Economic burden of cancer among patients with surgical resections of the lung, rectum, liver and uterus: results from a US hospital database claims analysis

摘要: To determine hospital resource utilization, associated costs and the risk of complications during hospitalization for four types surgical resections to estimate incremental burden among patients with cancer compared those without cancer. Patients (≥18 years old) were identified from Premier Research Database US hospitals if they had any following elective between 1/2008 12/2014: lung lobectomy, lower anterior resection rectum (LAR), liver wedge resection, or total hysterectomy. Cancer status was determined based on ICD-9-CM diagnosis codes. Operating room time (ORT), length stay (LOS), costs, as well frequency bleeding infections evaluated. The impact outcomes (from a perspective) evaluated using multivariable generalized estimating equation models; analyses conducted separately each type. Among who underwent 23 858 (87.9% cancer) 13 522 (63.8% LAR, 2916 (30.0% 225 075 (11.3% After adjusting patient, procedural, characteristics, mean ORT, LOS, cost statistically higher by 3.2%, 8.2%, 9.2%, respectively vs. no lobectomy; 6.9%, 9.4%, 9.6%, LAR; 4.9%, 14.8%, 15.7%, resection; 16.0%, 27.4%, 31.3%, type risks infection generally In this analysis, we found that hysterectomy indication have significantly increased utilization these same surgeries benign indications.