title: [Performance and cost analysis of surgical therapy of stomach carcinoma--results and sequelae].
abstract: In order to identify opportunities for cost containment in gastric cancer surgery, and analysis of pre-, peri-, and postoperative cost profiles was performed for 60 gastric cancer patients who underwent curative resections (76.6%), explorative laparotomies (18.3%), and palliative gastrojejunostomies (5%). While pre- and perioperative phases only offer limited opportunities for cost reduction, postoperative complications raised the mean length of hospital stay by 47%, the mean length of intensive care treatment by 865%, and the total treatment costs by 84-248% compared to an uncomplicated clinical course. Pre-, peri-, and postoperative cost-containment efforts must focus on the prevention of postoperative complications.
authors.affiliation: Klinik und Poliklinik für Chirurgie, Universität Regensburg.
authors.forename: V D
authors.initials: VD
authors.lastname: Mohr
authors.forename: K
authors.initials: K
authors.lastname: Thelen
authors.forename: W
authors.initials: W
authors.lastname: Hohenberger
authors.forename: H
authors.initials: H
authors.lastname: Zirngibl
mesh_terms: D003365:Costs and Cost Analysis; D005743:Gastrectomy / Q000191:economics; D005858:Germany; D006801:Humans; D007582:Jejunostomy / Q000191:economics; D007902:Length of Stay / Q000191:economics*; D010166:Palliative Care / Q000191:economics; D011183:Postoperative Complications / Q000191:economics / Q000601:surgery; D013274:Stomach Neoplasms / Q000191:economics / Q000601:surgery*
vernacular_title: Leistungs- und Kostenanalyse der chirurgischen Therapie des Magenkarzinoms--Ergebnisse und Folgerungen.