The economic burden of endoscopic treatment for anastomotic leaks following oncological Ivor Lewis esophagectomy.

ABSTRACT:

Background

Complications after surgery for esophageal cancer are associated with significant resource utilization. The aim of this study was to analyze the economic burden of two frequently used endoscopic treatments for anastomotic leak management after esophageal surgery: Treatment with a Self-expanding Metal Stent (SEMS) and Endoscopic Vacuum Therapy (EVT).

Materials and methods

Between January 2012 and December 2016, we identified 60 German-Diagnosis Related Group (G-DRG) cases of patients who received a SEMS and / or EVT for esophageal anastomotic leaks. Direct costs per case were analyzed according to the Institute for Remuneration System in Hospitals (InEK) cost-accounting approach by comparing DRG payments on the case level, including all extra fees per DRG catalogue

SUBMITTER: Baltin C 

PROVIDER: S-EPMC6713440 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature