Use of a saline-coupled bipolar sealer open liver resection for hepatic malignancy: Medical resource use and costs.
World J Gastroenterol
; 22(46): 10189-10197, 2016 Dec 14.
Article
em En
| MEDLINE
| ID: mdl-28028367
ABSTRACT
AIM:
To evaluate outcomes associated with use of a saline coupled bipolar sealer during open partial liver resection.METHODS:
This retrospective analysis utilized the United States Premier™ insurance claims database (2010-2014). Patients were selected with codes for liver malignancy and partial hepatectomy or lobectomy. Cases were defined by use the saline-coupled bipolar sealer; controls had no use. A Propensity Score algorithm was used to match one case to five controls. A deviation-based cost modeling (DBCM) approach provided an estimate of cost-effectiveness.RESULTS:
One hundred and forty-four cases and 720 controls were available for analysis. Patients in the case cohort received fewer transfusions vs controls (18.1% vs 29.4%, P = 0.007). In DBCM, more patients in the case cohort experienced "on-course" hospitalizations (53.5% vs 41.9%, P = 0.009). The cost calculation showed an average savings in total hospitalization costs of $1027 for cases vs controls. In multivariate analysis, cases had lower odds of receiving a transfusion (OR = 0.44, 95%CI 0.27-0.71, P = 0.0008).CONCLUSION:
Use of a saline-coupled bipolar sealer was associated with a greater proportion of patients with an "on course" hospitalization.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Transfusão de Sangue
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Perda Sanguínea Cirúrgica
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Carcinoma Hepatocelular
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Eletrocirurgia
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Hepatectomia
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Neoplasias Hepáticas
Tipo de estudo:
Health_economic_evaluation
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article