Document Detail


A programme of Enhanced Recovery After Surgery (ERAS) is a cost-effective intervention in elective colonic surgery.
MedLine Citation:
PMID:  20717178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: There are few published ERAS cost-analyses in colorectal surgery. The aim of this paper is to evaluate whether costs saved by reduced postoperative resource utilisation would offset the financial burden of setting up and maintaining such an ERAS programme. METHODS: A cost-effectiveness analysis from a healthcare provider perspective using a case-control model. The study group consisted of patients enrolled in the ERAS program for elective colonic surgery at Manukau Surgical Centre between December 2005 and March 2007. The control group consisted of consecutive patients from September 2004 to September 2005 (before the start of ERAS). Groups were matched with respect to operation, BMI, ASA, and Cr-POSSUM score. RESULTS: Data were available for 50 patients in each group. There was a significant reduction in total hospital stay, intravenous fluid use, and duration of epidural use in the ERAS group. There were significantly fewer complications in the ERAS group. Implementation of ERAS cost approximately $NZ102,000, but this has been more than offset by costs saved in reduced postoperative resource utilisation, with an overall cost-saving of approximately NZ$6900 per patient. CONCLUSION: Implementing an ERAS program is cost-effective in the medium term, with costs offset by those recovered by reduced resource utilisation in the postoperative period.
Authors:
Tarik Sammour; Kamran Zargar-Shoshtari; Abhijith Bhat; Arman Kahokehr; Andrew G Hill
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-07-30
Journal Detail:
Title:  The New Zealand medical journal     Volume:  123     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-08-18     Completed Date:  2010-09-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  61-70     Citation Subset:  IM    
Affiliation:
Department of Surgery, South Auckland Clinical School, University of Auckland, Auckland, New Zealand. tsammour@middlemore.co.nz.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Case-Control Studies
Colectomy / economics*
Colonic Diseases / surgery*
Cost-Benefit Analysis
Costs and Cost Analysis
Female
Humans
Male
Middle Aged
Models, Economic
New Zealand
Postoperative Care / classification,  economics*,  utilization*
Program Evaluation
Surgical Procedures, Elective / economics*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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