Impact of postoperative complications on clinical and economic consequences in pancreatic surgery
Annals of Surgical Treatment and Research
; : 21-28, 2016.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-59527
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Patients who develop complications consume a disproportionately large share of available resources in surgery; therefore the attention of healthcare funders focuses on the economic impact of complications. The main objective of this work was to assess the clinical and economic impact of postoperative complications in pancreatic surgery, and furthermore to assess risk factors for increased costs.METHODS:
In all, 161 consecutive patients underwent pancreatic resection. The costs of the treatment were determined and analyzed.RESULTS:
The overall morbidity rate was 53.4%, and the in-hospital mortality rate was 3.7%. The median of costs for all patients without complication was 3,963 Euro, whereas the median of costs for patients with at least one complication was significantly increased at 10,670 Euro (P or = 3 (P = 0.006), multivisceral resection (P < 0.001) and any complication (P < 0.001) were independently associated with increased costs.CONCLUSION:
Postoperative complications are associated with an increase in mortality, length of hospital stay, and hospital costs. The treatment costs increase with the severity of the postoperative complications. Those factors that are known to increase the treatment costs in pancreatic resection should be considered when planning patients for surgery.
Full text:
Available
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 4: Health financing
Database:
WPRIM (Western Pacific)
Main subject:
Pancreatectomy
/
Postoperative Complications
/
Multivariate Analysis
/
Risk Factors
/
Mortality
/
Pancreatic Fistula
/
Pancreaticoduodenectomy
/
Hospital Mortality
/
Health Care Costs
/
Hospital Costs
Type of study:
Etiology study
/
Health economic evaluation
/
Prognostic study
/
Risk factors
Aspects:
Social determinants of health
Limits:
Humans
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2016
Document type:
Article