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Multidisciplinary care in surgery: Are team-based interventions cost-effective?

Matthew J Davis1, Bryan C Luu2, Sarth Raj2

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Multidisciplinary surgical care is cost-effective, saving an average of $5815 per patient. These collaborative teams improve patient and provider outcomes, optimizing perioperative care and promoting quality, cost-effective healthcare.

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Area of Science:

  • Surgical Care
  • Health Economics
  • Interprofessional Collaboration

Background:

  • Multidisciplinary care and interprofessional collaboration enhance patient and provider outcomes.
  • The cost-effectiveness of multidisciplinary surgical teams has not been previously systematically reviewed.
  • This study presents the first systematic review on cost savings from multidisciplinary care in surgery.

Purpose of the Study:

  • To systematically review the cost-effectiveness of multidisciplinary care across all surgical fields.
  • To quantify cost savings attributable to collaborative surgical interventions.
  • To assess author recommendations regarding multidisciplinary surgical teams.

Main Methods:

  • A comprehensive literature review was conducted on studies reporting cost outcomes of multidisciplinary surgical teams.
  • Articles were selected if they reported cost outcomes directly linked to a collaborative intervention.
  • Cost savings were calculated per patient, and author recommendations were analyzed.

Main Results:

  • Of 43 included studies, 91% found multidisciplinary care to be cost-effective, with average savings of $5815 per patient.
  • No significant differences in savings were observed between different intervention subtypes.
  • The vast majority of studies recommended multidisciplinary care, irrespective of reported cost savings.

Conclusions:

  • Multidisciplinary surgical care is demonstrably cost-effective, alongside its benefits for patient and provider outcomes.
  • Well-structured multidisciplinary teams optimize perioperative care for all stakeholders.
  • Implementing multidisciplinary teams is recommended for enhancing both the quality and cost-effectiveness of surgical care.