Analysis of 90-day cost for open versus minimally invasive distal pancreatectomy

Analysis of 90-day cost for open versus minimally invasive distal pancreatectomy

Minimally invasive distal pancreatectomy (MIDP) is associated with improved peri-operative outcomes compared to the open approach, though cost-effectiveness of MIDP remains unclear. Patients with pancreatic tumors undergoing open (ODP), robotic (RDP), or laparoscopic distal pancreatectomy (LDP) betw...

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Veröffentlicht in:HPB (Oxford, England) England), 2019-01, Vol.21 (1), p.60-66
Hauptverfasser: Fisher, Alexander V., Fernandes-Taylor, Sara, Schumacher, Jessica R., Havlena, Jeffrey A., Wang, Xing, Lawson, Elise H., Ronnekleiv-Kelly, Sean M., Winslow, Emily R., Weber, Sharon M., Abbott, Daniel E.
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Cost Savings
Cost-Benefit Analysis
Databases, Factual
Female
Hospital Costs
Humans
Laparoscopy - adverse effects
Laparoscopy - economics
Length of Stay - economics
Male
Middle Aged
Models, Economic
Pancreatectomy - adverse effects
Pancreatectomy - economics
Pancreatectomy - methods
Patient Readmission - economics
Robotic Surgical Procedures - adverse effects
Robotic Surgical Procedures - economics
Time Factors
Treatment Outcome
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Zusammenfassung:Minimally invasive distal pancreatectomy (MIDP) is associated with improved peri-operative outcomes compared to the open approach, though cost-effectiveness of MIDP remains unclear. Patients with pancreatic tumors undergoing open (ODP), robotic (RDP), or laparoscopic distal pancreatectomy (LDP) between 2012-2014 were identified through the Truven Health MarketScan® Database. Median costs (payments) for the index operation and 90-day readmissions were calculated. Multivariable regression was used to predict associations with log 90-day payments. 693 patients underwent ODP, 146 underwent LDP, and 53 RDP. Compared to ODP, LDP and RDP resulted in shorter median length of stay (6 d. ODP vs. 5 d. RDP vs. 4 d. LDP, p
ISSN:1365-182X
1477-2574
DOI:10.1016/j.hpb.2018.07.003