[Performance and cost analysis of surgical therapy of stomach carcinoma--results and sequelae].
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.
Mohr
V D
VD
Klinik und Poliklinik für Chirurgie, Universität Regensburg.
Thelen
K
K
Hohenberger
W
W
Zirngibl
H
H
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*
Leistungs- und Kostenanalyse der chirurgischen Therapie des Magenkarzinoms--Ergebnisse und Folgerungen.