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Cost-effectiveness analysis of a postoperative clinical care pathway in head and neck surgery with microvascular reconstruction.


ABSTRACT:

Background

The objective of this study is to evaluate the cost-effectiveness of a postoperative clinical care pathway for patients undergoing major head and neck oncologic surgery with microvascular reconstruction.

Methods

This is a comparative trial of a prospective treatment group managed on a postoperative clinical care pathway and a historical group managed prior to pathway implementation. Effectiveness outcomes evaluated were total hospital days, return to OR, readmission to ICU and rate of pulmonary complications. Costing perspective was from the government payer.

Results

118 patients were included in the study. All outcomes demonstrated that the postoperative pathway group was both more effective and less costly, and is therefore a dominant clinical intervention. The overall mean pre- and post-pathway costs are $22,733 and $16,564 per patient, respectively. The incremental cost reduction associated with the postoperative pathway was $6,169 per patient.

Conclusion

Implementing the postoperative clinical care pathway in patients undergoing head and neck oncologic surgery with reconstruction resulted in improved clinical outcomes and reduced costs.

SUBMITTER: Dautremont JF 

PROVIDER: S-EPMC3878235 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature

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Publications

Cost-effectiveness analysis of a postoperative clinical care pathway in head and neck surgery with microvascular reconstruction.

Dautremont Jonathan F JF   Rudmik Luke R LR   Yeung Justin J   Asante Tiffany T   Nakoneshny Steve C SC   Hoy Monica M   Lui Amanda A   Chandarana Shamir P SP   Matthews Thomas W TW   Schrag Christiaan C   Dort Joseph C JC  

Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale 20131219


<h4>Background</h4>The objective of this study is to evaluate the cost-effectiveness of a postoperative clinical care pathway for patients undergoing major head and neck oncologic surgery with microvascular reconstruction.<h4>Methods</h4>This is a comparative trial of a prospective treatment group managed on a postoperative clinical care pathway and a historical group managed prior to pathway implementation. Effectiveness outcomes evaluated were total hospital days, return to OR, readmission to  ...[more]

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