Impact of implementation of an enhanced recovery program in gynecologic surgery on healthcare costs

American Journal of Obstetrics and Gynecology
Ross F HarrisonLarissa A Meyer

Abstract

Enhanced recovery programs have been associated with improved outcomes after gynecologic surgery. There are limited data on the effect of enhanced recovery programs on healthcare costs or healthcare service use. The purpose of this study was to evaluate differences in hospital charges for women who undergo surgery for a suspected gynecologic cancer that is managed in an enhanced recovery program as compared with conventional perioperative care. We performed a retrospective cohort study of women who underwent open abdominal surgery for a suspected gynecologic cancer before and after the implementation of an enhanced recovery after surgery program. Consecutive patients from May to October 2014 and from November 2014 to November 2015 comprised the conventional perioperative care (before enhanced recovery after surgery) and enhanced recovery after surgery cohorts, respectively. Patients were excluded if they underwent surgery with a multidisciplinary surgical team or minimally invasive surgery. All technical and professional charges were ascertained for all healthcare services from the day of surgery until postoperative day 30. Charges for adjuvant treatment were excluded. Charges were classified according to the type of clinical s...Continue Reading

Citations

Aug 28, 2020·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Ross HarrisonLarissa A Meyer
Oct 2, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Laurence BernardLimor Helpman
Oct 15, 2020·Journal of Comparative Effectiveness Research·Austin D StreetBryan T Romito

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