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Cost-effectiveness of preoperative biliary drainage for obstructive jaundice in pancreatic and periampullary cancer.

Morris, S; Gurusamy, KS; Sheringham, J; Davidson, BR; (2015) Cost-effectiveness of preoperative biliary drainage for obstructive jaundice in pancreatic and periampullary cancer. J Surg Res , 193 (1) 202 - 209. 10.1016/j.jss.2014.07.060. Green open access

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Abstract

A recent Cochrane Review found that preoperative biliary drainage (PBD) in patients with resectable pancreatic and periampullary cancer undergoing surgery for obstructive jaundice is associated with similar mortality but increased serious morbidity compared with no PBD. Despite this clinical evidence of its lack of effectiveness, PBD is still in use. We considered the economic implications of PBD versus direct surgery for obstructive jaundice in patients with pancreatic and periampullary cancer.

Type: Article
Title: Cost-effectiveness of preoperative biliary drainage for obstructive jaundice in pancreatic and periampullary cancer.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jss.2014.07.060
Publisher version: http://dx.doi.org/10.1016/j.jss.2014.07.060
Language: English
Additional information: Copyright © 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/).
Keywords: Cost-effectiveness analysis, Obstructive jaundice, Periampullary cancer, Preoperative biliary drainage, Ampulla of Vater, Cost-Benefit Analysis, Drainage, Duodenal Neoplasms, Great Britain, Hospital Costs, Humans, Jaundice, Obstructive, Morbidity, Pancreas, Pancreatic Neoplasms, Preoperative Care, Quality-Adjusted Life Years
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research
URI: https://discovery.ucl.ac.uk/id/eprint/1447310
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