Drivers of Inpatient Costs After Colorectal Surgery Within a Publicly Funded Healthcare System
| Autor: | Jennie Lee, Fady Saleh, Nalin Amin, Margherita Cadeddu, Cagla Eskicioglu, Aristithes G. Doumouras, Jeremy E. Springer, Dennis Hong |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Marginal cost Canada medicine.medical_specialty medicine.medical_treatment Anastomosis 03 medical and health sciences Postoperative Complications 0302 clinical medicine Humans Medicine Colectomy health care economics and organizations Average cost Dialysis Aged Retrospective Studies Proctectomy business.industry General surgery Gastroenterology Health Care Costs General Medicine Middle Aged medicine.disease Comorbidity Colorectal surgery Hospitalization 030220 oncology & carcinogenesis Female Laparoscopy 030211 gastroenterology & hepatology business Complication Healthcare system |
| Zdroj: | Diseases of the Colon & Rectum. 62:747-754 |
| ISSN: | 0012-3706 |
| DOI: | 10.1097/dcr.0000000000001309 |
| Popis: | BACKGROUND The morbidity and mortality associated with colorectal resections are responsible for significant healthcare use. Identification of efficiencies is vital for decreasing healthcare cost in a resource-limited system. OBJECTIVE The purpose of this study was to characterize the short-term cost associated with all colon and rectal resections. DESIGN This was a population-based, retrospective administrative analysis. SETTINGS This analysis was composed of all colon and rectal resections with anastomosis in Canada (excluding Quebec) between 2008 and 2015. PATIENTS A total of 108,304 patients ≥18 years of age who underwent colon and/or rectal resections with anastomosis were included. MAIN OUTCOME MEASURES Total short-term inpatient cost for the index admission and the incremental cost of each comorbidity and complication (in 2014 Canadian dollars) were measured. Cost predictors were modeled using hierarchical linear regression and Monte Carlo Markov Chain estimation. RESULTS Multivariable regression demonstrated that the adjusted average cost of a 50-year-old man undergoing open colon resection for benign disease with no comorbidities or complications was $9270 ((95% CI, $7146-$11,624; p = |
| Databáze: | OpenAIRE |
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