Health Economic Analysis Laparoscopic Lavage vs. Hartmann’s Procedure


Featured Article

Gehrman J, Angenete E, Björholt, et al. Health economic analysis of laparoscopic lavage versus
Hatmann’s procedure for diverticulitis in the randomized DILALA trial.
Br J Surg. 2016;103:1539-1547

Expert Reviews

Methodological Reviewer: Des Winter MD, Department of Surgery, University College Dublin School of Medicine & Medical Sciences

Clinical Reviewer: Mantaj Brar MD, MSc, GradStat, FRCSC, Department of Surgery, University of Toronto

Clinical Reviewer: Scott Regenbogen MD, MPH, Department of Surgery, University of Michigan

Supplementary Article

Thoma A, Sprague S, Tandan V; for the Evidence-Based Surgery Working Group. Users’ guide to the surgical literature: How to Use an Article on Economic Analysis. CJS 2001;44(5):347-54


Please read the above articles and be prepared to discuss the following:

  1. What is the clinical question being addressed?
  2. Did the analysis provide a full economic comparison of health care strategies?
  3. Was a broad enough viewpoint adopted?
  4. Were all relevant clinical strategies compared?
  5. Was clinical effectiveness established?
  6. Were costs measured accurately?
  7. Were data on costs and outcomes appropriately integrated?
  8. Was appropriate allowances made for uncertainties in the analysis?
  9. What were the incremental costs and outcomes of each strategy?
  10. Do incremental costs and outcomes differ between subgroups?
  11. State the conclusion. Have the authors addressed the clinical question posed?
  12. Does the evidence support the conclusion?