Risk-stratified clinical pathways decrease the duration of hospitalization and costs of perioperative care after pancreatectomy.

ABSTRACT: BACKGROUND:Postoperative pancreatic fistula is associated with adverse events, increased duration of stay and hospital costs. We developed perioperative care pathways stratified by postoperative pancreatic fistula risk with the aims of minimizing variations in care, improving quality, and decreasing costs. STUDY DESIGN:Three unique risk-stratified pancreatectomy clinical pathways-low-risk pancreatoduodenectomy, high-risk pancreatoduodenectomy, and distal pancreatectomy were developed and implemented. Consecutive patients treated after implementation of the risk-stratified pancreatectomy clinical pathways were compared with patients treated immediately prior. Duration of stay, rates of perioperative adverse effects, discharge disposition, and hospital readmission, as well as the associated

SUBMITTER: Denbo JW 

PROVIDER: S-EPMC7265789 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature