| Reduction of hospital stay and cost after the implementation of a clinical pathway for radical gastrectomy for gastric cancer. | |
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MedLine Citation:
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PMID: 18595014 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Clinical pathways have been used for various surgical procedures to improve outcomes and reduce costs. Radical gastrectomy is a major surgery for the treatment of gastric cancer. This study serves to evaluate the difference in clinical outcomes before and after patients were managed on a multidisciplinary gastrectomy pathway. METHODS: Between 2000 and 2005, 115 consecutive patients who underwent gastrectomy were categorized into a pre-pathway group and a pathway group. This corresponded to the implementation of the clinical pathway in August 2002. The 61 patients in the pathway group were managed according to a multidisciplinary program, while the 54 patients in the pre-pathway group were managed conventionally. The clinical outcomes and hospital costs were then assessed and compared. RESULTS: The two groups were similar in terms of demographics, comorbidities, types of gastrectomies, and pathological cancer staging. The postoperative length of hospital stay (LOS) was 9 days for the pathway group and 11 days for the pre-pathway group (P=0.02), and the total LOS in the two groups was 11 and 14 days, respectively (P=0.02). The cost of hospitalization for the pathway patients was S$13 338, which was significantly lower compared to the S$17 371 cost for the pre-pathway patients (P=0.047). CONCLUSION: Clinical pathways may reduce hospital stay and costs for patients undergoing gastrectomy for the treatment of gastric cancer. |
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Authors:
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Jimmy B Y So; Ziliang L Lim; Heng-An Lin; Thiow-Kong Ti |
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Publication Detail:
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Type: Journal Article Date: 2008-07-02 |
Journal Detail:
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Title: Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association Volume: 11 ISSN: 1436-3291 ISO Abbreviation: Gastric Cancer Publication Date: 2008 |
Date Detail:
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Created Date: 2008-07-02 Completed Date: 2008-11-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100886238 Medline TA: Gastric Cancer Country: Japan |
Other Details:
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Languages: eng Pagination: 81-5 Citation Subset: IM |
Affiliation:
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Department of Surgery, National University Hospital, Yong Loo Lin School of Medicine, National University of Singapore, Lower Kent Ridge Road, 119072, Singapore, Singapore. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Critical Pathways / economics* Female Gastrectomy / economics* Humans Length of Stay* / economics Male Middle Aged Patient Readmission Stomach Neoplasms / economics*, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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