Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (7): 123-128.doi: 10.6040/j.issn.1671-7554.0.2021.1347

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Cost-effectiveness analysis of staged excision compared with one-stage excision of facial pigmented nevus in children

LI Hongwen1, ZHOU Zifu1, WANG Song1, HUO Ran1,2   

  1. 1. Department of Plastic and Cosmetic Surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250021, Shandong, China;
    2. Department of Plastic and Cosmetic Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, Shandong, China
  • Published:2022-07-27

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Abstract: Objective To compare the clinical effectiveness of one-stage excision and staged excision in children with congenital facial nevus by using clinical health economics evaluation method and to evaluate their cost-effectiveness. Methods A retrospective analysis was performed on the clinical data of 58 children with congenital facial nevus who visited Shandong Provincial Hospital from June 2018 to June 2019. The patients were divided into one-stage excision group(n=30)and staged excision group(n=28)according to the surgical operation. The length, width and area of the scar six months after the surgery were collected to evaluate the effectiveness of the surgery. The direct, indirect costs of two groups were also collected. Cost-effectiveness was analyzed using incremental cost-effectiveness ratio(ICER). Results All the patients completed the operation successfully. The total cost of the staged excision group was significantly higher than that of the one-stage excision group ［14 769.99(13 971.52,14 769.99)yuan vs 7 824.52(6 620.51,8 445.64)yuan, P<0.001］. The postoperative area reduction of the scar in the staged excision group was 0.95(0.29,2.59)cm2, which was higher than that in the one-staged group ［0.29(0.1,0.79)cm2; P=0.02］. The ICER analysis indicated that the patients in one-stage excision group spent 26 981.10 yuan for 1 cm2 area reduction and the patients in staged excision group spent 15 547.36 yuan for 1 cm2 area reduction. Conclusion Compared with the one-stage excision, the staged excision of congenital pigmented nevus on the face does not increase the length and width of the scar after the operation even for the wider lesions. Although staged excision increases extra costs for the patient, but it is still a better surgical treatment of pigmented nevi with a better ICER.

Key words: Congenital melanocytic nevi, Staged excision, One-stage excision, Cost-effectiveness analysis

CLC Number: 

  • R622+.9
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