Financial Impact of Anastomotic Leakage in Colorectal Surgery

Background Anastomotic leakage after colorectal surgery is a complication that requires additional treatments strongly affecting the economic outcomes. We evaluated the use of resources and the economic burden associated with anastomotic leaks following colorectal surgery. Methods Between January 20...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2019-03, Vol.23 (3), p.580-586
Main Authors: La Regina, Davide, Di Giuseppe, Matteo, Lucchelli, Massimo, Saporito, Andrea, Boni, Luigi, Efthymiou, Christopher, Cafarotti, Stefano, Marengo, Michele, Mongelli, Francesco
Format: Article
Language:English
Subjects:
Aged
Anastomosis, Surgical - adverse effects
Anastomotic Leak - economics
Anastomotic Leak - etiology
Colorectal surgery
Digestive System Surgical Procedures - adverse effects
Female
Gastroenterology
Health Care Costs
Humans
Length of Stay - trends
Male
Medicine
Medicine & Public Health
Middle Aged
Mortality
Original Article
Patients
Postoperative Period
Regression analysis
Retrospective Studies
Statistical analysis
Surgery
Surgical outcomes
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Summary:Background Anastomotic leakage after colorectal surgery is a complication that requires additional treatments strongly affecting the economic outcomes. We evaluated the use of resources and the economic burden associated with anastomotic leaks following colorectal surgery. Methods Between January 2015 and December 2016, we retrospectively evaluated patients who underwent colorectal surgery with primary anastomosis. We compared the medical resource utilization and the DRG-based reimbursement of cases with uncomplicated surgery and cases complicated by anastomotic leakage. Results Of the 95 patients included in the study, 87 (92%) presented an uneventful postoperative course and 8 patients (8%) developed an anastomotic leakage requiring surgery. The statistical analysis showed no significant differences in terms of demographics, risks factor, and operative results, except the length of hospital stay (9.7 vs. 29.1 days, p  
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-018-3954-z