Cost-effectiveness analysis of a postoperative clinical care pathway in head and neck surgery with microvascular reconstruction

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale
Jonathan F DautremontJoseph C Dort

Abstract

The objective of this study is to evaluate the cost-effectiveness of a postoperative clinical care pathway for patients undergoing major head and neck oncologic surgery with microvascular reconstruction. This is a comparative trial of a prospective treatment group managed on a postoperative clinical care pathway and a historical group managed prior to pathway implementation. Effectiveness outcomes evaluated were total hospital days, return to OR, readmission to ICU and rate of pulmonary complications. Costing perspective was from the government payer. 118 patients were included in the study. All outcomes demonstrated that the postoperative pathway group was both more effective and less costly, and is therefore a dominant clinical intervention. The overall mean pre- and post-pathway costs are $22,733 and $16,564 per patient, respectively. The incremental cost reduction associated with the postoperative pathway was $6,169 per patient. Implementing the postoperative clinical care pathway in patients undergoing head and neck oncologic surgery with reconstruction resulted in improved clinical outcomes and reduced costs.

References

Jul 1, 1994·Journal of Nursing Care Quality·D Heacock, R A Brobst
Feb 1, 1993·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·B H TessM B Wagner
Dec 2, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J M HusbandsP F Wolf
Mar 12, 2002·Archives of Otolaryngology--head & Neck Surgery·Kristin M GendronRandal S Weber
Sep 26, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Gerry F FunkRussell B Smith
Aug 22, 2003·The New England Journal of Medicine·Steffie WoolhandlerDavid U Himmelstein
Nov 17, 2004·Archives of Otolaryngology--head & Neck Surgery·Kathleen LangMing-Ann Hsu
Aug 11, 2007·The Laryngoscope·Nicolas Y BuSaba, Debra A Schaumberg
Aug 25, 2009·Head & Neck Oncology·Daniel NovakovicPatrick J Gullane
May 31, 2011·Journal of Medical Economics·Mayur M AmonkarApril Teitelbaum
Mar 27, 2012·The Laryngoscope·Steven PetrarPeter MacDougall

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Citations

Nov 4, 2015·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Daniel A O'ConnellHadi Seikaly
Oct 4, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Lindsay E JubeltDavid L Reich
Nov 3, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Peter S VoslerCarl H Snyderman
May 12, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Andre IsaacHadi Seikaly
Feb 22, 2018·Plastic and Reconstructive Surgery. Global Open·Arezoo AstaneheChristiaan Schrag
Mar 29, 2018·International Journal of Integrated Care·Anum Irfan KhanVishal Kukreti
Dec 12, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Brian SwendseidJoseph Curry
Feb 13, 2018·Current Opinion in Otolaryngology & Head and Neck Surgery·Gerhard F Huber, Joseph C Dort
Jun 24, 2020·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Joseph C DortT Wayne Matthews
Jun 24, 2020·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Joseph C DortT Wayne Matthews
Sep 26, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Earl Peter ParkAnthony B Morlandt
Dec 11, 2019·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Yue YangXiao-Feng Shan

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