Cost Effectiveness of Laparoscopic Colorectal Surgery

This study has been completed.
Sponsor:
Collaborators:
Minimal Access Therapy Training Unit
Ethicon Endo-Surgery (Europe) GmbH
Information provided by:
University of Surrey
ClinicalTrials.gov Identifier:
NCT00884130
First received: April 16, 2009
Last updated: NA
Last verified: April 2009
History: No changes posted

April 16, 2009
April 16, 2009
January 2006
August 2007   (final data collection date for primary outcome measure)
The cost effectiveness of laparoscopic colorectal surgery [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]
Same as current
No Changes Posted
  • Costs of laparoscopic and open colorectal surgery [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]
  • Quality of life of patients having laparoscopic and open colorectal surgery [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Cost Effectiveness of Laparoscopic Colorectal Surgery
Cost Effectiveness of Laparoscopic Colorectal Surgery

Hypothesis: The total costs of laparoscopic colorectal surgery are less than those of open surgery.

Secondary hypothesis: Patients quality of life is higher following laparoscopic surgery, as compared to open colorectal surgery.

Research objectives:

  1. To estimate the cost implications and clinical benefits of incorporating laparoscopic colorectal surgery into routine clinical practice.
  2. To examine whether the increased operative costs of laparoscopic surgery are compensated for by a faster recovery, shorter duration of hospital stay, and a reduction in late complications, as compared to open surgery.
  3. To investigate whether there are differences in quality of life following laparoscopic colorectal surgery as compared to open surgery.

Lay summary:

Patients needing an operation for a bowel problem have traditionally had an open operation with an incision on the abdomen, and this is the type of operation that is currently performed in the majority of cases in the United Kingdom today (over 90%). Laparoscopic (or keyhole) surgery has been introduced into bowel surgery, but is currently not widely performed. This is because thus far there have been no clear-cut benefits demonstrated with this technique and the perceived costs are higher than an open operation. The investigators aim to evaluate both of these issues.

Not Provided
Observational
Observational Model: Cohort
Time Perspective: Prospective
Not Provided
Not Provided
Non-Probability Sample

All patients requiring a colorectal resection between January 2006 and August 2007 at The Royal Surrey County Hospital, UK.

Colorectal Surgery
  • Procedure: laparoscopic colorectal resection
  • Procedure: open colorectal resection
  • Laparoscopic
    Patients having a laparoscopic colorectal resection
    Intervention: Procedure: laparoscopic colorectal resection
  • Open
    Patients having an open colorectal resection
    Intervention: Procedure: open colorectal resection
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
200
October 2007
August 2007   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • All patients having a colorectal resection, including benign and malignant tumours, inflammatory bowel disease, diverticular disease, and endometriosis

Exclusion Criteria:

  • Children
  • Emergency procedures
  • Patients unable to consent, unable to complete a quality of life diary
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United Kingdom
 
NCT00884130
05/Q1909/74
Yes
Alison Sawyer, Postgraduate Medical School, University of Surrey
University of Surrey
  • Minimal Access Therapy Training Unit
  • Ethicon Endo-Surgery (Europe) GmbH
Principal Investigator: Henry m Dowson, MBBS FRCS Minimal Access Therapy Training Unit
Study Chair: Timothy Rockall, MBBS FRCS Minimal Access Therapy Training Unit
University of Surrey
April 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP