Analysis of cost outliers after gastric bypass surgery: what can we learn?
| Autor: | Thomas L. Bass, Robert N. Cooney, Randy S. Haluck, James Ku, Janelle MacLeod, Cynthia A. Miller, Heather Brunner |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Outliers DRG Endocrinology Diabetes and Metabolism Gastric Bypass Comorbidity medicine.disease_cause Clinical pathway Sleep Apnea Syndromes Internal medicine Diabetes mellitus medicine Diabetes Mellitus Humans Hospital Costs health care economics and organizations Nutrition and Dietetics Gastric bypass surgery business.industry Incidence (epidemiology) Medical record Sleep apnea Length of Stay Pennsylvania medicine.disease Surgery Obesity Morbid Etiology Critical Pathways Female business |
| Zdroj: | Obesity surgery. 13(1) |
| ISSN: | 0960-8923 |
| Popis: | Background: A clinical pathway for gastric bypass surgery (GBS) implemented at our institution in 1999 resulted in reduced costs and decreased variability in patient care. However, a reanalysis of GBS hospital costs identified a 16% incidence of"cost outliers".We hypothesized that analysis of clinical variables would identify factors associated with increased hospital costs following GBS. Methods: Medical records and financial data for 91 GBS patients from November 2000 to July 2001 were reviewed. Patients with costs >1 SD above the total hospital cost mean comprised the cost outlier (CO) group, while the remaining patients were considered the normal cost (NC) group. Potential etiologies for COs included patient demographics, the number and severity of medical co-morbidities, surgical factors, and major postoperative complications. Results: There were 15 patients in the CO group, and 76 patients in the NC group. Patient demographics were similar in both groups. Diabetes mellitus and severe medical co-morbidities, especially sleep apnea and degenerative joint disease were more common in the CO group (60% vs 9.2%, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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