Surgeon and hospital cost variability for septoplasty and inferior turbinate reduction

Thomas, Andrew J.; Alt, Jeremiah A.; Gale, Craig M.; Vijayakumar, Sathya; Padia, Reema; Peters, Matthew E.; Champagne, Trevor

doi:10.1002/alr.21775

Cited by 22 publications

(22 citation statements)

References 11 publications

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“…Data including demographics, OR time, and multiple categories of cost data in USD, were obtained from the IHC Enterprise Data Warehouse (EDW) for all included cases. Cost data obtained from the EDW is distinguished from charges to payers (ie, the “cost” from the perspective of a third‐party payer/insurer), as it represents the true cost to IHC of materials and services 19,20 . Costs were categorized as those associated with same‐day services (SDS), pharmacy, OR expenses (a facility‐dependent, time‐based calculation), OR supplies, postanesthesia care unit (PACU), and anesthesia supplies.…”

Section: Methodsmentioning

confidence: 99%

Cost and operative time estimation itemized by component procedures of endoscopic sinus surgery

Thomas

McCoul

Newberry

et al. 2020

Int Forum Allergy Rhinol

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Background: Endoscopic sinus surgery (ESS) is a variable combination of individual procedures. Cost estimates for ESS as a single entity have wide variation, likely influenced by variation in procedures performed. We sought to identify operative time, supply costs, and total procedure cost specific to the component procedure combinations comprising ESS. Methods:Bilateral ESS cases at 13 Intermountain Healthcare facilities (2008 to 2016) were identified from a database with corresponding cost and time data. Procedure details were obtained by chart review. Least-squares (LS) means of cost (in 2016 US dollars) and time for specific procedures were obtained by multivariable gamma regression models.Results: Among 1477 bilateral ESS cases with 19 different procedure combinations, operative time ranged from 59.5 (95% confidence interval [CI], 48.6-73.0) minutes for total ethmoid to 147.1 (95% CI, 126.4-171.2) minutes for full ESS with maxillary and sphenoid tissue removal. Sphenoidotomy had lowest total and supply costs

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Section: Methodsmentioning

confidence: 99%

Cost and operative time estimation itemized by component procedures of endoscopic sinus surgery

Thomas

McCoul

Newberry

et al. 2020

Int Forum Allergy Rhinol

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“…This cost data represents true costs, rather than charges billed to third party payers, such as insurance companies. 16,17 The Institutional Review Board at IHC approved this study (IRB #1040488).…”

Section: Methodsmentioning

confidence: 99%

Operative time and cost variability for functional endoscopic sinus surgery

Thomas

Smith

Newberry

et al. 2018

Int Forum Allergy Rhinol

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“…Anatomic studies on human skulls revealed that 75–80% of all humans have a septal deviation to some degree [1, 2]. Hence, that septoplasty is one of the most frequently performed operation by otolaryngologists through the world [3–7]. Aesthetic indications (e.g.…”

Section: Introductionmentioning

confidence: 99%

Complications in septoplasty based on a large group of 5639 patients

Dąbrowska-Bień

Skarżyńśki

Gwizdalska

et al. 2018

Eur Arch Otorhinolaryngol

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PurposeSeptoplasty is a common surgical procedure used for correction of the nasal obstruction caused by a deviated septum. The aim of the study was to identify complications in septoplasty and analyze incidence depending on the surgical technique, based on the material from 2009 till 2017.MethodsThe material consisted of 5639 medical records from patients aged 16–69, operated in the tertiary referral center. Patients were divided into two groups (2784 exclusively with septoplasty and 2855 with combined septoplasty and turbinoplasty). Z test for the equality of two proportions was made to investigate the assumption that the proportions from two populations are equal, based on two samples, one from each population.ResultsComplications were listed according to international standards. Among the whole study group, different types of complications were noted in 193 patients (3.42%). The most frequent complication was excessive bleeding. Significant differences were observed between the two investigated groups. In patients with combined septoplasty and turbinoplasty septal hematoma, hyposmia, prolonged healing due to infection, adhesions and temporary reduced visual acuity were significantly more often encountered.ConclusionsMeticulous attention to detail in identifying the appropriate anatomy and maintaining good visualization is the key to a safe and effective septoplasty, enabling for very low complication rate.

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Surgeon and hospital cost variability for septoplasty and inferior turbinate reduction

Cited by 22 publications

References 11 publications

Cost and operative time estimation itemized by component procedures of endoscopic sinus surgery

Cost and operative time estimation itemized by component procedures of endoscopic sinus surgery

Operative time and cost variability for functional endoscopic sinus surgery

Complications in septoplasty based on a large group of 5639 patients

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