Impact of a collaborative care approach to radical cystectomy and urinary reconstruction. Commentary. Authors'reply.
We report the results of a collaborative care program that has been developed for radical cystectomy and urinary reconstruction.
Materials and Methods
All patients undergoing surgery after July 1993 were placed on a collaborative care pathway and were compared to patients undergoing the same procedure before this period.
Total adjusted hospital charges decreased from $31,174 to $19,479.
Hospital stay decreased from 12.7 to 10.3 days.
There were also decreases in duration of surgery, blood loss, intensive care unit use and postoperative morbidity rates.
Collaborative care pathways favorably affect the cost efficiency of care and provide favorable surgical outcomes.
Mots-clés Pascal : Vessie pathologie, Cystectomie, Dérivation, Urine, Analyse avantage coût, Analyse coût efficacité, Economie santé, Etats Unis, Amérique du Nord, Amérique, Traitement, Homme, Appareil urinaire pathologie, Voie urinaire pathologie, Chirurgie
Mots-clés Pascal anglais : Bladder disease, Cystectomy, Bypass, Urine, Cost benefit analysis, Cost efficiency analysis, Health economy, United States, North America, America, Treatment, Human, Urinary system disease, Urinary tract disease, Surgery
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0517248
Code Inist : 002B25H. Création : 01/03/1996.