Use of programmable versus nonprogrammable shunts in the management of normal pressure hydrocephalus A multicenter retrospective study with cost-benefit analysis in Turkey

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dc.contributor.authorSerarslan, Yurdal
dc.contributor.authorYilmaz, Atilla
dc.contributor.authorCakir, Murteza
dc.contributor.authorGuzel, Ebru
dc.contributor.authorAkakin, Akin
dc.contributor.authorGuzel, Asian
dc.contributor.authorUrfali, Boran
dc.date.accessioned2024-09-18T19:50:23Z
dc.date.available2024-09-18T19:50:23Z
dc.date.issued2017
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractVentriculoperitoneal shunt systems that are used in the treatment of normal pressure hydrocephalus are often associated with drainage problems. Adjustable shunt systems can prevent or treat these problems, but they may be expensive. The aim of our study is to compare the complications and total cost of several shunt systems. Patients with normal pressure hydrocephalus who underwent ventriculoperitoneal shunting between 2011 and 2016 were included in the study. The study involves patient consent and the informed consent was given. Complications and the average cost per person were compared between patients with adjustable and nonadjustable shunts. Shunt prices, surgical complications, and revision costs were taken into account to calculate the average cost. Of the 110 patients who were evaluated, 80 had a nonadjustable shunt and 30 had an adjustable shunt. In the group with adjustable shunts, the rates of subdural effusion and hematoma were 19.73% and 3.29%, respectively. In the group with nonadjustable shunts, these rates were 22.75% and 13.75%, respectively. One patient in the adjustable group underwent surgery for subdural hematoma, while 8 patients in the nonadjustable group underwent the same surgery. Ten patients required surgical intervention for subdural effusion and existing shunt systems in these patients were replaced by an adjustable shunt system. When these additional costs were factored into the analysis, the difference in cost between the shunt systems was reduced from 600 United States dollars (USD) to 111 USD. When the complications and additional costs that arise during surgical treatment of normal pressure hydrocephalus were considered, the price difference between adjustable and nonadjustable shunt systems was estimated to be much lower.en_US
dc.identifier.doi10.1097/MD.0000000000008185
dc.identifier.issn0025-7974
dc.identifier.issn1536-5964
dc.identifier.issue39en_US
dc.identifier.pmid28953678en_US
dc.identifier.scopus2-s2.0-85030775503en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1097/MD.0000000000008185
dc.identifier.urihttps://hdl.handle.net/20.500.12483/7412
dc.identifier.volume96en_US
dc.identifier.wosWOS:000412650300071en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofMedicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectadjustable shunten_US
dc.subjectcost effectiveen_US
dc.subjecthydrocephalusen_US
dc.subjectnormal pressure hydrocephalusen_US
dc.subjectshunten_US
dc.subjectTurkeyen_US
dc.titleUse of programmable versus nonprogrammable shunts in the management of normal pressure hydrocephalus A multicenter retrospective study with cost-benefit analysis in Turkeyen_US
dc.typeArticleen_US

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