Treating perioperative complications: Should everyone be this expensive?
Menée dans un contexte américain à partir de données portant sur 120 patients atteints d'un adénocarcinome de l'estomac traité par gastrectomie totale à visée curative entre 2009 et 2012, cette étude rétrospective analyse les coûts associés à une hospitalisation liée à la survenue de complications à la suite du traitement chirurgical
Surgical intuition and empirical evidence agree that patients who experience perioperative complications require more resources for their care than patients who have uncomplicated operations.1- 4 It follows logically that efforts to eliminate surgical complications may reduce health care expenditures in addition to optimizing clinical outcomes. However, this is an elusive (albeit worthwhile) goal for many complex surgical procedures. Even the best hospitals and surgeons will continue to have complications at some rate.5 Therefore, improving the efficiency of managing these complications could be a practical, yet previously unexplored, cost-reduction strategy in surgery. Such an approach requires understanding specifically where higher costs are incurred when rescuing patients from complications.
JAMA Surgery , commentaire, 2016