;
Jack, G. S. ;
Witjes, W. P. ;
Bjartell, A. ;
Caris, C. ;
Patel, A. ;
de la Taille, A. ;
Lawrentschuk, N. ;
Bolton, D. M. ;
Tubaro, A. .
WORLD JOURNAL OF UROLOGY, 2019, 37 (05) :873-878
[6]   The Epidemiology of Benign Prostatic Hyperplasia Associated with Lower Urinary Tract Symptoms Prevalence and Incident Rates [J].
Egan, Kathryn Brigham .
UROLOGIC CLINICS OF NORTH AMERICA, 2016, 43 (03) :289-+
[7]   Pharmacotherapy vs surgery as initial therapy for patients with moderate-to-severe benign prostate hyperplasia: a cost-effectiveness analysis [J].
Erman, Aysegul ;
Masucci, Lisa ;
Krahn, Murray D. ;
Elterman, Dean S. .
BJU INTERNATIONAL, 2018, 122 (05) :879-888
[8]   Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline [J].
Foster, Harris E. ;
Barry, Michael J. ;
Dahm, Philipp ;
Gandhi, Manhar C. ;
Kaplan, Steven A. ;
Kohler, Tobias S. ;
Lerner, Lori B. ;
Lightner, Deborah J. ;
Parsons, J. Kellogg ;
Roehrborn, Claus G. ;
Welliver, Charles ;
Wilt, Timothy J. ;
McVary, Kevin T. .
JOURNAL OF UROLOGY, 2018, 200 (03) :612-619
[9]   Costs of Managing Benign Prostatic Hyperplasia in the Office and Operating Room [J].
Gill, Bradley C. ;
Ulchaker, James C. .
CURRENT UROLOGY REPORTS, 2018, 19 (09)
[10]   Current status of 5α-reductase inhibitors in the management of lower urinary tract symptoms and BPH [J].
Gravas, Stavros ;
Oelke, Matthias .
WORLD JOURNAL OF UROLOGY, 2010, 28 (01) :9-15