Cost effectiveness of routine histology for haemorrhoidectomy specimens

Cost effectiveness of routine histology for haemorrhoidectomy specimens - retrospective cohort study

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12621001124820

Enrollment

119

Registered

2021-08-23

Start date

2020-08-28

Completion date

2020-08-28

Last updated

2021-08-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aimed to determine the cost-effectiveness of routine histology for haemorrhoidectomy specimens in a regional Australian hospital, as a way of detecting incidental anal cancer. The secondary aim was to determine the proportion of specimens that were sent for histology over the study period and whether individual surgeons had a significant preference for whether to send for histology.

Interventions

This is a retrospective cohort study of patients who received haemorrhoidectomies at Hervey Bay Hospital between March 2012 and May 2020. The proportion sent for histology is determined by consulting the medical records. The histology results of those shows the proportion of haemorrhoidectomy specimens showing incidental anal cancers. Cost effectiveness of routine histology was investigated by weighing the number of incidental anal cancers detected against the cost of analysis.

Eligibility

Sex/Gender

Male

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Patients who underwent haemorrhoidectomies at Hervey Bay Hospital between 1st March 2012 and 18th May 2020

Exclusion criteria

Those who had preoperative or intraoperative suspicion of a pathology other than haemorrhoids

Outcome results