An economic analysis of hospital charges for choledocholithiasis by different treatment strategies

Thomas J. Schroeppel, Pamela J. Lambert, Michelle A. Mathiason

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

The ideal management of presumed choledocholithiasis is controversial. We hypothesized that patients admitted with presumed choledocholithiasis would be better served financially to undergo laparoscopic cholecystectomy (LC) with possible intraoperative intervention versus preoperative endoscopic retrograde cholangiopancreatography followed by LC. A chart review was performed from September 1, 2000 to August 31, 2003. One hundred seventy-one consecutive patients identified with presumed choledocholithiasis were reviewed. Six patients were excluded because of missing charge data. Professional and technical fees from the total hospital charges were used for comparison. Three groups of patients were compared for charge analysis. Group 1 underwent LC with laparoscopic common bile duct exploration. Group 2 underwent LC with preoperative or postoperative endoscopic retrograde cholangiopancreatography. Group 3 was a control group of LC only. Student's t test was used for statistical analysis with a P value of <0.05 defined as statistically significant. P values reflect comparisons with Group 1. Group 1 charges were $13,026, Group 2 charges were $15,303, and Group 3 charges were $9,122. For suspected choledocholithiasis, LC with intraoperative intervention is the most economically advantageous approach.

Original languageEnglish (US)
Pages (from-to)472-477
Number of pages6
JournalAmerican Surgeon
Volume73
Issue number5
StatePublished - May 1 2007

Fingerprint Dive into the research topics of 'An economic analysis of hospital charges for choledocholithiasis by different treatment strategies'. Together they form a unique fingerprint.

Cite this