1999
DOI: 10.1097/00024382-199911001-00107
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A Cost Analysis of Surgical and Adjuvant Therapy in Patients With Diffuse Secondary Peritonitis

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“…Abdominal infections require a multitude of specific diagnostic and therapeutic measures and considerably add to overall health care expenses. 33 Although the sensitivity was only moderate, the high specificity and negative predictive values of procalcitonin for septic MODS could serve as helpful means to select patients in whom further cost-intensive diagnostic and therapeutic procedures, such as repeated computed tomographic scans, guided fine-needle aspiration, prolonged antibiotic drug treatment, and ICU therapy, are not necessary. In the daily routine, procalcitonin determinations have previously been shown to be a helpful guide for clinical decision making and goal-directed therapy in lower respiratory tract infections.…”
Section: Commentmentioning
confidence: 99%
“…Abdominal infections require a multitude of specific diagnostic and therapeutic measures and considerably add to overall health care expenses. 33 Although the sensitivity was only moderate, the high specificity and negative predictive values of procalcitonin for septic MODS could serve as helpful means to select patients in whom further cost-intensive diagnostic and therapeutic procedures, such as repeated computed tomographic scans, guided fine-needle aspiration, prolonged antibiotic drug treatment, and ICU therapy, are not necessary. In the daily routine, procalcitonin determinations have previously been shown to be a helpful guide for clinical decision making and goal-directed therapy in lower respiratory tract infections.…”
Section: Commentmentioning
confidence: 99%
“…Lang calculated costs for lobectomy of C = 5,049 and C = 5,372 for pneumonectomy, Wright [18] calculated $ 14,792 for pulmonary lobectomy, although 90 % of these patients were admitted on the same day as the operation and 68 % had been discharged by day 7. The costs for the operating theater and the ICU are again comparable with other groups although here not only surgical procedures of the thorax are analyzed -Lang [13], Nakajima [10], Welcker [19], Leftakis [20].…”
Section: Discussionmentioning
confidence: 99%