COST ANALYSIS OF TRANSPERINEAL PROSTATE BIOPSY WITH VY DEVICE AND TRANSRECTAL PROSTATE BIOPSY AT HASAN SADIKIN ACADEMIC MEDICAL CENTER BANDUNG: A RETROSPECTIVE STUDY
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Abstract
Objective: This study aimed to determine the analysis for the cost of Transperineal Prostate Biopsy using the VY device (VY-TPPB) and Transrectal Prostate Biopsy (TRPB). Material & Methods: This study is a retrospective descriptive study with the sample being patients who underwent TRPB or TPPB at Hasan Sadikin Academic Medical Center, Bandung for the period of January 2019 to December 2023. The total sample was 108 patients, with 53 patients having undergone TPPB and 55 patients having undergone TRPB. The cost for each procedure are then analyzed and divided into pre-procedure, intra-procedure, and post-procedure costs. Results: The average cost per patient is Rp 8.005.356 (USD 507.4) for VY-TPPB procedures and Rp 11.748.976 (USD 744.7) for TRPB procedures. Comparison of the average costs of VY-TPPB with TRPB was higher in the TRPB group (p < 0.05). Comparison of the average intra-procedure and post-procedure costs was also significantly higher in the TRPB group (p < 0.05). There was no significant difference in pre-procedure costs. Conclusion: The TPPB-VY technique is more cost-effective compared to TRPB, although further research is needed to understand the advantages of each method. Keywords: Prostate biopsy, VY device, cost.
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Prostate biopsy, VY device, cost.
Culp MB, Soerjomataram I, Efstathiou JA, Bray F, Jemal A. Recent Global Patterns in Prostate Cancer Incidence and Mortality Rates. Eur Urol. 2020 Jan;77(1):38–52.
Siegel DA, O’Neil ME, Richards TB, Dowling NF, Weir HK. Prostate Cancer Incidence and Survival, by Stage and Race/Ethnicity — United States, 2001–2017. MMWR Morb Mortal Wkly Rep. 2020 Oct;69(41):1473–80.
Zhu Y, Mo M, Wei Y, Wu J, Pan J, Freedland SJ, et al. Epidemiology and genomics of prostate cancer in Asian men. Nat Rev Urol. 2021 May;18(5):282–301.
Globacon World Health Organization. Indonesia Prostate Cancer Statistics. World Heal Organ. 2020;1–2.
Safriadi F, Novesar AR. Five-Year Profiles of Prostate Cancer Patients in A Tertiary Hospital in Indonesia. Maj Kedokt Bandung. 2021 Jun;53(2).
Ha Chung B, Horie S, Chiong E. The incidence, mortality, and risk factors of prostate cancer in Asian men. Prostate Int. 2019 Mar;7(1):1–8.
Descotes J-L. Diagnosis of prostate cancer. Asian J Urol. 2019 Apr;6(2):129–36.
Xiang J, Yan H, Li J, Wang X, Chen H, Zheng X. Transperineal versus transrectal prostate biopsy in the diagnosis of prostate cancer: a systematic review and meta-analysis. World J Surg Oncol. 2019 Dec;17(1):31.
Tulone G, Giannone S, Mannone P, Tognarelli A, Di Vico T, Giaimo R, et al. Comparison of Fluoroquinolones and Other Antibiotic Prophylaxis Regimens for Preventing Complications in Patients Undergoing Transrectal Prostate Biopsy. Antibiotics. 2022 Mar;11(3):415.
Forsvall A, Jönsson H, Wagenius M, Bratt O, Linder A. Rate and characteristics of infection after transrectal prostate biopsy: a retrospective observational study. Scand J Urol. 2021 Jul;55(4):317–23.
Roberts MJ, Macdonald A, Ranasinghe S, Bennett H, Teloken PE, Harris P, et al. Transrectal versus transperineal prostate biopsy under intravenous anaesthesia: a clinical, microbiological and cost analysis of 2048 cases over 11 years at a tertiary institution. Prostate Cancer Prostatic Dis. 2021 Mar;24(1):169–76.
Gorin MA, Meyer AR, Zimmerman M, Harb R, Joice GA, Schwen ZR, et al. Transperineal prostate biopsy with cognitive magnetic resonance imaging/biplanar ultrasound fusion: description of technique and early results. World J Urol. 2020 Aug;38(8):1943–9.
Vitez TS. Principles of cost analysis. J Clin Anesth. 1994 Sep;6(5):357–63.
Wilson ECF, Wreford A, Tamer P, Leonard K, Brechka H, Gnanapragasam VJ. Economic Evaluation of Transperineal versus Transrectal Devices for Local Anaesthetic Prostate Biopsies. PharmacoEconomics - Open. 2021 Dec;5(4):737–53.
Altok M, Kim B, Patel BB, Shih YCT, Ward JF, McRae SE, et al. Cost and efficacy comparison of five prostate biopsy modalities: a platform for integrating cost into novel-platform comparative research. Prostate Cancer Prostatic Dis. Springer US; 2018;21(4):524–32.
Fandella A. Analysis of costs of transrectal prostate biopsy. Urologia. 2011;78(4):288–92.
Tham JH, Looi LM, Ghazali R. Cost analysis of pathology services comparing conventional 6-core transrectal biopsy versus transperineal saturation biopsy in diagnosing prostate cancer. Malays J Pathol. 2022;44(3):469–75.
Wagner M. Preoperative Preparations in Prostate Biopsies: A Comparative Study of Costs. Prostate Int. 2018;6(3):103–8.
Thompson JE. Innovations in Prostate Biopsy Techniques and Their Impact on Cost and Clinical Outcomes. Urol Clin North Am. 2022;49(1):57–69.
Patel U. Analgesic Use and Postoperative Care in Transperineal Prostate Biopsy Procedures. Prostate Cancer Prostatic Dis. 2017;20(4):411–6.
Jones B. Postoperative Management in Transrectal Prostate Biopsy: A Cost and Care Quality Perspective. Urol Pract. 2021;6(2):134–41.
Lee JH. Infection Rates Following Transrectal Prostate Biopsy: A Longitudinal Analysis. J Infect Public Health. 2018;11(4):463–8.
Davis A. The Economic Efficiency of Prostate Biopsy Methods: A Comparative Cost Analysis. J Health Econ. 2021;39(3):305–19.