The economic impact of anastomotic leak after colorectal cancer surgery.
Health Econ Rev
; 13(1): 12, 2023 Feb 16.
Article
en En
| MEDLINE
| ID: mdl-36795234
ABSTRACT
OBJECTIVE:
To determine the economic impact of the incremental consumption of resources for the diagnosis and treatment of anastomotic leak (AL) in patients after resection with anastomosis for colorectal cancer compared to patients without AL on the Spanish health system.METHOD:
This study included a literature review with parameters validated by experts and the development of a cost analysis model to estimate the incremental resource consumption of patients with AL versus those without. The patients were divided into three groups 1) colon cancer (CC) with resection, anastomosis and AL; 2) rectal cancer (RC) with resection, anastomosis without protective stoma and AL; and 3) RC with resection, anastomosis with protective stoma and AL.RESULTS:
The average total incremental cost per patient was 38,819 and 32,599 for CC and RC, respectively. The cost of AL diagnosis per patient was 1018 (CC) and 1030 (RC). The cost of AL treatment per patient in Group 1 ranged from 13,753 (type B) to 44,985 (type C + stoma), that in Group 2 ranged from 7348 (type A) to 44,398 (type C + stoma), and that in Group 3 ranged from 6197 (type A) to 34,414 (type C). Hospital stays represented the highest cost for all groups. In RC, protective stoma was found to minimize the economic consequences of AL.CONCLUSIONS:
The appearance of AL generates a considerable increase in the consumption of health resources, mainly due to an increase in hospital stays. The more complex the AL, the higher the cost associated with its treatment. INTEREST OF THE STUDY it is the first cost-analysis study of AL after CR surgery based on prospective, observational and multicenter studies, with a clear, accepted and uniform definition of AL and estimated over a period of 30 days.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Tipo de estudio:
Clinical_trials
/
Health_economic_evaluation
Idioma:
En
Revista:
Health Econ Rev
Año:
2023
Tipo del documento:
Article
País de afiliación:
España