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Savings from reducing low-value general surgical interventions.

H T Malik1, J Marti1, A Darzi1

  • 1Department of Surgery and Cancer, St Mary's Campus, Imperial College London, London, UK.

The British Journal of Surgery
|November 9, 2017
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Summary
This summary is machine-generated.

Reducing high-cost, high-frequency surgical procedures can significantly improve healthcare efficiency. Eliminating just five such low-value interventions could save the National Health Service €153 million annually.

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Area of Science:

  • General Surgery
  • Health Economics

Background:

  • National health budgets face pressure, necessitating efficiency improvements.
  • Identifying and reducing low-value interventions is crucial for optimizing resource allocation.
  • A systematic literature evaluation focused on general surgery low-value interventions and their associated costs.

Purpose of the Study:

  • To identify low-value interventions in general surgery.
  • To assess the frequency and cost impact of these interventions.
  • To estimate potential cost savings from reducing low-value procedures.

Main Methods:

  • A multiplatform approach was used, combining literature searches and opportunistic sampling.
  • Interventions were identified through broad and targeted database searches.
  • Results were stratified by impact, considering both frequency and cost.

Main Results:

  • Seventy-one low-value general surgical procedures were identified.
  • Five procedures were categorized as high-frequency and high-cost, representing the highest impact.
  • These highest impact interventions, including specific hernia repairs and endoscopies, incurred an estimated cost of €153,383,953.

Conclusions:

  • Low-value services represent a significant financial burden on healthcare systems.
  • Eliminating the top five high-volume, high-cost general surgical procedures could yield substantial savings.
  • Stopping these specific interventions could save the National Health Service approximately €153 million per year.