NDLI: Hospital costs of complications after a pancreatoduodenectomy.

Please wait, while we are loading the content...

Hospital costs of complications after a pancreatoduodenectomy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Santema, Trientje B. Visser, Annelies Busch, Olivier R. C. Dijkgraaf, Marcel G. W. Goslings, J. Carel Gouma, D. J. Ubbink, Dirk T.
Spatial Coverage	Netherlands
Description	Country affiliation: Netherlands Author Affiliation: Santema TB ( Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.); Visser A ( Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.); Busch OR ( Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.); Dijkgraaf MG ( Clinical Research Unit, Academic Medical Center, Amsterdam, The Netherlands.); Goslings JC ( Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.); Gouma DJ ( Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.); Ubbink DT ( Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.)
Abstract	BACKGROUND: A pancreatoduodenectomy (PD) is a highly advanced procedure associated with considerable post-operative complications and substantial costs. In this study the hospital costs associated with complications after PD were assessed. METHODS: A retrospective cohort study was conducted on 100 consecutive patients who underwent a pylorus-preserving (PP)PD between January 2012 and July 2013. Per patient, all complications occurring during admission or in the 30-day period after discharge were documented. All hospital costs related to the (PP)PD were defined as the costs of all medical interventions and resources during the hospitalisation period as recorded by the electronic supply tracking system. RESULTS: The median hospital costs ranged from 17 482 for a patient without complications to 55 623 for a patient with a post-operative haemorrhage. A post-operative haemorrhage was associated with a 39.6% increase in total hospital costs after adjusting for patient characteristics. Other factors significantly associated with an increase in total hospital costs were: the presence of a malignancy other than a pancreatic adenocarcinoma (29.4% cost increase), the severity grade of a complication (34.3-70.6% increase) and the presence of a post-operative infection (32.4% increase). CONCLUSIONS: This study provides an in-depth analysis of hospital costs and identifies factors that are associated with substantial cost consequences of specific complications occurring after a PD.
File Format	HTM / HTML
ISSN	1365182X
e-ISSN	14772574
DOI	10.1111/hpb.12440
Journal	HPB
Issue Number	8
Volume Number	17
Language	English
Publisher	Elsevier
Publisher Date	2015-08-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Gastroenterology Blood Loss, Surgical Hospital Costs Length Of Stay Pancreaticoduodenectomy Surgical Wound Infection Adenocarcinoma Surgery Netherlands Organ Sparing Treatments Pancreatic Neoplasms Adverse Effects Pylorus Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Hepatology Gastroenterology

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Meta-analysis of antecolic versus retrocolic gastric reconstruction after a pylorus-preserving pancreatoduodenectomy.

Pylorus preserving pancreaticoduodenectomy for peri-ampullary carcinoma, is it a good option?

The impact of recent hospitalization on surgical site infection after a pancreatectomy.

Side-branch intraductal papillary mucinous neoplasms of the pancreatic head/uncinate: resection or enucleation?

The impact of pancreaticojejunostomy versus pancreaticogastrostomy reconstruction on pancreatic fistula after pancreaticoduodenectomy: meta-analysis of randomized controlled trials.

Cost effectiveness after a pancreaticoduodenectomy: bolstering the volume argument.

Pylorus preserving pancreaticoduodenectomy.

A case-matched comparison and meta-analysis comparing pylorus-resecting pancreaticoduodenectomy with pylorus-preserving pancreaticoduodenectomy for the incidence of postoperative delayed gastric emptying.

Robotic pancreaticoduodenectomy in the presence of aberrant or anomalous hepatic arterial anatomy: safety and oncologic outcomes.

Hospital costs of complications after a pancreatoduodenectomy.

Similar Documents

Meta-analysis of antecolic versus retrocolic gastric reconstruction after a pylorus-preserving pancreatoduodenectomy.

Pylorus preserving pancreaticoduodenectomy for peri-ampullary carcinoma, is it a good option?

The impact of recent hospitalization on surgical site infection after a pancreatectomy.

Side-branch intraductal papillary mucinous neoplasms of the pancreatic head/uncinate: resection or enucleation?

The impact of pancreaticojejunostomy versus pancreaticogastrostomy reconstruction on pancreatic fistula after pancreaticoduodenectomy: meta-analysis of randomized controlled trials.

Cost effectiveness after a pancreaticoduodenectomy: bolstering the volume argument.

Pylorus preserving pancreaticoduodenectomy.

A case-matched comparison and meta-analysis comparing pylorus-resecting pancreaticoduodenectomy with pylorus-preserving pancreaticoduodenectomy for the incidence of postoperative delayed gastric emptying.

Robotic pancreaticoduodenectomy in the presence of aberrant or anomalous hepatic arterial anatomy: safety and oncologic outcomes.

Hospital costs of complications after a pancreatoduodenectomy.