Estimating the Cost of Neurosurgical Procedures in a Low-Income Setting: An Observational Economic Analysis

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Estimating the Cost of Neurosurgical Procedures in a Low-Income Setting: An Observational Economic Analysis


JournalWORLD NEUROSURGERY
Publication date – Mar – 2017
Authors – Jihad Abdelgadir, Tu Tran, Alex Muhindo, Doomwin Obiga, John Mukasa, Hussein Ssenyonjo, Michael Muhumza, Joel Kiryabwire, Michael M. Haglund, Frank A. Sloan
KeywordsCost analysis, global surgery, Microcosting, Neurosurgery
Open access – Yes
SpecialityNeurosurgery, Other
World region Eastern Africa
Country: Uganda
Language – English
Submitted to the One Surgery Index on July 31, 2018 at 1:02 am
Abstract:

BACKGROUND: There are no data on cost of neurosurgery in low-income and middle-income countries. The objective of this study was to estimate the cost of neurosurgical procedures in a low-resource setting to better inform resource allocation and health sector planning.
METHODS: In this observational economic analysis, microcosting was used to estimate the direct and indirect costs of neurosurgical procedures at Mulago National Referral Hospital (Kampala, Uganda).
RESULTS: During the study period, October 2014 to September 2015, 1440 charts were reviewed. Of these patients, 434 had surgery, whereas the other 1006 were treated nonsurgically. Thirteen types of procedures were performed at the hospital. The estimated mean cost of a neurosurgical procedure was $542.14 (standard deviation [SD], $253.62). The mean cost of different procedures ranged from $291 (SD, $101) for burr hole evacuations to $1,221 (SD, $473) for excision of brain tumors. For most surgeries, overhead costs represented the largest proportion of the total cost (29%e41%).
CONCLUSIONS: This is the first study using primary data to determine the cost of neurosurgery in a low-resource setting. Operating theater capacity is likely the binding constraint on operative volume, and thus, investing in operating theaters should achieve a higher level of efficiency. Findings from this study could be used by stakeholders and policy makers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals.

OSI Number – 10206
PMID – 28216396

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