Costs of complications following rectal resection surgery

The health costs of complications following rectal resection surgery

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12619000806167

Enrollment

389

Registered

2019-06-03

Start date

2019-03-04

Completion date

2019-05-06

Last updated

2020-02-10

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 is to determine the costs associated with post-operative complications of those undergoing a rectal resection. Accurately defining the costs of complications allows institutions to make more informed decisions as to what areas comprise a significant cost percentage, and then implement strategies to mitigate this. Who is it for? This is a retrospective study evaluating the costs of complications of adult patients who underwent a rectal resection at the Austin Hospital between January 2013 and June 2018. Study details The aim of this study is to outline the health costs of postoperative complications in patients who undergo rectal resection surgery. We consider the incidence, type and severity of these complications and expand on the surgical method used in relation to rectal resection. Further, we highlight the importance of evaluating the components of healthcare cost profiles relevant to patients undergoing rectal resection. We hypothesise that patients who suffer complications would incur greater costs as compared to patients who did not have a complication. We also hypothesised that as the complication severity increased, there would also be an increase in costs. It is hoped that this study will outline the costs of postoperative complications in patients who undergo rectal resection surgery, and highlight the importance of evaluating the components of healthcare cost profiles relevant to patients undergoing rectal resection.

Interventions

ICD Codes that were included were: 32026-00 Ultra low anterior resection of rectum 32024-00 High anterior resection of rectum 32030-00 Rectosigmoidectomy with formation of stoma 32028-00 Ultra low anterior resection of rectum with hand sutured coloanal anastomosis 32030-01 Laparoscopic rectosigmoidectomy with formation of stoma 32051-00 Total proctocolectomy with ileo-anal anastomosis 32039-00 Abdominoperineal proctectomy 32025-00 Low anterior resection of rectum 92208-00 Anterior resection of rectum, level unspecified 32015-00 Total proctocolectomy with ileostomy 32051-01 Total proctocolectomy with ileo-anal anastomosis and formation of temporary ileostomy 32112-00 Perineal rectosigmoidectomy 32047-00 Perineal proctectomy 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

Patients who undergo a rectal resection for any indication at the Austin Hospital were considered. Rectal resection will be defined as any procedure which involves partial or full removal of the rectum. All surgical techniques will be considered. Any indication for a rectal resection will be considered. Both emergent and elective would also be considered.

Exclusion criteria

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

Outcome results