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09:04
Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
Published on: September 11, 2021
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Cost burden following esophagectomy: A single centre observational study
Vered Buchholz1, Dong Kyu Lee2, David S Liu3
1Department of Surgery, Austin Health, Melbourne 3084, Victoria, Australia.
World Journal of Gastrointestinal Surgery
|August 1, 2024
Summary
Complications after esophagectomy significantly increase hospital costs. Reducing complication severity and number is key to managing expenditure and improving patient care.
Area of Science:
- Gastrointestinal Surgery
- Health Economics
- Patient Outcomes
Background:
- Cost analysis of esophagectomy is crucial for identifying cost drivers.
- Understanding the relationship between complications and costs can guide interventions.
- Improving care quality while reducing expenditure is a key objective.
Purpose of the Study:
- To assess the relationship between hospital costs and potential cost drivers post-esophagectomy.
- To identify specific variables that predict hospital costs.
- To delineate the incremental contributions of complications to overall costs.
Main Methods:
- Retrospective single-center study of 110 patients undergoing esophagectomy.
- Complication severity graded using the Clavien-Dindo (CD) classification.
- Correlation and mediation analyses used to identify cost drivers and their impact on hospital costs.
Main Results:
- Median admission cost was $47,822.7.
- Each increase in CD severity grade increased costs by $13,593.9.
- Each additional complication increased costs by $4,781; key complications added $42,552.2.
Conclusions:
- Complication severity, number, and occurrence of key complications significantly drive hospital costs.
- Targeting interventions to minimize complications is essential for cost reduction.
- Continuous strategies are needed to improve patient outcomes and control healthcare expenditure.
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