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  1. Influence of patient age and co-morbidity on outcome of a collaborative care pathway after radical prostatectomy and cystoprostatectomy.

    Article - En anglais

    Purpose 

    We determined whether standardized care patterns developed with a collaborative care methodology can be applied successfully across all patient groups with favorable effects on cost and quality.

    Materials and Methods 

    We retrospectively analyzed financial and clinical outcomes in 109 radical retropubic prostatectomy and 47 radical cystectomy cases.

    Patients older than 70 years and/or with an American Society of Anesthesiology status of 3 or greater were compared to younger, healthier patients undergoing these procedures.

    Results 

    Standardized care patterns resulted in favorable financial and clinical outcomes in high and low risk patient groups.

    The only apparent difference was an increased need for rehospitalization after discharge for patients undergoing radical prostatectomy with a high American Society of Anesthesiology status.

    Conclusions 

    Standardized care patterns developed with a collaborative care methodology provide a high quality, cost-efficient approach to medical care.

    This methodology is applicable to all patient groups and is highly compatible with current medical practice.

    Mots-clés Pascal : Prostatectomie, Association, Cystectomie, Complet, Efficacité, Programme sanitaire, Relation incertitude, Age, Association morbide, Analyse avantage coût, Homme, Chirurgie, Prostate pathologie, Appareil urinaire pathologie, Appareil génital mâle pathologie

    Mots-clés Pascal anglais : Prostatectomy, Association, Cystectomy, Complete, Efficiency, Sanitary program, Uncertainty relation, Age, Concomitant disease, Cost benefit analysis, Human, Surgery, Prostate disease, Urinary system disease, Male genital diseases

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

    Cote : 96-0239448

    Code Inist : 002B25H. Création : 199608.