C. Kristian Enestvedt

Complications nearly double the cost of care after pancreaticoduodenectomy

BACKGROUND Despite considerable data focused on the morbidity of pancreaticoduodenectomy (PD), the financial impact of complications has been infrequently analyzed. This study evaluates the impact of the most common complications associated with PD on the cost of care. Additionally, we identified cost centers that were significantly affected by complications. METHODS A retrospective analysis of a prospective database in a network of community-based teaching hospitals was performed. All patients (n = 145) who underwent PD were included for years 2005 to 2009. Of these, 144 had complete in-hospital cost data. Complications were assessed and classified into major and minor categories according to Dindo et al. Forty-nine cost centers were analyzed for their association with the cost of complications. Univariate and multivariate linear regression analyses were performed. Significance was reported for P < .05. RESULTS The median cost for PD was

Comparison of Laparoscopic Inversion Esophagectomy and Open Transhiatal Esophagectomy for High-Grade Dysplasia and Stage I Esophageal Adenocarcinoma

30,937. Patients with major complications had significantly higher median cost compared with those without (

The Impact of Meeting Donor Management Goals on the Number of Organs Transplanted per Expanded Criteria Donor: A Prospective Study From the UNOS Region 5 Donor Management Goals Workgroup

56,224 vs

Decreased Conduit Perfusion Measured by Spectroscopy Is Associated With Anastomotic Complications

29,038; P < .001). Independent predictors of increased cost included reoperation; sepsis; pancreatic fistula; bile leak; delayed gastric emptying; and pulmonary, renal, and thromboembolic complications. Cost center analysis showed significant added charges for patients with major complications for blood bank (

The Evaluation of Esophageal Adenocarcinoma Using Dynamic Contrast-Enhanced Magnetic Resonance Imaging

1,018), clinical laboratory (

Safety and efficacy of preoperative right portal vein embolization in patients at risk for postoperative liver failure following major right hepatectomy

3,731), a computed tomography scan (

The Integrity of Esophagogastric Junction Anatomy in Patients with Isolated Laryngopharyngeal Reflux Symptoms

4,742), diagnostic imaging (

Esophageal Replacement Following Gastric Devascularization Is Safe, Feasible, and May Decrease Anastomotic Complications

697), intensive care unit (

Higher Mortality and Survival Benefit in Obese Patients Awaiting Liver Transplantation.

4,986), pharmacy (

Optical fiber probe spectroscopy for laparoscopic monitoring of tissue oxygenation during esophagectomies.

33,850) and respiratory therapy (