Evidence map›Paper›PMID 27172916›Full record

ArticleEndocrine2017

The true cost of thyroid surgery determined by a micro-costing approach.

Sebastiano Filetti, Paul W Ladenson, Marco Biffoni, Maria Giuseppina D'Ambrosio, Laura Giacomelli, Stefania Lopatriello

Abstract read
PubMed Publisher
In one paragraph

Article in Endocrine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Sebastiano FilettiDepartments of Internal Medicine and Medical Specialties, "Sapienza" University of Roma, Viale del Policlinico 155, 00161, Rome, Italy. sebastiano.filetti@uniroma1.it.
Paul W LadensonDepartments of Medicine, Pathology, Oncology, and Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Marco BiffoniDepartment of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
Maria Giuseppina D'AmbrosioUfficio Programmazione, AFC Programmazione, Governo Economico e Valutazione, Azienda Policlinico Umberto I, Roma, Viale del Policlinico 155, 00161, Rome, Italy.
Laura GiacomelliDepartment of Surgical Sciences, "Sapienza" University of Rome, Viale Regina Elena 324, 00161, Rome, Italy.
Stefania LopatrielloPharmacist, Health Economist, Via Anfossi 10, 35129, Padua, Italy.
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whether the amount of the current DRG tariff for thyroid surgery covers its actual cost has been questioned. We estimated a reliable cost of thyroid surgery for a large Italian hospital. A micro-costing approach is used with data from the University Hospital "Umberto I," a large facility that conducts a high volume of thyroidectomy surgical procedures in the Lazio region. The direct costs of surgery and hospitalization for a total and a hemi-thyroidectomy were €4956 and €4673, respectively. When compared to the DRG tariff of €3340, total thyroidectomy was €1616 (48 %) more per procedure and hemi-thyroidectomy was €1333 (40 %) more per procedure. This DRG shortfall is calculated to generate an annual procedure-specific deficit of approximately €1.38 million for this hospital. Furthermore, when the costs associated with pre-surgical work-up, post-surgical follow-up, and complications management through 12 months are incorporated, the estimated costs of total and hemi-thyroidectomy rose to €5812 and €5277, respectively. The true cost of thyroid surgery in Italy is significantly higher than what has been reported in the literature or reimbursed by the DRG tariff.

Indexed as

Health Care CostsHospital CostsCosts and Cost AnalysisHospitalizationHumansItalyReimbursement MechanismsThyroidectomyThyroid GlandCosts and cost analysisDiagnosis-related groupsHealthcare costsItalyReimbursement mechanismsThyroidectomy

Identifiers

PMID27172916
OpenAlexW2359882463

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.