Hospital costs of complications following bowel resection surgery

Financial burden of postoperative complications following colonic resection surgery

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12619000803190

Enrollment

497

Registered

2019-06-03

Start date

2019-03-04

Completion date

2019-05-06

Last updated

2019-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The purpose of this study was to determine the costs associated with post-operative complications of those undergoing a colonic resection. Who is it for? Eligible patients included adult patients who underwent a colonic resection at the Austin Hospital between January 2013 and June 2018. All data was retrospectively collected. Study details Data was collected on any complication experienced by patients who underwent a colonic resection at the Austin Hospital between January 2013 and June 2018. It is hoped that this study will: 1) Quantify the costs implicated by postoperative complications following colonic resections including pharmacological costs, medical costs, operative costs, intensive care unit costs and ward costs. 2) Quantify the impact of postoperative complications on costs within the following patient cohorts: a. Emergency and elective procedures b. Laparoscopic, open and combined procedures c. Malignant and non-malignant diagnoses 3) Identify key patient and perioperative variables associated with increased costs and adverse patient outcomes to ascertain areas for improvement allowing the development of evidence-based guidelines with the ultimate goal of improving patient outcomes and efficiency of our health services.

Interventions

Elective or emergent colonic resection, defined using the procedural ICD-10 codes: 32000-00 Limited excision of large intestine with formation of stoma 32000-01 Right hemicolectomy with formation of stoma 32000-02 Laparoscopic limited excision of large intestine with formation of stoma 32000-03 Laparoscopic right hemicolectomy with formation of stoma 32003-00 Limited excision of large intestine with anastomosis 32003-01 Right hemicolectomy with anastomosis 32003-02 Laparoscopic limited excision of large intestine with anastomosis 32003-03 Laparoscopic right hemicolectomy with anastomosis 32004-00 Subtotal colectomy with formation of stoma 32004-01 Extended right hemicolectomy with formation of stoma 32004-02 Laparoscopic subtotal colectomy with formation of stoma 32004-03 Laparoscopic extended right hemicolectomy with formation of stoma 32005-00 Subtotal colectomy with anastomosis 32005-01 Extended right hemicolectomy with anastomosis 32005-02 Laparoscopic subtotal colectomy with anastomosis 32005-03 Laparoscopic extended right hemicolectomy with anastomosis 32006-00 Left hemicolectomy with anastomosis 32006-01 Left hemicolectomy with formation of stoma 32006-02 Laparoscopic left hemicolectomy with anastomosis 32006-03 Laparoscopic left hemicolectomy with formation of stoma 32009-00 Total colectomy with ileostomy 32009-01 Laparoscopic total colectomy with ileostomy 32012-00 Total colectomy with ileorectal anastomosis 32012-01 Laparoscopic total colectomy with ileorectal anastomosis The procedures were performed at the Austin Hospital, a tertiary hospital with colorectal expertise, over the period of January 2013 and June 2018. Patients were followed-up for 30 days following discharge from the index admission. If no subsequent readmissions occurred within this period, follow-up ceased. If a patient was readmitted within the 30-day period, then the readmission was included, and following discharge from the readmission or end of the original 30-day period, whichever was later, follow-up ceased.

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Adult patients (>18 years of age) undergoing any form of colon resection at the Austin Hospital were included. Colonic resection will be defined as complete excision of any part of the large bowel (excluding rectum) and includes the following procedures: cecectomy, right hemicolectomy, left hemicolectomy, sigmoidectomy, transverse colectomy, partial and total colectomy. All surgical techniques will be included. Any indication for colon resection will be included. Both emergent and elective patients will be included.

Exclusion criteria

Patients undergoing colon resection that was minor and secondary to another concomitant major procedure were excluded.

Outcome results