Abstract：
BACKGROUND: Transoral robotic surgery (TORS) lingual tonsillectomy and hypoglossal nerve stimulation (HGNS) are effective surgical interventions for well-selected patients with obstructive sleep apnea (OSA) intolerant to continuous positive airway pressure (CPAP) therapy. Previous publications have demonstrated that HGNS patients have a lower postoperative apnea-hypopnea index (AHI) and length of hospital stay than TORS patients. No prior study has investigated the differences in costs between HGNS and TORS.
OBJECTIVE: This study aims to compare surgery-related costs in patients undergoing HGNS versus TORS lingual tonsillectomy for OSA intolerant to CPAP.
METHODS: A retrospective study on OSA patients intolerant to CPAP that underwent HGNS or TORS from 2015 to 2022 at a tertiary care center. Cost was defined as the dollar amount associated with providing a specific service prior to the application of insurance.
RESULTS: This study included 395 patients (375 UAS and 20 TORS). Average total cost was significantly higher in the UAS group than the TORS group (UAS: $25,582.60; TORS: $5832.60; p < 0.001). Operating room costs were also significantly higher in the UAS group (UAS: $1978.20; TORS: $1490.90; p = 0.001). The TORS cohort averaged higher costs for pharmacy (UAS: $201.30; TORS: $416.60; p < 0.001) and anesthesia (UAS: $139.00; TORS: $307.60; p < 0.001).
CONCLUSIONS: The total cost was significantly higher in the UAS group compared to the TORS group. When making management decisions, it is important to consider the cost of care provided as well as patient-centered outcomes to optimize the value of care.
METHODS: N/A Laryngoscope, 2024.
OBJECTIVE: This study aims to compare surgery-related costs in patients undergoing HGNS versus TORS lingual tonsillectomy for OSA intolerant to CPAP.
METHODS: A retrospective study on OSA patients intolerant to CPAP that underwent HGNS or TORS from 2015 to 2022 at a tertiary care center. Cost was defined as the dollar amount associated with providing a specific service prior to the application of insurance.
RESULTS: This study included 395 patients (375 UAS and 20 TORS). Average total cost was significantly higher in the UAS group than the TORS group (UAS: $25,582.60; TORS: $5832.60; p < 0.001). Operating room costs were also significantly higher in the UAS group (UAS: $1978.20; TORS: $1490.90; p = 0.001). The TORS cohort averaged higher costs for pharmacy (UAS: $201.30; TORS: $416.60; p < 0.001) and anesthesia (UAS: $139.00; TORS: $307.60; p < 0.001).
CONCLUSIONS: The total cost was significantly higher in the UAS group compared to the TORS group. When making management decisions, it is important to consider the cost of care provided as well as patient-centered outcomes to optimize the value of care.
METHODS: N/A Laryngoscope, 2024.
摘要：
背景：经口机器人手术（TORS）舌扁桃体切除术和舌下神经刺激（HGNS）对于选择良好的阻塞性睡眠呼吸暂停（OSA）患者不耐受持续气道正压（CPAP）治疗是有效的手术干预措施。以前的出版物表明，HGNS患者的术后呼吸暂停低通气指数（AHI）和住院时间均低于TORS患者。之前没有研究调查HGNS和TORS之间的成本差异。
目的：本研究旨在比较接受HGNS和TORS舌扁桃体切除术治疗不耐受CPAP的OSA的手术相关费用。
方法：对2015年至2022年在三级护理中心接受HGNS或TORS治疗的不耐受CPAP的OSA患者的回顾性研究。成本被定义为在申请保险之前与提供特定服务相关的美元金额。
结果：本研究包括395例患者（375例UAS和20例TORS）。UAS组的平均总成本显着高于TORS组（UAS：$25,582.60;TORS：$5832.60;p<0.001）。UAS组的手术室费用也显着较高（UAS：1978.20美元；TORS：1490.90美元；p=0.001）。TORS队列平均药房费用较高（UAS：201.30美元；TORS：416.60美元；p<0.001）和麻醉费用（UAS：139.00美元；TORS：307.60美元；p<0.001）。
结论：UAS组的总费用明显高于TORS组。在做出管理决策时，重要的是要考虑所提供的护理成本以及以患者为中心的结果,以优化护理价值.
方法：N/A喉镜，2024.
目的：本研究旨在比较接受HGNS和TORS舌扁桃体切除术治疗不耐受CPAP的OSA的手术相关费用。
方法：对2015年至2022年在三级护理中心接受HGNS或TORS治疗的不耐受CPAP的OSA患者的回顾性研究。成本被定义为在申请保险之前与提供特定服务相关的美元金额。
结果：本研究包括395例患者（375例UAS和20例TORS）。UAS组的平均总成本显着高于TORS组（UAS：$25,582.60;TORS：$5832.60;p<0.001）。UAS组的手术室费用也显着较高（UAS：1978.20美元；TORS：1490.90美元；p=0.001）。TORS队列平均药房费用较高（UAS：201.30美元；TORS：416.60美元；p<0.001）和麻醉费用（UAS：139.00美元；TORS：307.60美元；p<0.001）。
结论：UAS组的总费用明显高于TORS组。在做出管理决策时，重要的是要考虑所提供的护理成本以及以患者为中心的结果,以优化护理价值.
方法：N/A喉镜，2024.
