Hospital costs of complications following bowel resection surgery

Not Applicable

Completed

• Conditions: Colon cancer; Inflammatory Bowel Disease; Diverticulitis; Surgery - Surgical techniques; Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon; Anaesthesiology - Anaesthetics; Cancer - Bowel - Back passage (rectum) or large bowel (colon); Oral and Gastrointestinal - Inflammatory bowel disease

• Registration Number: ACTRN12619000803190
• Lead Sponsor: Department of Anaesthesia, Austin Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2019-05-06
• Study Start: 2019-06-03
• Last Update Posted: 15 July 2019

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 497

Inclusion Criteria

Adult patients (>18 years of age) undergoing any form of colon resection at the Austin Hospital were included. Colonic resection will be defined as complete excision of any part of the large bowel (excluding rectum) and includes the following procedures: cecectomy, right hemicolectomy, left hemicolectomy, sigmoidectomy, transverse colectomy, partial and total colectomy. All surgical techniques will be included. Any indication for colon resection will be included. Both emergent and elective patients will be included.

Exclusion Criteria

Patients undergoing colon resection that was minor and secondary to another concomitant major procedure were excluded.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Costs of complications (as a composite outcome) following Colon resections.<br><br>Costs of complications defined as cost of patients with complications less the cost of patients without complications (ie by comparison of patients with and without complications). All costs related to the index admission for colon resection and any consequent readmissions are included. Costs related to preoperative course are not considered. Allocation of costs will be calculated using an activity-based costing methodology. Only in-hospital costs are considered, with both direct and indirect costs assessed to produce a total cost for each patient. Costs for each patient will be obtained from the Austin Health Department of Finance, which maintain an itemised prospective database of all hospital expenses related to each patient.[Costs will be calculated from day of surgery to hospital discharge. Readmissions are considered within 30 days of discharge from the index admission.]