Cost-Benefit Analysis and Resource Implications of Endoscopy Ultrasound-guided Confocal Endomicroscopy in Pancreas Cysts

Author(s):  
Anjuli Luthra ◽  
Phil A. Hart ◽  
Georgios I. Papachristou ◽  
Kyle Porter ◽  
Mary E. Dillhoff ◽  
...  
2013 ◽  
Vol 127 (11) ◽  
pp. 1122-1126 ◽  
Author(s):  
C Burgess ◽  
L Dias ◽  
E Maughan ◽  
R Moorthy

AbstractObjectives:To establish the diagnostic adequacy of ultrasound-guided fine needle aspiration cytology samples at the East Berkshire neck lump clinic, and to perform a cost-benefit analysis related to the hypothetical addition of an on-site cytology technician (required to review fine needle aspiration specimen adequacy).Method:The adequacy of all ultrasound-guided fine needle aspiration procedures was reviewed from 1 January to 30 June 2011. These results were used in the cost-benefit analysis related to on-site cytology assessment.Results:Of the 307 ultrasound-guided fine needle aspiration cytology procedures performed over 6 months, 67 (22 per cent) were reported to be non-diagnostic. Operator experience was found to correlate significantly with diagnostic adequacy (p < 0.001). Only 5 per cent of all fine needle aspirations were initially non-diagnostic but diagnostic on repeat sampling. This suggests that the financial and time costs of on-site fine needle aspirate adequacy assessment would outweigh any benefit.Conclusion:In this series, the experience of individuals performing fine needle aspirations was the most important factor related to adequacy.


The Breast ◽  
2013 ◽  
Vol 22 (3) ◽  
pp. 238-243 ◽  
Author(s):  
M.H. Haloua ◽  
N.M.A. Krekel ◽  
V.M.H. Coupé ◽  
J.E. Bosmans ◽  
A.M.F. Lopes Cardozo ◽  
...  

2011 ◽  
pp. 57-78
Author(s):  
I. Pilipenko

The paper analyzes shortcomings of economic impact studies based mainly on input- output models that are often employed in Russia as well as abroad. Using studies about sport events in the USA and Olympic Games that took place during the last 30 years we reveal advantages of the cost-benefit analysis approach in obtaining unbiased assessments of public investments efficiency; the step-by-step method of cost-benefit analysis is presented in the paper as well. We employ the project of Sochi-2014 Winter Olympic and Paralympic Games in Russia to evaluate its efficiency using cost-benefit analysis for five accounts (areas of impact), namely government, households, environment, economic development, and social development, and calculate the net present value of the project taking into account its possible alternatives. In conclusion we suggest several policy directions that would enhance public investment efficiency within the Sochi-2014 Olympics.


2007 ◽  
pp. 70-84 ◽  
Author(s):  
E. Demidova

This article analyzes definitions and the role of hostile takeovers at the Russian and European markets for corporate control. It develops the methodology of assessing the efficiency of anti-takeover defenses adapted to the conditions of the Russian market. The paper uses the cost-benefit analysis, where the costs and benefits of the pre-bid and post-bid defenses are compared.


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