Costs Associated With Early Vascular and Biliary Complications in Liver-Transplanted Patients in a Hospital in Antioquia, Colombia 2019: A Case Series
| Autor: | Claudia Patricia Franco Arenas, Uriel Palacios-Barahona, Luis Guillermo Toro Rendón |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Biliary Tract Diseases Economics Econometrics and Finance (miscellaneous) Colombia Cost overrun 03 medical and health sciences Liver disease High morbidity 0302 clinical medicine Clinical information Health care Medicine Humans 030212 general & internal medicine Vascular Diseases Pharmacology Toxicology and Pharmaceutics (miscellaneous) Average cost Aged Retrospective Studies business.industry 030503 health policy & services Health Policy Health Care Costs Middle Aged University hospital medicine.disease Hospitals Liver Transplantation Liver Transplant patient Female 0305 other medical science business |
| Zdroj: | Value in health regional issues. 23 |
| ISSN: | 2212-1102 |
| Popis: | Objectives Vascular and biliary complications associated with liver transplants involve high morbidity and mortality as well as cost overrun for health systems. Efforts to prioritize their prevention require not only clinical information but also information on costs that reflect the economic burden on health systems. The objective of this study was to describe cost overrun incurred from early vascular and biliary complications after liver transplant. Methods This cases series included liver transplant patients treated at the San Vicente Foundation University Hospital, Rionegro, Antioquia, from January 1, 2013, to December 31, 2018. All liver transplant patients treated during the above period were included; the absence of clinical records on the variables of interest was considered the exclusion criterion. A probabilistic analysis of patient cost was performed. Monte Carlo simulations as well as a 1-way sensitivity analysis per transplant cost component were performed. Results Records from 154 patients were assessed. The average patient age was 56.9 (SD 10.9) years; 42.9% of patients were women. Of all, 36.4% patients were classified as Child C, and the average Model for End-Stage Liver Disease score was 19.6. The average cost for patients without complications was $27 834.82, whereas that for patients with early vascular complications was $36 747.83 and for those with early biliary complications was $38 523.74. Conclusion Early vascular and biliary complications after liver transplant increase healthcare costs, with the increase being significant in patients with biliary complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect