Pediatric hydrocephalus treatment costs [Neurosurgery Wiki]

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====== Pediatric hydrocephalus treatment costs ======

To estimate the [[cost]]s of the surgical [[pediatric hydrocephalus treatment]], specifically [[ventriculoperitoneal shunt]] (VPS) and [[endoscopic third ventriculostomy]] (ETV), for the [[Brazilian public health system]] (SUS).

Retrospective cohort study of health records of patients < 14 years of age with a diagnosis of [[hydrocephalus]] who underwent VPS or ETV between September 2009 and June 2016, regularly followed up for 24 months.

Seventy-six medical records were included. The groups of children who underwent VPS and ETV consisted of 60 and 16 patients, respectively. [[Complication]]s during 2 years of follow-up were identified in 56% of the children undergoing VPS and in 18% of those undergoing ETV (p = 0.0103). The initial cost of VPS was lower than that of ETV up to approximately 1 year of post-surgical follow-up. After that, VPS generated higher expenses for the SUS due to higher rates of late post-surgical complications and repeated [[readmission]]s.

Higher public [[expenditure]]s were observed in the group of children undergoing [[ventriculoperitoneal shunt]] due to higher rates of [[ventriculoperitoneal shunt infection]]s and mechanical [[complication]]s requiring repeated [[hospitalization]]s and [[prosthesis]] [[replacement]]s. Public policies must be tailored to offer the best treatment to children with hydrocephalus and to make judicious use of public resources without compromising the quality of treatment
((Soriano LG, Melo JRT. Costs of pediatric hydrocephalus treatment for the Brazilian public health system in the Northeast of Brazil. Childs Nerv Syst. 2022 Aug 10. doi: 10.1007/s00381-022-05630-4. Epub ahead of print. PMID: 35948831.)).