The impact of an enhanced recovery program (ERP) on the costs of colorectal surgery

Enhanced Recovery Programs (ERPs) benefit patients but their effects on healthcare costs remain unclear. This study aimed to investigate the costs associated with a colorectal ERP in a large academic health system. Patients who underwent colorectal surgery from 2012 to 2014 (pre-ERP) and 2015–2017 (...

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Bibliographic Details
Published in:The American journal of surgery 2021-07, Vol.222 (1), p.186-192
Main Authors: Khanijow, Anisha N., Wood, Lauren N., Xie, Rongbing, Theiss, Lauren M., Hollis, Robert H., Hardiman, Karin M., Gunnells, Drew J., Kennedy, Gregory D., Morris, Melanie S., Cannon, Jamie A., Chu, Daniel I.
Format: Article
Language:English
Subjects:
Anesthesiology
Catheters
Colorectal surgery
Compliance
Complications
Cost analysis
Cost control
Costs
Electronic health records
Enhanced recovery
ERP
Event-related potentials
Expenditures
Financial impact
Hospital systems
Medical records
Patients
Perioperative care
Surgeons
Surgery
Surgical outcomes
Value based
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Summary:Enhanced Recovery Programs (ERPs) benefit patients but their effects on healthcare costs remain unclear. This study aimed to investigate the costs associated with a colorectal ERP in a large academic health system. Patients who underwent colorectal surgery from 2012 to 2014 (pre-ERP) and 2015–2017 (ERP) were propensity score matched based on patient and operative-level characteristics. Primary outcomes were median variable, fixed, and total costs. Secondary outcomes included length-of-stay (LOS), readmissions, and postoperative complications (POCs). 616 surgical cases were included. Patient and operative-level characteristics were similar between the cohorts. Variable costs were $1028 less with ERP. ERP showed savings in nursing, surgery, anesthesiology, pharmacy, and laboratory costs, but had higher fixed costs. Total costs between the two groups were similar. ERP patients had significantly shorter LOS (−1 day, p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2020.11.034