PMID: 8583624Mar 1, 1996Paper

Cost-efficient radical prostatectomy with a clinical care path

The Journal of Urology
M S LitwinJ B deKernion

Abstract

We assessed changes in hospital costs and resource use among patients undergoing radical prostatectomy following implementation of a clinical care path. A standardized clinical care path for patient management before and after radical prostatectomy was developed and implemented at a large academic medical center in California. All 577 consecutive patients undergoing radical prostatectomy during the 3 years before and 1 year after implementation of the care path were included in the study. Each patient was entered prospectively into a hospital-wide financial data base, which served as the source for observations on hospital costs, hospital charges and length of stay. After implementation of the radical prostatectomy care path hospital costs decreased by 12% ($7,916 versus $6,934, p < 0.001), hospital charges decreased by 20% ($17,005 versus $13,524, p < 0.0001) and length of stay decreased by 28% (5 versus 3.6 days, p < 0.0001). Decreases were noted in all categories of the hospital patient financial profile, except operating room charges. By standardizing preoperative and postoperative management for patients undergoing radical prostatectomy, significant savings can be achieved over and above existing trends toward shorter hosp...Continue Reading

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Citations

May 29, 2002·Urology·Stephen J FreedlandH Albin Gritsch
Dec 9, 2003·The Breast : Official Journal of the European Society of Mastology·S P BalasubramanianM W Reed
Oct 17, 2002·PharmacoEconomics·Christopher S Saigal, Mark S Litwin
May 16, 2006·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Michel van AgthovenCarin A Uyl-de Groot
May 25, 2010·Neurología : publicación oficial de la Sociedad Española de Neurología·C Oreja-GuevaraE Díez-Tejedor
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May 9, 2003·The Urologic Clinics of North America·Eric A Klein, Patrick A Kupelian
Jun 18, 2002·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jeffrey H BurkhardtJames A Hayman
Jan 17, 2007·Medical Care·Steven B ZeliadtArnold L Potosky
Jul 4, 2002·European Journal of Anaesthesiology·T J Sieber, D L Leibundgut
Dec 24, 2002·Prostate Cancer and Prostatic Diseases·N Y PiperT Seay

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