title: Costs of management of bile duct injuries.
abstract: BACKGROUND
  Only a few studies address the financial impact of the management of bile duct injuries (BDI). This study was aimed to assess the cost of BDI sustained during cholecystectomy.
  
  
  METHODS
  Patients who underwent surgical repair for post cholecystectomy BDI and due for routine follow up between August 2006 and September 2007 were called for an interview.
  
  
  RESULTS
  47 patients were interviewed. There were 39 (83%) women and 8 (17%) men. The median direct cost was US$ 1626 (451-11,009); 73,983 (20,521-500,910). The median indirect cost was US$ 312 (26-2,708); 14,196 (1,183-123,214). Total median cost was US$ 2,045 (488-12,369); 93,046 (22,204-562,790). The median total costs of management of BDI was 9.98 times the costs of a cholecystectomy at our centre (US$ 205); (9,328) and was 8.41 times the median monthly income of the patients (US$ 243); (11,057).
  
  
  CONCLUSIONS
  Our results will help the hospital administrators and the insurance agencies to calculate and revise the packages and premium for cholecystectomy so that the extra cost of a possible BDI is evenly distributed.
authors.affiliation: Department of Surgical Gastroenterology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, UP, India. vkkapoor@sgpgi.ac.in
authors.forename: Vinay K
authors.initials: VK
authors.lastname: Kapoor
authors.forename: Biju
authors.initials: B
authors.lastname: Pottakkat
authors.forename: Sheenu
authors.initials: S
authors.lastname: Jhawar
authors.forename: Shikha
authors.initials: S
authors.lastname: Sharma
authors.forename: Kumudesh
authors.initials: K
authors.lastname: Mishra
authors.forename: Nirupma
authors.initials: N
authors.lastname: Singh
authors.forename: Ranjit
authors.initials: R
authors.lastname: Vijayahari
mesh_terms: D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000293:injuries* / Q000601:surgery; D002763:Cholecystectomy; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease / Q000191:economics*; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged