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  1. Impact of a collaborative care approach to radical cystectomy and urinary reconstruction. Commentary. Authors'reply.

    Article - En anglais


    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0517248

    Code Inist : 002B25H. Création : 01/03/1996.