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One-year postoperative resource utilization in sarcopenic patients.

Peter S Kirk1, Jeffrey F Friedman1, David C Cron1

  • 1Department of Surgery, Taubman Center, University of Michigan Health System, Ann Arbor, Michigan.

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|May 21, 2015
PubMed
Summary
This summary is machine-generated.

Sarcopenia increases immediate postoperative costs, but long-term healthcare expenses are similar to nonsarcopenic patients. Additional perioperative resources for sarcopenic individuals may improve outcomes.

Keywords:
CostDischarge dispositionHealth care utilizationMorphomicsReadmissionsSarcopenia

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Area of Science:

  • Geriatric Medicine
  • Surgical Outcomes
  • Health Economics

Background:

  • Sarcopenia is linked to higher postoperative complications and short-term healthcare use.
  • Long-term outcomes for sarcopenic patients post-surgery remain less understood.
  • This study investigates healthcare costs in the first year after surgery for sarcopenic patients.

Purpose of the Study:

  • To evaluate the long-term healthcare costs associated with sarcopenia in the first postoperative year.
  • To identify the impact of sarcopenia on various postoperative outcomes including costs, readmissions, and discharge disposition.

Main Methods:

  • Analysis of 1279 patients from the Michigan Surgical Quality Collaborative database (2006-2011).
  • Sarcopenia determined using preoperative CT scans and morphomics (lean psoas area).
  • Multivariate models adjusted for demographics and surgical risk factors.

Main Results:

  • Sarcopenia independently associated with higher adjusted costs at 30, 90, and 180 days post-surgery.
  • Cost difference at 1 year was $14,093 higher for sarcopenic patients.
  • Sarcopenic patients were more likely to have non-home discharge, but readmission rates were similar.

Conclusions:

  • Healthcare cost impact of sarcopenia is concentrated in the early postoperative period.
  • Consideration for increased perioperative resources for sarcopenic patients is recommended.
  • Targeted interventions may mitigate negative postoperative outcomes in sarcopenic individuals.