Early operative management in patients with adhesive small bowel obstruction: population-based cost analysis.

ABSTRACT:

Background

Adhesive small bowel obstruction (aSBO) is a potentially recurrent disease. Although non-operative management is often successful, it is associated with greater risk of recurrence than operative intervention, and may have greater downstream morbidity and costs. This study aimed to compare the current standard of care, trial of non-operative management (TNOM), and early operative management (EOM) for aSBO.

Methods

Patients admitted to hospital between 2005 and 2014 in Ontario, Canada, with their first episode of aSBO were identified and propensity-matched on their likelihood to receive EOM for a cost-utility analysis using population-based administrative data. Patients were followed for 5 years to determine survival, recurrences, adverse events and inpatient costs

SUBMITTER: Behman R 

PROVIDER: S-EPMC7528511 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature