Impact of postoperative complications on clinical and economic consequences in pancreatic surgery

Annals of Surgical Treatment and Research
Filip ČečkaAlexander Ferko

Abstract

Patients who develop complications consume a disproportionately large share of available resources in surgery; therefore the attention of healthcare funders focuses on the economic impact of complications. The main objective of this work was to assess the clinical and economic impact of postoperative complications in pancreatic surgery, and furthermore to assess risk factors for increased costs. In all, 161 consecutive patients underwent pancreatic resection. The costs of the treatment were determined and analyzed. The overall morbidity rate was 53.4%, and the in-hospital mortality rate was 3.7%. The median of costs for all patients without complication was 3,963 Euro, whereas the median of costs for patients with at least one complication was significantly increased at 10,670 Euro (P < 0.001). In multivariate analysis American Society of Anesthesiologists ≥ 3 (P = 0.006), multivisceral resection (P < 0.001) and any complication (P < 0.001) were independently associated with increased costs. Postoperative complications are associated with an increase in mortality, length of hospital stay, and hospital costs. The treatment costs increase with the severity of the postoperative complications. Those factors that are known to increa...Continue Reading

References

Jul 3, 1999·The European Journal of Surgery = Acta Chirurgica·M R VeenP J Breslau
Jul 10, 2001·The British Journal of Surgery·M LångJ Takala
Jan 7, 2004·Digestive Surgery·Claudio BassiPaolo Pederzoli
Sep 30, 2004·Journal of the American College of Surgeons·Justin B DimickDarrell A Campbell
Jul 9, 2005·Surgery·Claudio BassiUNKNOWN International Study Group on Pancreatic Fistula Definition
Feb 16, 2010·Annals of Surgical Oncology·Joshua S HillJennifer F Tseng
May 13, 2011·Annals of Surgery·René VonlanthenPierre-Alain Clavien
Sep 23, 2011·World Journal of Surgery·Christoph M BurdelskiMaximilian Bockhorn
Nov 2, 2011·Annals of Surgery·Marco BragaValerio Di Carlo
Nov 6, 2012·Journal of the American College of Surgeons·Mark P CalleryCharles M Vollmer
Oct 2, 2013·The Lancet Oncology·Werner HartwigMarkus W Büchler
Oct 10, 2013·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Filip ČečkaAlexander Ferko
Jun 28, 2014·BioMed Research International·Filip CečkaAlexander Ferko

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Methods Mentioned

BETA
gastric bypass
pancreatectomy

Software Mentioned

POSSUM System
NCSS

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