Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/23144
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dc.contributor.authorLouis, Maleck-
dc.contributor.authorJohnston, Samuel A-
dc.contributor.authorChurilov, Leonid-
dc.contributor.authorMa, Ronald-
dc.contributor.authorMarhoon, Nada-
dc.contributor.authorBurgess, Adele-
dc.contributor.authorChristophi, Christopher-
dc.contributor.authorWeinberg, Laurence-
dc.date2020-04-19-
dc.date.accessioned2020-05-12T07:04:56Z-
dc.date.available2020-05-12T07:04:56Z-
dc.date.issued2020-06-
dc.identifier.citationAnnals of medicine and surgery (2012) 2020; 54: 37-42-
dc.identifier.issn2049-0801-
dc.identifier.urihttp://ahro.austin.org.au/austinjspui/handle/1/23144-
dc.description.abstractColonic resection is a common surgical procedure associated with a high rate of postoperative complications. The aim of this observational study is to estimate the in-hospital costs of complications and to identify perioperative variables associated with complication development following colon resection surgery. We conducted a single-centre cohort study with retrospective data collection of 487 patients undergoing colonic resection surgery between 2013 and 2018. Postoperative complications were graded according to the Clavien-Dindo classification system. In-hospital cost of index admission is reported in 2019 United States Dollars. Regression modelling was used to investigate the relationship of a priori selected perioperative variables and presence of complications and costs. Overall complication prevalence was 69.6% (95%CI:65.5%-73.7%). Median [interquartile range] cost of patients with postoperative complications was significantly increased as compared to patients without complications ($17,963 [13,533:25,178] vs $12,578 [10,196:16,140]; p < 0.0001). Clavien-Dindo Grade I, II, III and IV complications increased costs by 15.8%, 36.8%, 169.4% and 240.1% respectively (p < 0.0001). Presence of complications was significantly associated with Charlson Comorbidity Index (Odds ratio (OR) per 1-unit increase: 1.09; 95%CI:1.02 to 1.17), preoperative albumin levels (OR per 1-unit increase: 0.94; 95%CI:0.90 to 0.98) and open as compared to laparoscopic resection (OR: 2.41; 95%CI:1.32 to 4.42). There is a high prevalence of complications following colonic resection surgery. Postoperative complications, including minor complications (Clavien-Dindo Grade I-II), were associated with a significant increase in hospital costs and are a key target for cost containment strategies.-
dc.language.isoeng-
dc.subjectColon surgery-
dc.subjectCost-
dc.subjectCost analysis-
dc.subjectPostoperative complications-
dc.titleThe hospital costs of complications following colonic resection surgery: A retrospective cohort study.-
dc.typeJournal Article-
dc.identifier.journaltitleAnnals of medicine and surgery (2012)-
dc.identifier.affiliationDepartment of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Finance, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationData Analytics Research and Evaluation (DARE) Centre, Austin Health and The University of Melbourne, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationThe Melbourne Brain Centre, Royal Melbourne Hospital, 300 Grattan St, Parkville, Victoria, 3052, Australiaen
dc.identifier.affiliationDepartment of Medicine, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1016/j.amsu.2020.03.013-
dc.identifier.orcid0000-0002-9807-6606-
dc.identifier.pubmedid32368338-
dc.type.austinJournal Article-
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