Invited Commentary: Prostatic Artery Embolization Versus Transurethral Resection of the Prostate: A Post Hoc Cost Analysis of a Randomized Controlled Clinical Trial, By Capdevila et al.

2021 ◽  
Author(s):  
Charles E. Ray
Keyword(s):  
Clinical Trial ◽  
Cost Analysis ◽  
Transurethral Resection ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Artery Embolization ◽  
Prostatic Artery Embolization ◽  
Randomized Controlled ◽  
Post Hoc ◽  
Prostatic Artery

scholarly journals Prostatic Artery Embolization Versus Transurethral Resection of the Prostate: A Post Hoc Cost Analysis of a Randomized Controlled Clinical Trial

2021 ◽  
Author(s):  
Ferran Capdevila ◽  
Iñigo Insausti ◽  
Arkaitz Galbete ◽  
Eduardo Sanchez-Iriso ◽  
Manuel Montesino
Keyword(s):  
Clinical Trial ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Artery Embolization ◽  
Prostatic Artery Embolization ◽  
Randomized Controlled ◽  
The Mean ◽  
Post Hoc ◽  
Prostatic Artery

Abstract Purpose To perform a post hoc analysis of patient-incurred costs in a randomized controlled clinical trial comparing prostatic artery embolization (PAE) and transurethral resection of the prostate (TURP). Materials and Methods Patients older than 60 years with indication of TURP were randomized to PAE or TURP procedure. After intervention and hospital discharge, patients were follow-up during 12 months The associated patient costs were categorized according to the study period: pre-intervention, intervention, hospitalization, and follow-up. Several items for both groups were analyzed within each study period. Results The mean total costs per patient were lower for PAE (€ 3,192.87) than for TURP (€ 3,974.57), with this difference of € 781.70 being significant (p = 0.026). For most evaluated items, the mean costs were significantly higher for TURP. No significant differences were observed in the mean costs of PAE (€ 1,468.00) and TURP (€ 1,684.25) procedures (p = 0.061). However, the histopathology analysis, recovery room stay, and intraoperative laboratory analysis increased the interventional costs for TURP (€ 1,999.70) compared with PAE (€ 1,468.00) (p < 0.001). No cost differences were observed between PAE (€ 725.26) and TURP (€ 556.22) during the 12 months of follow-up (p = 0.605). None of patients required a repeat intervention during the study period. Conclusions Considering the short-term follow-up, PAE was associated with significantly lower costs compared with TURP. Future investigations in the context of routine clinical practice should be aimed at comparing the long-term effectiveness of both procedures and determining their cost-effectiveness. Level of evidence: Level 1 (a-c)

scholarly journals Irisin Serum Levels in Metabolic Syndrome Patients Treated with Three Different Diets: A Post-Hoc Analysis from a Randomized Controlled Clinical Trial

Nutrients ◽  
2018 ◽  
Vol 10 (7) ◽  
pp. 844 ◽  
Author(s):  
Alberto Osella ◽  
Graziana Colaianni ◽  
Mario Correale ◽  
Pasqua Pesole ◽  
Irene Bruno ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Clinical Trial ◽  
Serum Levels ◽  
Controlled Clinical Trial ◽  
Randomized Controlled Clinical Trial ◽  
Post Hoc Analysis ◽  
Randomized Controlled ◽  
Post Hoc

Prostatic artery embolization versus transurethral resection of the prostate in the treatment of benign prostatic hyperplasia: 12 month results of a clinical trial

2019 ◽  
Vol 18 (1) ◽  
pp. e1494-e1495
Author(s):  
P.J. Giral Villalta ◽  
J.F. Aguilar Guevara ◽  
G. López Ubillos ◽  
S. Lacarra Fernández ◽  
A. Zabalo San Juan ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Benign Prostatic Hyperplasia ◽  
Transurethral Resection ◽  
Prostatic Hyperplasia ◽  
Artery Embolization ◽  
Prostatic Artery Embolization ◽  
Prostatic Artery

scholarly journals Prostatic artery embolization versus transurethral resection of the prostate in the treatment of benign prostatic hyperplasia: protocol for a non-inferiority clinical trial

2018 ◽  
Vol Volume 10 ◽  
pp. 17-22 ◽  
Author(s):  
Saturnino Napal Lecumberri ◽  
Iñigo Insausti Gorbea ◽  
Ana Sáez de Ocariz García ◽  
Saioa Solchaga Álvarez ◽  
José Luis Cebrián Lostal ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Benign Prostatic Hyperplasia ◽  
Transurethral Resection ◽  
Prostatic Hyperplasia ◽  
Artery Embolization ◽  
Prostatic Artery Embolization ◽  
Prostatic Artery
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