The financial impact of postoperative complications following liver resection
| Autor: | Mehrdad Nikfarjam, David Debono, Laurence Weinberg, Leonid Churilov, Ronald Cw Ma, Christopher Christophi, Luka Cosic |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Total cost Cost-Benefit Analysis medicine.medical_treatment hospital costs Observational Study costs Statistics Nonparametric 03 medical and health sciences Liver disease Postoperative Complications 0302 clinical medicine cost analysis Open Resection medicine Hepatectomy Humans Postoperative Period 030212 general & internal medicine health care economics and organizations Retrospective Studies business.industry Incidence (epidemiology) Retrospective cohort study Cost centre General Medicine Length of Stay Middle Aged medicine.disease Surgery 030220 oncology & carcinogenesis liver resection Female business Complication Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | The aim of the study was to determine the financial burden of complications and examine the cost differentials between complicated and uncomplicated hospital stays, including the differences in cost due to extent of resection and operative technique. Liver resection carries a high financial cost. Despite improvements in perioperative care, postoperative morbidity remains high. The contribution of postoperative complications to the cost of liver resection is poorly quantified, and there is little data to help guide cost containment strategies. Complications for 317 consecutive adult patients undergoing liver resection were recorded using the Clavien-Dindo classification. Patients were stratified based on the grade of their worst complication to assess the contribution of morbidity to resource use of specific cost centers. Costs were calculated using an activity-based costing methodology. Complications dramatically increased median hospital cost ($22,954 vs $15,593, P |
| Databáze: | OpenAIRE |
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