scholarly journals The various cost of endoscopic surveillance may affect the follow-up endpoint identified by cost-benefit analysis in Barrett’s esophagus patients around the world

2021 ◽  
Author(s):  
Zhi-han Wu ◽  
Rong Luo ◽  
Kai Deng
Keyword(s):  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Endoscopic Surveillance ◽  
Benefit Analysis ◽  
The World

Tighter Financial Regulation and its Impact on Global Growth

2010 ◽  
Vol 213 ◽  
pp. F39-F44 ◽  
Author(s):  
Ray Barrell ◽  
Dawn Holland ◽  
Dilruba Karim
Keyword(s):  
Financial Crises ◽  
World Economy ◽  
Financial Regulation ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Benefit Analysis ◽  
Perceptions Of Risk ◽  
The Third ◽  
The World ◽  
Global Growth

The financial crisis that started in mid-2007 enveloped the world economy and caused a serious recession in most OECD countries. It is widely believed that it has also left a scar on potential output because it will have raised perceptions of risk and hence reduced the sustainable capital stock people wish to hold. It is inevitable that policymakers should ask what can be done to reduce the chances of this happening again, and it is equally inevitable that the banks would answer that it is too costly to do anything. There are four questions one must answer before it is possible to undertake a cost-benefit analysis of bank regulation. The first involves asking what are the costs of financial crises? The second involves asking what are the costs of financial regulation? The third involves asking what causes crises? The fourth, and perhaps the most important, involves asking whether regulators can do anything to reduce the risk of crises? Our overall approach to these issues is spelled out in a report written for the FSA in the aftermath of the crisis (see Barrell et al., 2009).

scholarly journals 481 LONG-TERM FOLLOW-UP RESULTS OF A RANDOMIZED TRIAL COMPARING RADIOFREQUENCY ABLATION VERSUS ENDOSCOPIC SURVEILLANCE IN BARRETT'S ESOPHAGUS PATIENTS WITH LOW-GRADE DYSPLASIA

2018 ◽  
Vol 87 (6) ◽  
pp. AB83 ◽  
Author(s):  
Esther Klaver ◽  
K. Nadine Phoa ◽  
Frederike G. van Vilsteren ◽  
Bas L. Weusten ◽  
Raf Bisschops ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Randomized Trial ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Endoscopic Surveillance ◽  
Low Grade ◽  
Long Term Follow Up ◽  
Low Grade Dysplasia

scholarly journals PREVENTION OF Β THALASSEMIA IN NORTHERN ISRAEL - A COST-BENEFIT ANALYSIS.

2014 ◽  
Vol 6 (1) ◽  
pp. e2014012 ◽  
Author(s):  
Ariel Koren ◽  
Lora Profeta ◽  
Luci Zalman ◽  
Haya Palmor ◽  
Carina Levin ◽  
...  
Keyword(s):  
Prevention Program ◽  
Cost Benefit Analysis ◽  
Iron Chelation ◽  
Cost Benefit ◽  
Thalassemia Major ◽  
World Population ◽  
Blood Transfusions ◽  
Benefit Analysis ◽  
The World ◽  
The Cost

Background:β Thalassemia major is characterized by hemolytic anemia, ineffectiveerythropoiesis and hemosiderosis. About 4 % of the world population carries a Thalassemiagene. Management includes blood transfusions and iron chelation, this treatmentis costly and population screening may be significantly more cost benefit. Purpose: Thepurpose of the current study is to analyze the cost of running a preventionprogram for β Thalassemia in Israel and compare it to the actual expensesincurred by treating Thalassemia patients. Methods: Threecost parameters were analyzed and compared: The prevention program, routinetreatment of patients and treatment of complications. An estimation of theexpenses needed to treat patients that present with complications werecalculated based on our ongoing experience in treatment of deterioratingpatients. Results andConclusions: The cost of preventing one affected newborn was $63,660 comparedto $1,971,380 for treatment of a patient during 50 years (mean annual cost:  $39,427). Thus, the prevention of 45 affectednewborns over a ten years period represents a net saving of $88.5 million tothe health budget. Even after deducting the cost of the prevention program ($413.795/yr.), the program still represents abenefit of $ 76 million over ten years. Each prevented case could pay thescreening and prevention program for 4.6 ys.

scholarly journals DIAGNOSIS, TREATMENT AND FOLLOW-UP OF BARRETT’S ESOPHAGUS: A SYSTEMATIC REVIEW

2020 ◽  
Vol 57 (3) ◽  
pp. 289-295
Author(s):  
José Roberto ALVES ◽  
Fabrissio Portelinha GRAFFUNDER ◽  
João Vitor Ternes RECH ◽  
Caique Martins Pereira TERNES ◽  
Iago KOERICH-SILVA
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Endoscopic Surveillance ◽  
Controlled Trials ◽  
Low Grade ◽  
Randomized Controlled ◽  
Mesh Terms

ABSTRACT BACKGROUND: Barrett’s esophagus (BE) is a premalignant condition that raises controversy among general practitioners and specialists, especially regarding its diagnosis, treatment, and follow-up protocols. OBJECTIVE: This systematic review aims to present the particularities and to clarify controversies related to the diagnosis, treatment and surveillance of BE. METHODS: A systematic review was conducted on PubMed, Cochrane, and SciELO based on articles published in the last 10 years. PRISMA guidelines were followed and the search was made using MeSH and non-MeSH terms “Barrett” and “diagnosis or treatment or therapy or surveillance”. We searched for complete randomized controlled clinical trials or Phase IV studies, carried out with individuals over 18 years old. RESULTS: A total of 42 randomized controlled trials were selected after applying all inclusion and exclusion criteria. A growing trend of alternative and safer techniques to traditional upper gastrointestinal endoscopy were identified, which could improve the detection of BE and patient acceptance. The use of chromoendoscopy-guided biopsy protocols significantly reduced the number of biopsies required to maintain similar BE detection rates. Furthermore, the value of BE chemoprophylaxis with esomeprazole and acetylsalicylic acid was relevant, as well as the establishment of protocols for the follow-up and endoscopic surveillance of patients with BE based predominantly on the presence and degree of dysplasia, as well as on the length of the follow-up affected by BE. CONCLUSION: Although further studies regarding the diagnosis, treatment and follow-up of BE are warranted, in light of the best evidence presented in the last decade, there is a trend towards electronic chromoendoscopy-guided biopsies for the diagnosis of BE, while treatment should encompass endoscopic techniques such as radiofrequency ablation. Risks of ablative endoscopic methods should be weighted against those of resective surgery. It is also important to consider lifetime endoscopic follow-up for both short and long term BE patients, with consideration to limitations imposed by a range of comorbidities. Unfortunately, there are no randomized controlled trials that have evaluated which is the best recommendation for BE follow-up and endoscopic surveillance (>1 cm) protocols, however, based on current International Guidelines, it is recommended esophagogastroduodenoscopy (EGD) every 5 years in BE without dysplasia with 1 up to 3 cm of extension; every 3 years in BE without dysplasia with >3 up to 10 cm of extension, every 6 to 12 months in BE with low grade dysplasia and, finally, EGD every 3 months after ablative endoscopic therapy in cases of BE with high grade dysplasia.

Cost analysis and cost-benefit analysis of a medication review with follow-up service in aged polypharmacy patients

2016 ◽  
Vol 18 (9) ◽  
pp. 1069-1078 ◽  
Author(s):  
Amaia Malet-Larrea ◽  
Estíbaliz Goyenechea ◽  
Miguel A. Gastelurrutia ◽  
Begoña Calvo ◽  
Victoria García-Cárdenas ◽  
...  
Keyword(s):  
Cost Analysis ◽  
Medication Review ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Benefit Analysis

scholarly journals INNOVATIVE COMPUTERIZED METHODSWITH OPERATIONS RESEARCHTO IMPROVE INDIAN COAL MINING

2021 ◽  
pp. 139-153
Keyword(s):  
Research Study ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Benefit Analysis ◽  
Mining Operations ◽  
Indian Coal ◽  
Computer Methods ◽  
The World ◽  
Coal Reserves ◽  
Installed Capacity

Because of geological incongruities of reserves, planning and operations of mines are different in each case. A research study was done from IIT(ISM) Dhanbad for developing computerized method studies for better performance and monitoring of a coal company. The research has also developed models for cost-benefit analysis of improved systems of mining operations on ground realities and database creation. The researchwas carried out by analyzing existing mines for developing model programsfor improvements. India has 320 billion tonnes of coal reserves and it is 7 percent of the reserve of the world. The energy consumption in India is about one-third of the world average and 60 percent of the installed capacity of energy in the country is based on thermal plants.The research has developed data-based computer methods in 14 original models; for result-oriented planning for multi-project scheduling and monitoring.Once, the techno-economics of coalmine reorganization is finalized, viz. programs run, scheduling of activities and monitoring for completion become valuable. Research conducted caused better performance and profit for the company.

scholarly journals Tourism in Kenya's national parks: A cost-benefit analysis

SURG Journal ◽  
2012 ◽  
Vol 6 (1) ◽  
pp. 31-40
Author(s):  
Hubert Cheung
Keyword(s):  
Biodiversity Conservation ◽  
National Parks ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Environmental Costs ◽  
Benefit Analysis ◽  
Costs And Benefits ◽  
Wildlife Species ◽  
The World ◽  
The Cost

East Africa is home to some of the most stunning wildlife in the world. With tourism in the region’s wildlife parks growing in popularity, it is imperative to evaluate the socioeconomic and environmental costs and benefits of this expanding industry. This study conducted a cost-benefit analysis of the various impacts that tourism has brought to Kenya’s national parks by monetarily valuating each impact. While the results of this cost-benefit analysis suggest that the benefits far outweigh the costs, even when non-measurable costs are considered, a number of fundamental issues must be addressed in order to improve the cost-benefit balance. The results are likely to be representative of the overall state of tourism in Kenya’s national parks and expose key areas where improvements can be made. Improvements to tourism in Kenya’s national parks can have positive implications for local people, the environment, wildlife species, tourists, and biodiversity conservation. Keywords: tourism; national parks; Kenya; cost-benefit analysis

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