Elective Colectomy Findings Reveal the Broader Need for Integrated Practice Units

Sekhar, Tejas C.; Jain, Bhav; Agarwal, Divyansh

doi:10.1097/xcs.0000000000000416

Cited by 1 publication

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“…Additionally, institution of integrated practice units, which are practices that organize care delivery through multidisciplinary teams consisting of surgeons, nurses, case managers, technicians, dieticians, psychologists, and others can have a large impact on patients outcomes. Such teams can include infection control specialists to monitor patient status during and after the surgery 34 …”

Section: Discussionmentioning

confidence: 99%

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Clinical and economic burden of surgical complications during hospitalization for digestive cancer surgery in France

Piessen,

Dive‐Pouletty,

Danel

et al. 2023

Cancer Reports

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BackgroundSurgical complications and particularly infections after digestive cancer surgery remain a major health and economic problem and its burden in France is not well documented.AimsThe aim of this study was to analyse recent data regarding surgical complications in patients undergoing major digestive cancer surgery, and to estimate its burden for the French society.Methods and ResultsUsing the 2018 French hospital discharge database and 2017 National CostStudy we studied hospital stays for surgical resection in patients withdigestive cancer. The population was divided into three groups based onpostoperative outcomes: no complications (NC), related infectious complications (RIC) and other complications. The main analysis compared the length and cost per stay between RIC and NC. Forty‐Four thousand one hundred and twenty‐three stays following a digestive cancer resection were identified. Lower gastro‐intestinal cancers were the most prevalent representing 74.8% of stays, the rate of malnutrition was 32.8% and 15.8% of patients presented RIC. Mean (SD) length of stay varied from 11,7 (9.0) days for NC to 25,5 days (19.5) for RIC (p < 0.01). The mean cost per patients' stay (SD) varied from €10 641 (€ 5897) for the NC to €18 720 (€7905) for RIC (p < .01).ConclusionThe risk of RIC after digestive cancer resection remains high (>15%) and was associated with significantly longer length of stay and higher cost per stay. Although important prevention plans have been implemented in recent years, care strategies are still needed to alleviate the burden on patients and the healthcare system.

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Section: Discussionmentioning

confidence: 99%

“…Such teams can include infection control specialists to monitor patient status during and after the surgery. 34 …”

Section: Discussionmentioning

confidence: 99%

Clinical and economic burden of surgical complications during hospitalization for digestive cancer surgery in France

Piessen,

Dive‐Pouletty,

Danel

et al. 2023

Cancer Reports

View full text Add to dashboard Cite

show abstract

Elective Colectomy Findings Reveal the Broader Need for Integrated Practice Units

Cited by 1 publication

References 4 publications

Clinical and economic burden of surgical complications during hospitalization for digestive cancer surgery in France

Clinical and economic burden of surgical complications during hospitalization for digestive cancer surgery in France

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