Complications nearly double the cost of care after pancreaticoduodenectomy

American Journal of Surgery

Volumn 204, Issue 3, 2012, Pages 332-338

  Enestvedt, C Kristian ^a   Diggs, Brian S ^a   Cassera, Maria A ^b   Hammill, Chet ^b   Hansen, Paul D ^b   Wolf, Ronald F ^b  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b PROVIDENCE PORTLAND MEDICAL CENTER   (United States)

Author keywords

Complications; Cost; Pancreas; Pancreaticoduodenectomy; Resection

Indexed keywords

ABDOMINAL ABSCESS; ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BILE LEAKAGE; BLOOD BANK; CLINICAL LABORATORY; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC IMAGING; FEMALE; GASTROINTESTINAL HEMORRHAGE; HEALTH CARE COST; HUMAN; INTENSIVE CARE UNIT; KIDNEY DISEASE; LENGTH OF STAY; LUNG COMPLICATION; MAJOR CLINICAL STUDY; MALE; PANCREAS FISTULA; PANCREATICODUODENECTOMY; PHARMACY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; REOPERATION; RETROSPECTIVE STUDY; SEPSIS; STOMACH EMPTYING; THROMBOEMBOLISM; URINARY TRACT INFECTION; WOUND INFECTION;

AGED; ANALYSIS OF VARIANCE; BLOOD BANKS; DIAGNOSTIC IMAGING; DRUG COSTS; FEMALE; GASTRIC EMPTYING; HEALTH CARE COSTS; HOSPITAL COSTS; HUMANS; INTENSIVE CARE; LENGTH OF STAY; LINEAR MODELS; MALE; MIDDLE AGED; PANCREATIC FISTULA; PANCREATICODUODENECTOMY; POSTOPERATIVE COMPLICATIONS; REOPERATION; RESPIRATORY THERAPY; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; SEPSIS; TOMOGRAPHY, X-RAY COMPUTED; UNITED STATES;

EID: 84865266821     PISSN: 00029610     EISSN: 18791883     Source Type: Journal    
DOI: 10.1016/j.amjsurg.2011.10.019     Document Type: Article

References (32)

1. R.W. Eppsteiner, N.G. Csikesz, J.T. McPhee Surgeon volume impacts hospital mortality for pancreatic resection Ann Surg 249 2009 635 640
2. C.B. Begg, L.D. Cramer, W.J. Hoskins Impact of hospital volume on operative mortality for major cancer surgery JAMA 280 1998 1747 1751 (Pubitemid 28536874)
3. T.J. Kennedy, M.A. Cassera, R. Wolf Surgeon volume versus morbidity and cost in patients undergoing pancreaticoduodenectomy in an academic community medical center J Gastrointest Surg 14 2010 1990 1996
4. J.S. Hill, J.T. McPhee, G.F. Whalen In-hospital mortality after pancreatic resection for chronic pancreatitis: population-based estimates from the nationwide inpatient sample J Am Coll Surg 209 2009 468 476
5. R.E. Glasgow, S.J. Mulvihill Hospital volume influences outcome in patients undergoing pancreatic resection for cancer West J Med 165 1996 294 300 (Pubitemid 26425400)
6. T.A. Gordon, H.M. Bowman, E.B. Bass Complex gastrointestinal surgery: impact of provider experience on clinical and economic outcomes J Am Coll Surg 189 1999 46 56 (Pubitemid 29307742)
7. G.A. Porter, P.W. Pisters, C. Mansyur Cost and utilization impact of a clinical pathway for patients undergoing pancreaticoduodenectomy Ann Surg Oncol 7 2000 484 489 (Pubitemid 30666486)
8. E.P. Kennedy, E.L. Rosato, P.K. Sauter Initiation of a critical pathway for pancreaticoduodenectomy at an academic institutionthe first step in multidisciplinary team building J Am Coll Surg 204 2007 917 923 (Pubitemid 46661207)
9. T. Vanounou, W. Pratt, J.E. Fischer Deviation-based cost modeling: A novel model to evaluate the clinical and economic impact of clinical pathways J Am Coll Surg 204 2007 570 579 (Pubitemid 46428571)
10. H.A. Pitt, K.P. Murray, H.M. Bowman Clinical pathway implementation improves outcomes for complex biliary surgery Surgery 126 1999 751 756
11. A. Rosemurgy, S. Cowgill, B. Coe Frequency with which surgeons undertake pancreaticoduodenectomy continues to determine length of stay, hospital charges, and in-hospital mortality J Gastrointest Surg 12 2008 442 449
12. D. Dindo, N. Demartines, P.A. Clavien Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey Ann Surg 240 2004 205 213 (Pubitemid 38963009)
13. R Development Core Team R: A Language and Environment for Statistical Computing 2 2010 R Foundation Vienna, Austria 12
14. HCUP Databases Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality, Rockville, MD http://www.hcup-us.ahrq.gov/ databases.jsp Accessed November 2011
15. R.F. Holbrook, K. Hargrave, L.W. Traverso A prospective cost analysis of pancreatoduodenectomy Am J Surg 171 1996 508 511 (Pubitemid 26189777)
16. C.K. Enestvedt, S.C. Mayo, B.S. Diggs Diagnostic laparoscopy for patients with potentially resectable pancreatic adenocarcinoma: is it cost-effective in the current era? J Gastrointest Surg 12 2008 1177 1184
17. T. Vanounou, W.B. Pratt, M.P. Callery Selective administration of prophylactic octreotide during pancreaticoduodenectomy: a clinical and cost-benefit analysis in low- and high-risk glands J Am Coll Surg 205 2007 546 557 (Pubitemid 47446318)
18. M. Simunovic, T. To, M. Theriault Relation between hospital surgical volume and outcome for pancreatic resection for neoplasm in a publicly funded health care system CMAJ 160 1999 643 648 (Pubitemid 29149794)
19. J.D. Birkmeyer, A.L. Warshaw, S.R. Finlayson Relationship between hospital volume and late survival after pancreaticoduodenectomy Surgery 126 1999 178 183 (Pubitemid 29382778)
20. V. Allareddy, M.M. Ward, V. Allareddy Effect of meeting leapfrog volume thresholds on complication rates following complex surgical procedures Ann Surg 251 2010 377 383
21. K.Y. Bilimoria, D.J. Bentrem, M.S. Talamonti Risk-based selective referral for cancer surgery: A potential strategy to improve perioperative outcomes Ann Surg 251 2010 708 716
22. H. Nathan, J.L. Cameron, M.A. Choti The volume-outcomes effect in hepato-pancreato-biliary surgery: Hospital versus surgeon contributions and specificity of the relationship J Am Coll Surg 208 2009 528 538
23. J.P. Simons, S.A. Shah, S.C. Ng National complication rates after pancreatectomy: beyond mere mortality J Gastrointest Surg 13 2009 1798 1805
24. R.J. Skipworth, R.W. Parks, N.A. Stephens The relationship between hospital volume and post-operative mortality rates for upper gastrointestinal cancer resections: Scotland 19822003 Eur J Surg Oncol 36 2010 141 147
25. M. Rodgers, B.A. Jobe, R.W. O'Rourke Case volume as a predictor of inpatient mortality after esophagectomy Arch Surg 142 2007 829 839
26. C.M. Vollmer Jr., W. Pratt, T. Vanounou Quality assessment in high-acuity surgery: volume and mortality are not enough Arch Surg 142 2007 371 380
27. M.R. Cooperberg, J.D. Birkmeyer, M.S. Litwin Defining high quality health care Urol Oncol 27 2009 411 416
28. R.A. Meguid, N. Ahuja, D.C. Chang What constitutes a "high- volume" hospital for pancreatic resection? J Am Coll Surg 206 2008 622.e1 622.e9
29. T.S. Riall, W.H. Nealon, J.S. Goodwin Outcomes following pancreatic resection: variability among high-volume providers Surgery 144 2008 133 140 (Pubitemid 352010318)
30. M.M. Chowdhury, H. Dagash, A. Pierro A systematic review of the impact of volume of surgery and specialization on patient outcome Br J Surg 94 2007 145 161 (Pubitemid 46340392)
31. A.C. Berger, T.J. Howard, E.P. Kennedy Does type of pancreaticojejunostomy after pancreaticoduodenectomy decrease rate of pancreatic fistula? A randomized, prospective, dual-institution trial J Am Coll Surg 208 2009 738 47
32. P.J. Shukla, S.G. Barreto, A. Fingerhut Toward improving uniformity and standardization in the reporting of pancreatic anastomoses: A new classification system by the international study group of pancreatic surgery (ISGPS) Surgery 147 2010 144 153