{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:36:06Z","timestamp":1777386966844,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T00:00:00Z","timestamp":1671321600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Rhinol\ufffdAllergy"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the in-hospital cost implications of an endoscopic expanded endonasal approach (EEEA) for meningioma resection relative to the open transcranial approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      All anterior skull base meningioma surgeries performed over a period from January 1\n                      <jats:sup>st<\/jats:sup>\n                      , 2015 to October 31th, 2017 were evaluated. The electronic medical record was reviewed for patient factors, tumor characteristics, and cost variables associated with each hospital stay and univariate analysis was performed using R software. All cost data were converted into August 2021-equivalent dollar amounts using the United States Bureau of Labor Statistics consumer price index.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-five patients met study criteria, including 27 patients undergoing an open transcranial approach and 8 undergoing an EEEA. Average length of stay for patients undergoing an open approach was 9.3 days compared to 5.6 within the EEEA group ( P\u2009=\u2009.126). The average total in-hospital cost of patient undergoing an EEEA was $35417.1 compared to $46406.9 among patients undergoing an open transcranial approach ( P\u2009=\u2009.168). On univariate analysis, the cost of an open transcranial approach relative to the EEEA was $10989.8 ( P\u2009=\u2009.411).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The open transcranial approach remained the dominant surgical approach to anterior skull base meningiomas over our study time period. However, despite limited patient numbers the EEEA was associated with decreased total in-hospital costs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19458924221145893","type":"journal-article","created":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T21:51:02Z","timestamp":1671400262000},"page":"324-329","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["In-Hospital Cost Comparison for Open Versus Endoscopic Endonasal Approach for Meningioma Resection"],"prefix":"10.1177","volume":"37","author":[{"given":"Arjun K.","family":"Parasher","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of South Florida, Tampa, Florida"},{"name":"College of Public Health, University of South Florida, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0431-2920","authenticated-orcid":false,"given":"David K.","family":"Lerner","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology: Head and Neck Surgery, Icahn School of Mount Sinai, NYC, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen P.","family":"Miranda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3634-2067","authenticated-orcid":false,"given":"Jennifer E.","family":"Douglas","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan T.","family":"Glicksman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts"},{"name":"New England Ear Nose and Throat, Newton, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler","family":"Alexander","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5280-0286","authenticated-orcid":false,"given":"Theodore","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Temple University, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren","family":"Ebesutani","sequence":"additional","affiliation":[{"name":"Office of Clinical Research, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8399-364X","authenticated-orcid":false,"given":"Michael","family":"Kohanski","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Y.K.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip B.","family":"Storm","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Bert W.","family":"O\u2019Malley","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Maryland Medical Center, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Yoshor","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James N.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Sean","family":"Grady","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nithin D.","family":"Adappa","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,12,18]]},"reference":[{"key":"bibr1-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1177\/1945892418817221"},{"key":"bibr2-19458924221145893","doi-asserted-by":"publisher","DOI":"10.3171\/2018.10.JNS182154"},{"key":"bibr3-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000006413"},{"key":"bibr4-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2011.08.025"},{"key":"bibr5-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2015.03.004"},{"key":"bibr6-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26462"},{"key":"bibr7-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1159\/000343794"},{"key":"bibr8-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.9797"},{"key":"bibr9-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.2078"},{"key":"bibr10-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815587509"},{"key":"bibr11-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2017.08.005"},{"key":"bibr12-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818796168"},{"key":"bibr13-19458924221145893","author":"Parasher AK","year":"2020","journal-title":"Laryngoscope"},{"key":"bibr14-19458924221145893","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1055\/s-0035-1546527","volume":"76","author":"Stapleton AL","year":"2015","journal-title":"J Neurol Surg B Skull Base"},{"key":"bibr15-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1603907"},{"key":"bibr16-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1023\/A:1012969719503"},{"key":"bibr17-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.09.202"},{"key":"bibr18-19458924221145893","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.ra.2015-0031"},{"key":"bibr19-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2015.03.056"},{"key":"bibr20-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2015.03.005"},{"key":"bibr21-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1007\/s11102-013-0508-y"},{"key":"bibr22-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.05.023"},{"key":"bibr23-19458924221145893","first-page":"269","volume":"64","author":"Fatemi N","year":"2009","journal-title":"Neurosurgery"},{"key":"bibr24-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1007\/s11102-016-0738-x"},{"key":"bibr25-19458924221145893","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2015.11.008"},{"key":"bibr26-19458924221145893","doi-asserted-by":"publisher","DOI":"10.3171\/2016.3.JNS152307"}],"container-title":["American Journal of Rhinology &amp; Allergy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19458924221145893","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19458924221145893","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19458924221145893","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:37:41Z","timestamp":1777369061000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/19458924221145893"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,18]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1177\/19458924221145893"],"URL":"https:\/\/doi.org\/10.1177\/19458924221145893","relation":{},"ISSN":["1945-8924","1945-8932"],"issn-type":[{"value":"1945-8924","type":"print"},{"value":"1945-8932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,18]]}}}