The Stretta Procedure Versus Proton Pump Inhibitors and Laparoscopic Nissen Fundoplication in the Management of Gastroesophageal Reflux Disease: A Cost-Effectiveness Analysis

Abstract

If SFMs are used as the measure of effectiveness, PPIs dominate the Stretta and LNF strategies. However, if QALYs are used, the PPIs still present the lowest cost and LNF gives the best effectiveness. Regardless of the units of effectiveness or utility used in the present cost analysis, an approach of prescribing PPIs appears to be the preferred strategy.