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Can high-volume teams of anesthesiologists and surgeons decrease perioperative costs for pancreatic surgery?

Abhineet Uppal1, Brooke Vuong1, Ahmed Dehal1

  • 1John Wayne Cancer Institute at Providence Saint John's Hospital, Santa Monica, CA, USA.

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Summary
This summary is machine-generated.

High-volume anesthesiologists significantly reduce pancreatic surgery costs. Experienced anesthesia providers improve efficiency and lower perioperative expenses in complex pancreatic operations.

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Area of Science:

  • Surgical outcomes research
  • Health economics
  • Anesthesiology

Background:

  • Pancreatic surgery outcomes depend on surgeon and center experience.
  • The impact of anesthesiologists on pancreatic surgery costs is understudied.
  • This study investigates anesthesiologists' role in perioperative costs for pancreatic surgery.

Purpose of the Study:

  • To evaluate the impact of anesthesiologist experience on perioperative costs in pancreatic surgery.
  • To determine if anesthesiologist volume influences operative and anesthesia expenses.
  • To identify potential cost-saving strategies through specialized anesthesia care.

Main Methods:

  • Retrospective analysis of 796 pancreatic surgeries (pancreaticoduodenectomies and distal pancreatectomies) from January 2014 to June 2017.
  • Calculation of direct operative and anesthesia costs, including operating room time and anesthesia billing.
  • Categorization of anesthesiologists into low-volume and high-volume based on case numbers (≥4 cases).
  • Multivariable analysis to assess the association between anesthesiologist volume and costs.

Main Results:

  • Mean operative and anesthesia costs were higher for low-volume anesthesiologists ($7064) compared to high-volume anesthesiologists ($5968) for pancreaticoduodenectomies (p < 0.001).
  • High-volume anesthesiologists were associated with a significant decrease in costs ($2278, p < 0.001).
  • Teams of high-volume anesthesiologists and high-volume surgeons further reduced mean costs ($1790, p = 0.04).

Conclusions:

  • Anesthesiologists with high-volume experience in complex pancreatic operations can reduce perioperative costs.
  • Specialized anesthesia care may lead to improved efficiencies and cost savings in pancreatic surgery.
  • Anesthesiologist experience is a significant factor in the economic outcomes of pancreatic surgery.