Drivers of Cost for Pancreatic Surgery: It's Not About Hospital Volume.

ABSTRACT:

Background

Outcomes for pancreatic resection have been studied extensively due to the high morbidity and mortality rates, with high-volume centers achieving superior outcomes. Ongoing investigations include healthcare costs, given the national focus on reducing expenditures. Therefore, we sought to evaluate the relationships between pancreatic surgery costs with perioperative outcomes and volume status.

Methods

We performed a retrospective analysis of 27,653 patients who underwent elective pancreatic resections from October 2013 to June 2017 using the Vizient database. Costs were calculated from charges using cost-charge ratios and adjusted for geographic variation. Generalized linear modeling adjusting for demographic, clinical, and operation characteristics was performed t

SUBMITTER: Bateni SB 

PROVIDER: S-EPMC6367004 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature