A Cost-Effectiveness Comparison of Delayed Versus Immediate Coloanal Anastomosis Following Ultralow Anterior Resection for Rectal Cancer
Applied/Translational Research
Singapore Healthcare Management Congress
SingHealth
31 December 2022
Determine if DCAA is more cost-effective than ICAA despite additional costs and longer initial hospital stays. DCAA offers improved cost-effectiveness and better quality of life for rectal cancer patients compared to ICAA with DI.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Applied/Translational Research, Systematic Review
About this Content
Aims
Determine if DCAA is more cost-effective than ICAA despite additional costs and longer initial hospital stays.
Background
Colorectal cancer most common; alternative DCAA proposed to reduce stoma-related complications and improve quality of life.
Methods
Decision tree cost-effectiveness analysis comparing DCAA and ICAA.
Results
DCAA shown to be more cost-effective, cheaper overall, avoids stomas, and consolidates surgeries into one admission.
Conclusion
DCAA offers improved cost-effectiveness and better quality of life for rectal cancer patients compared to ICAA with DI.
Lessons Learnt
Longer initial stays can offset stoma-related complications and costs. Comprehensive cost analyses provide compelling evidence.
Additional Information
Data sourced from UK NHS (2019–2020).
Keywords
Colorectal Cancer, Delayed Coloanal Anastomosis, Cost-Effectiveness
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Surgery, Oncology, Clinical Research |
Project Lead(s) | Nicholas Brian Shannon |
Project Member(s) | Isaac Seow-En |
Connect with this contributor!
Nicholas Brian Shannon - singaporehealthcaremanagement@singhealth.com.sg