Health economic implications of complications associated with pancreaticoduodenectomy at a University Hospital: a retrospective cohort cost study

Wang, Jason; Ma, Ronald; Eleftheriou, Paul; Чурилов, Леонид; Debono, David; Robbins, Ray; Nikfarjam, Mehrdad; Christophi, Christopher; Weinberg, Laurence

doi:10.1016/j.hpb.2017.11.001

Cited by 23 publications

(19 citation statements)

References 28 publications

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“…In our study, CVD grade II complications only had an additive effect on hospital costs in the 50th and 75th cost percentiles. Although there are no similar studies on small bowel resection surgery to compare these results, similar studies have been undertaken for other major abdominal surgeries [2][3][4]. Our results are similar to what has been found following rectal resection.…”

Section: Discussionsupporting

confidence: 86%

“…Major complications are a consistent driver of higher hospital costs across studies [2][3][4]21]. Our study further highlighted the importance of targeting complication severity and count.…”

Section: Discussionsupporting

confidence: 60%

“…Our results are similar to what has been found following rectal resection. For example, Johnston et al [3] found that minor postoperative complications (i.e., CVD grade I) did not significantly increase hospital costs following rectal resection. However, studies investigating the relationship between postoperative complications and hospital costs following colonic and liver resections demonstrated different results [2,4].…”

Section: Discussionmentioning

confidence: 99%

“…In turn, these decisions can help guide cost-reduction strategies. Although some studies have evaluated the detailed costs of complications associated with abdominal surgery [1][2][3][4], few studies have explored the health costs of complications following small bowel resection surgery. The incidence of small intestine cancer is increasing.…”

Section: Introductionmentioning

confidence: 99%

“…The numbers of patients with 1, 2, 3, and � 4 complications were 59 (20.8%), 49 (17.2%), 56 (19.7%), and 120 (42.3%), respectively. The median [IQR] number of complications per patient in the PC group was 3[2][3][4][5]. Of the PC patients, 59 (20.8%) were CVD grade I, 137 (48.2%) CVD grade II, 21 (7.4%) CVD grade III, and 44 (15.5%) CVD grade IV.…”

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confidence: 99%

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Postoperative complications and hospital costs following small bowel resection surgery

et al. 2020

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Background Postoperative complications after major gastrointestinal surgery are a major contributor to hospital costs. Thus, reducing postoperative complications is a key target for cost-containment strategies. We aimed to evaluate the relationship between postoperative complications and hospital costs following small bowel resection. Methods Postoperative complications were recorded for 284 adult patients undergoing major small bowel resection surgery between January 2013 and June 2018. Complications were defined and graded according to the Clavien-Dindo classification system. In-hospital cost of index admission was calculated using an activity-based costing methodology; it was reported in US dollars at 2019 rates. Regression modeling was used to investigate the relationships among a priori selected perioperative variables, complications, and costs. Findings The overall complication prevalence was 81.6% (95% CI: 85.7-77.5). Most complications (69%) were minor, but 22.9% of patients developed a severe complication (Clavien-Dindo grades III or IV). The unadjusted median total hospital cost for patients with any complication was 70% higher than patients without complications (median [IQR]

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Section: Discussionsupporting

confidence: 86%