A Cost and Benefit Study of Esophagectomy for Patients with Esophageal Cancer

Hsieh, Chih‐Cheng; Chien, Ching‐Wen

doi:10.1007/s11605-009-0965-9

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…Several other studies have examined resource utilization and costs among individuals with oesophageal cancer 4,29,30 . In a 2001 cross-sectional study from the USA by Soni and Sonnenberg 4 , analysis was undertaken on resource utilization and costs for 29 patients with oesophageal adenocarcinoma from a single centre.…”

Section: Discussionmentioning

confidence: 99%

Healthcare resource use and medical costs for the management of oesophageal cancer

Gordon

Eckermann

Hirst

et al. 2011

British Journal of Surgery

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Overall costs for managing oesophageal cancer were high and dominated by surgery costs in patients treated surgically and by chemotherapy costs in patients treated without surgery. Radiotherapy, treatment location and cancer subtype were also important. Monitoring for Barrett's oesophagus and earlier-stage detection were associated with lower management costs, but the potential net benefit from surveillance strategies needs further investigation.

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Section: Discussionmentioning

confidence: 99%

Healthcare resource use and medical costs for the management of oesophageal cancer

Gordon

Eckermann

Hirst

et al. 2011

British Journal of Surgery

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Ökonomische Aspekte der onkologischen Ösophaguschirurgie

Dercks

Gockel

Lorenz

2016

Chirurg

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The incidence of esophageal carcinoma has increased in recent years in Germany. The aim of this article is a discussion of the economic aspects of oncological esophageal surgery within the German diagnosis-related groups (DRG) system focusing on the association between minimum caseload requirements and outcome quality as well as costs. The margins for the DRG classification G03A are low and quickly exhausted if complications determine the postoperative course. A current study using nationwide German hospital discharge data proved a significant difference in hospital mortality between clinics with and without achieving the minimum caseload requirements for esophagectomy. Data from the USA clearly showed that besides patient-relevant parameters, the caseload of a surgeon is relevant for the cost of treatment. Such cost-related analyses do not exist in Germany at present. Scientific validation of reliable minimum caseload numbers for oncological esophagectomy is desirable in the future.

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