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Published on: August 1, 2019
Patient education after stoma creation may reduce health-care costs
Anne Kjærgaard Danielsen1, Jacob Rosenberg
1Gastroenheden, Herlev -Hospital, 2730 Herlev, Denmark. anne.k.danielsen@gmail.com.
Introduction:
Researchers are urged to include health-economic assessments when exploring the benefits and drawbacks of a new treatment. The aim of the study was to assess the costs associated with the establishment of a new patient education programme for patients with a stoma.
Material And Methods:
Following a previous case-control study that explored the effect of patient education for stoma patients, we set out to examine the costs related to such a patient education programme. The primary outcome was disease-specific health-related quality of life measured with the Ostomy Adjustment Scale six months after surgery. The secondary outcome was generic health-related quality of life measured with Short Form (SF)-36. In this secondary analysis, we calculated direct health-care costs for the first six months post-operatively from the perspective of the health-care system, including costs related to the hospital as well as primary health care.
Results:
The overall cost related to establishing a patient education programme showed no significant increase in the overall average costs. However, we found a significant reduction in costs related to unplanned readmissions (p = 0.01) as well as a reduction in visits to the general practitioner (p = 0.05).
Conclusion:
Establishing a patient education programme - which increased quality of life - will probably not increase the overall costs associated with the patient course.
Funding:
The study received financial support from Søster Inge Marie Dahlgaards Fond, Diakonissestiftelsen, Denmark, and from Aase and Ejnar Danielsens Foundation, Denmark.
Trial Registration:
NCT01154725.
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