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[Process-oriented cost calculation in interventional radiology. A case study].

A H Mahnken1, P Bruners, R W Günther

  • 1Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland. andreas.mahnken@rwth-aachen.de

Der Radiologe
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Summary
This summary is machine-generated.

Process-oriented costing reveals radiofrequency ablation of lung metastases is profitable, but liver metastases treatment may incur losses under the German DRG 2010 system, especially for less complex cases.

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Area of Science:

  • Medical Economics
  • Interventional Radiology

Background:

  • Traditional cost accounting methods inadequately represent resource use in medical procedures.
  • A process-oriented approach is needed for accurate cost assessment in medicine.

Purpose of the Study:

  • To develop and apply a process-oriented cost assessment for percutaneous radiofrequency (RF) ablation of liver and lung metastases.
  • To compare the costs of RF ablation procedures with revenues under the German Diagnosis-Related Groups (DRG) system.

Main Methods:

  • Performed detailed task analysis for hepatic and pulmonary RF ablation in 15 patients.
  • Developed a dedicated cost calculation model for each primary process.
  • Calculated process costs and compared them to 2010 German DRG revenues.

Main Results:

  • RF ablation of liver metastases resulted in a loss of EUR 588.44 for low-complexity patients.
  • Treatment of high-complexity liver metastases patients yielded acceptable profit.
  • Pulmonary metastases RF ablation was profitable, even with complications.

Conclusions:

  • Process-oriented costing offers crucial insights into the economic impact of treatment decisions.
  • This method is suitable for optimizing and reengineering medical processes.
  • Percutaneous RF ablation of lung metastases is economically viable under German DRG 2010; liver metastases ablation is not cost-effective for low-complexity cases.