Cost-effective surgical management of liver disease in an university hospital: A retrospective study

 
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Τμήμα περιοδικού (EL)
Επιστημονικό άρθρο (EL)
2022 (EL)
Cost-effective surgical management of liver disease in an university hospital: A retrospective study (EN)
Kokoropoulos, Panagiotis
Triantafyllou, Christos
Kontis, Elissaios
Arkadopoulos, Nikolaos
Tseka, Ioanna
Chrisofos, Michael
Background: Hepatobiliary surgery is a high-end surgery comprising of complex operations associated with high economic burden to a healthcare system. The aim of this study was to evaluate the cost-effectiveness of a hepatobiliary surgery highly standardized operative protocol, that minimizes intraoperative and postoperative costs, implemented by the same surgical team, in a Greek university hospital for a five-year period (2012-2016). Method and Material: The digital medical records of all patients undergoing liver resection at a tertiary university hospital from January 2012 to December 2016 by a single surgical team were retrospectively reviewed. The financial cost of the patients’ treatment was calculated in collaboration with the hospital’s logistics department, and it involved all preoperative, intraoperative, and postoperative expenses from admission to discharge, excluding physician fees and salary cost of the hospital’s nurses. Results: In this study, 127 patients underwent hepatectomy. The patient’s health status was improved after the surgery in most of the cases (121, 95.2%). The mean Length of Stay (LOS) was 13.4 (SD±17.3) days. The mean total hospitalization cost was 4,729 (SD ± 5,486) euros (€), while the cost of surgery, the higher mean cost was noted in 2013 (925, SD±974.64 €) and the lower in 2015 (142, SD±219 €).  Conclusions: This protocol allows the performance of hepatectomies with a significantly decreased cost without compromising patient outcomes. (EN)
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
cost-effective method (EN)
Hepatobiliary surgery (EN)
adverse events (EN)
cost estimation (EN)
Εθνικόν και Καποδιστριακόν Πανεπιστήμιον Αθηνών, Πρόγραμμα Μεταπτυχιακών Σπουδών «Μονάδες Εντατικής Θεραπείας»
Health and Research Journal
Research Articles
Health & Research Journal
Αγγλική γλώσσα
2022-10-10
https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/article/view/29409
Postgraduate Program "Intensive Care Units" National and Kapodistrian University of Athens (EN)
2459-3192
Health & Research Journal; Τόμ. 8 Αρ. 4 (2022): 8ος Τόμος 4ο Τέυχος (2022); 284-292 (EL)
Health & Research Journal; Vol. 8 No. 4 (2022): 8ος Τόμος 4ο Τέυχος (2022); 284-292 (EN)
Copyright (c) 2022 Health & Research Journal (EN)



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