Medical or surgical therapy for erosive reflux esophagitis: cost-utility analysis using a Markov model.

@article{Romagnuolo2002MedicalOS,
  title={Medical or surgical therapy for erosive reflux esophagitis: cost-utility analysis using a Markov model.},
  author={Joseph Romagnuolo and Michael A Meier and Daniel C. Sadowski},
  journal={Annals of surgery},
  year={2002},
  volume={236 2},
  pages={191-202}
}
OBJECTIVE To compare the cost and utility of healing and maintenance regimens of omeprazole and laparoscopic Nissen fundoplication (LNF) in the framework of the Canadian medical system. SUMMARY BACKGROUND DATA Medical therapy with proton pump inhibitors for endoscopically proven reflux esophagitis is a safe and effective treatment option. Of late, the surgical treatment of choice for this disease has become LNF. METHODS The authors' base case was a 45-year-old man with erosive reflux… CONTINUE READING

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