术后全球期成本降低使用3个连续的风险分层胰腺切除术临床途径
Ahad Azimuddin1,2, Ching-Wei D Tzeng1, Laura R Prakash1
1From the Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX (Azimuddin, Tzeng, Prakash, Bruno, Arvide, Dewhurst, Newhook, Kim, Ikoma, Snyder, Lee, Perrier, Katz, Maxwell).
Journal of the American College of Surgeons
|January 5, 2024
概括
胰腺切除术临床途径的代修订显著降低了90天的周围手术成本32%. 这些成本节约主要是由于医院住院费用指数下降,这表明了有效的学习健康系统模型.
科学领域:
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
- 成本效益分析 成本效益分析
背景情况:
- 胰腺切除手术与显著的术后费用有关.
- 临床途径旨在规范护理和改善结果.
- 以前的风险分层路径代可能没有完全优化成本效益.
研究的目的:
- 评估对风险分层胰腺切除术临床途径的代修订对90天周围手术成本的影响.
- 确定最受路径改进影响的外科手术期间成本的组成部分.
- 评估学习健康系统模型的可行性,以优化外科手术途径.
主要方法:
- 对814名接受胰腺切除术的患者进行了回顾性队列研究.
- 从2016年10月到2022年2月的三个路径代 (V1,V2,V3) 的分析.
- 集成和调整机构收入数据,以计算90天的全球经营成本.
主要成果:
- 通过路径代观察到90天的全球周围手术成本减少32%.
- 协奏曲3级+并发症 (28.4%至15.3%) 和停留时间的长度有显著下降.
- 医院住院费用指数,特别是房间/餐饮和药房,推动了大部分的成本节约.
结论:
- 风险分层胰腺切除途径的代改进导致大幅降低成本.
- 学习健康系统模型在优化外科手术途径效率方面被证明是有效的.
- 经过证明的成本节约和改善的结果表明在其他机构进行外部验证的潜力.
相关概念视频
01:29Chronic Pancreatitis II: Collaborative Care
92
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
92
01:30Acute Pancreatitis II: Clinical Manifestations and Management
125
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
125