The usefulness of Enhanced Recovery After Surgery concepts for colorectal resections: an economic analysis under DRG conditions.
Langenbecks Arch Surg
; 407(7): 2981-2986, 2022 Nov.
Article
em En
| MEDLINE
| ID: mdl-35925378
ABSTRACT
PURPOSE:
ERAS® (Enhanced Recovery After Surgery) describes a multimodal, interdisciplinary, and interprofessional treatment concept that optimizes the postoperative convalescence of the patient through the use of evidence-based measures. Goal of the work. The aim of this article is to examine the economic feasibility of the ERAS® concept in the German DRG (diagnosis-related groups) system. MATERIAL ANDMETHODS:
Since August 2019, patients have been treated in our clinic according to the later certified ERAS® concept. The last 50 patients before ERAS® implementation are compared below with 50 patients after ERAS® implementation, who were identified using a matched pair analysis. In addition to the comparison of costs and revenues, the clinical outcome of the patients is also presented.RESULTS:
The cases of the patients in the pre-ERAS® cohort caused median costs of 7432.83. BWR (valuation ratio) of 3.38 were billable. The resulting DRG revenue for the patients in this group amounted to 11,325.78. The proceeds generated in the end amounted to 4575.14. The cases of patients in the ERAS® cohort resulted in costs of 5582.96. BWR of 2.84 could be billed. The DRG proceeds for the patients in this group therefore amounted to 10,014.18. The profit generated was thus 4993.84.CONCLUSION:
The cost reduction generated by ERAS® was more pronounced than the "loss" due to the decrease in BWR. ERAS® is therefore also possible in the German DRG system at absolutely cost-covering levels.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Colorretais
/
Recuperação Pós-Cirúrgica Melhorada
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article