title: The economics of pancreas surgery.
abstract: Pancreas surgery is a paradigm for high-acuity surgical specialization. Given the current intrigue over containing health care expenditures, pancreas surgery provides an ideal model to investigate the cost of care. This article explores the economics of this field from literature accrued over the last 2 decades. The cost of performing a pancreatic resection is established and then embellished with a discussion of the effects of clinical care paths. Then the influence of complications on costs is explored. Next, cost is investigated as an emerging outcome metric regarding variations in pancreatic surgical care. Finally, the societal-level fiscal impact is considered.
authors: Department of Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania School of Medicine, 3400 Spruce Street, 4th Floor, Silverstein Pavilion, Philadelphia, PA 19104, USA. Charles.Vollmer@uphs.upenn.edu
authors: Charles M
authors: CM
authors: Vollmer
mesh_terms: D003362:Cost-Benefit Analysis; D019091:Critical Pathways / Q000191:economics; D017048:Health Care Costs; D006801:Humans; D018803:Models, Economic; D010180:Pancreatectomy / Q000191:economics* / Q000592:standards; D010190:Pancreatic Neoplasms / Q000191:economics / Q000601:surgery; D050500:Pancreatitis, Chronic / Q000191:economics / Q000601:surgery; D010359:Patient Readmission / Q000191:economics; D011183:Postoperative Complications / Q000191:economics / Q000517:prevention & control; D011785:Quality Assurance, Health Care / Q000191:economics; D014481:United States