The financial burden of complications following rectal resection: A cohort study
Autor: | Andrew Bui, Samuel A Johnston, Maleck Louis, Leonid Churilov, Laurence Weinberg, Nada Marhoon, Ronald Cw Ma, Christopher Christophi |
---|---|
Rok vydání: | 2020 |
Předmět: |
Male
complications rectal Observational Study Resection Cohort Studies surgery 03 medical and health sciences 0302 clinical medicine Postoperative Complications Cost of Illness cost Medicine Humans Rectal resection 030212 general & internal medicine Significant risk Aged Retrospective Studies Finance Proctectomy business.industry Incidence (epidemiology) Retrospective cohort study General Medicine Health Care Costs Middle Aged University hospital 030220 oncology & carcinogenesis Female business Complication Cohort study Research Article |
Zdroj: | Medicine |
ISSN: | 1536-5964 |
Popis: | To investigate the costs associated with postoperative complications following rectal resection. Rectal resection is a major surgical procedure that carries a significant risk of complications. The occurrence of complications following surgery has both health and financial consequences. There are very few studies that examine the incidence and severity of complications and their financial implications following rectal resection. We identified 381 consecutive patients who underwent a rectal resection within a major university hospital. Patients were included using the International Classification of Diseases (ICD) codes. Complications in the postoperative period were reported using the validated Clavien-Dindo classification system. Both the number and severity of complications were recorded. Activity-based costing methodology was used to report financial outcomes. Preoperative results were also recorded and assessed. A 76.9% [95% CI: 68.3:86.2] of patients experienced one or more complications. Patients who had a complication had a median total cost of $22,567 [IQR 16,607:33,641]. Patients who did not have a complication had a median total cost of $15,882 [IQR 12,971:19,861]. The adjusted additional median cost for patients who had a complication was $5308 [95% CI: 2938:7678] (P |
Databáze: | OpenAIRE |
Externí odkaz: |