Costs of complications following gastric resection surgery

Not Applicable

Completed

• Conditions: Gastric resection; Complications following gastric resection; Gastric cancer; Surgery - Surgical techniques; Anaesthesiology - Anaesthetics; Cancer - Stomach; Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon

• Registration Number: ACTRN12620001376932
• Lead Sponsor: Austin Health - Austin Hospital - Heidelberg

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2020-11-19
• Study Start: 2020-12-22
• Last Update Posted: 5 January 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 140

Inclusion Criteria

Patients who undergo a gastric resection for any indication at the Austin Hospital will be considered. Gastric resection will be defined as any procedure which involves partial or full removal of the stomach.

All surgical techniques will be considered.

Any indication for a gastric resection will be considered. Both emergent and elective procedures will also be considered.

Exclusion Criteria

Patients who have the following procedures will be excluded:
1. Gastric resection for the purpose of weight loss.
2. Gastric biopsies.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Costs of complications as a composite outcome defined as the hospital costs associated with the index surgery.<br><br>All costs related to the index admission for gastric resections and any consequent readmissions will be included. Costs related to preoperative course are not considered. Allocation of costs will be done based on service volume, and costs 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 will be considered within 90 days of discharge from the index admission.]

Secondary Outcome Measures

Name	Time	Method
Complications following gastric resection. <br><br>Complications will be assessed using the Clavien-Dindo system, a previously validated tool for grading complications. Possible complications include anastomotic leak, infection, haemorrhage, death, etc. This outcome will be obtained by reviewing data-linkage to the Austin hospital's medical records.[Complications are considered retrospectively at discharge from the completion of surgery to hospital discharge for the index admission only.]