title: [Cost of the peritoneovenous shunt in patients with cirrhosis].
abstract: The cost of peritoneovenous shunting was evaluated in 15 cirrhotic patients with intractable ascites. With the assessment presently used in French Public Hospitals which is based on a contractual reimbursement by the Social Security per day of hospitalization, the cost of peritoneovenous shunting was F 37,227.40. Using the more refined method of cost analysis, the cost of the operative procedure was F 9,564 and that of postoperative hospitalization was F 8,067. Total expenses calculated by the cost analysis method (F 17,631) were much less that the reimbursement paid by Social Security. This study allowed to determine the actual cost of Surgical treatment of ascites, where expenses were greatest, and how to reduce them. Results of this report should be used when comparing cost and efficacy of medical and surgical treatments.
authors.affiliation: Groupe de Recherche sur la Chirurgie du Foie et de l'Hypertension Portale, Université Paris-XI, Hôpital Louise-Michel Evry.
authors.forename: S
authors.initials: S
authors.lastname: Hillaire
authors.forename: M
authors.initials: M
authors.lastname: Schachtel
authors.forename: M
authors.initials: M
authors.lastname: Kempa
authors.forename: C
authors.initials: C
authors.lastname: Smadja
authors.forename: D
authors.initials: D
authors.lastname: Grange
authors.forename: D
authors.initials: D
authors.lastname: Franco
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006760:Hospitalization / Q000191:economics; D006801:Humans; D008103:Liver Cirrhosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010536:Peritoneovenous Shunt / Q000191:economics*; D011182:Postoperative Care / Q000191:economics; D011446:Prospective Studies
vernacular_title: Coût de la dérivation péritonéo-veineuse chez le cirrhotique.