Hospital charges for pediatric heart transplant hospitalizations in the United States from 1997 to 2006

Law, Sabrina; Kim, Jeffrey; Decker, Jamie A.; Price, Jack F.; Cabrera, Antonio G.; Graves, Daniel E.; Morales, David L.S.; Heinle, Jeffrey S.; Denfield, Susan W.; Dreyer, William J.; Rossano, Joseph W.

doi:10.1016/j.healun.2011.12.008

Cited by 29 publications

(27 citation statements)

References 20 publications

(14 reference statements)

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“…A prior single center study by Dayton et al reported an average initial cost of $221,897 for primary HTx in 95 pediatric patients between 1997 and 2004 [13]. A subsequent study by Law et al utilized the Healthcare Cost and Utilization Project Kids’ Inpatient Database to summarize pediatric HTx hospital charges from 1292 patients transplanted during the years 1997, 2000, 2003, and 2006 [14]. Our analysis provides more contemporary cost data for pediatric HTx and represents the largest U.S. sample reported to date.…”

Section: Discussionmentioning

confidence: 99%

A unique linkage of administrative and clinical registry databases to expand analytic possibilities in pediatric heart transplantation research

Godown

Thurm

Dodd

et al. 2017

American Heart Journal

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Background Large clinical, research, and administrative databases are increasingly utilized to facilitate pediatric heart transplant (HTx) research. Linking databases has proven to be a robust strategy across multiple disciplines to expand the possible analyses that can be performed while leveraging the strengths of each dataset. We describe a unique linkage of the Scientific Registry of Transplant Recipients (SRTR) database and the Pediatric Health Information System (PHIS) administrative database to provide a platform to assess resource utilization in pediatric HTx. Methods All pediatric patients (1999–2016) who underwent HTx at a hospital enrolled in the PHIS database were identified. A linkage was performed between the SRTR and PHIS databases in a stepwise approach using indirect identifiers. To determine the feasibility of using these linked data to assess resource utilization, total and post-HTx hospital costs were assessed. Results A total of 3188 unique transplants were identified as being present in both databases and amenable to linkage. Linkage of SRTR and PHIS data was successful in 3057 (95.9%) patients, of whom 2896 (90.8%) had complete cost data. Median total and post-HTx hospital costs were $518,906 (IQR $324,199 – $889,738) and $334,490 (IQR $235,506 – $498,803) respectively with significant differences based on patient demographics and clinical characteristics at HTx. Conclusions Linkage of the SRTR and PHIS databases is feasible and provides an invaluable tool to assess resource utilization. Our analysis provides contemporary cost data for pediatric HTx from the largest U.S. sample reported to date. It also provides a platform for expanded analyses in the pediatric HTx population.

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Section: Discussionmentioning

confidence: 99%

A unique linkage of administrative and clinical registry databases to expand analytic possibilities in pediatric heart transplantation research

Godown

Thurm

Dodd

et al. 2017

American Heart Journal

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show abstract

“…Although heart transplantation remains the only treatment that offers long-term survival in advanced heart failure, the associated costs have risen steadily over the past ten years owing to greater morbidity, while mortality rates have remained stable [28].…”

Section: Analysis and Findings Of Ees In Cardio-thoracic Surgerymentioning

confidence: 99%

Quality assessment of economic evaluation studies in pediatric surgery: A systematic review

Kamdem

Nerich

Auber

et al. 2015

Journal of Pediatric Surgery

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“…Moreover, the cost impact of additional expensive procedures, such as heart transplantation, during the index hospitalization was not examined. KID data indicate that the use of ECLS during pediatric heart transplant hospitalizations increased significantly during the study period (17). Any comprehensive analyses of the financial impact of ECLS on singleventricle patients must also include long-term follow-up data.…”

mentioning

confidence: 99%

Is There a Concerning Trend in Extracorporeal Life Support Utilization for Single-Ventricle Patients?*

McMullan

2016

Pediatric Critical Care Medicine

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Hospital charges for pediatric heart transplant hospitalizations in the United States from 1997 to 2006

Cited by 29 publications

References 20 publications

A unique linkage of administrative and clinical registry databases to expand analytic possibilities in pediatric heart transplantation research

A unique linkage of administrative and clinical registry databases to expand analytic possibilities in pediatric heart transplantation research

Quality assessment of economic evaluation studies in pediatric surgery: A systematic review

Is There a Concerning Trend in Extracorporeal Life Support Utilization for Single-Ventricle Patients?*

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