Hospital costs of complications following distal pancreatectomy

Not Applicable

Completed

• Conditions: Surgical removal of the distal pancreas; Complications following distal pancreatectomy; Pancreatic cancer; Surgery - Other surgery; Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon; Anaesthesiology - Other anaesthesiology; Cancer - Pancreatic

• Registration Number: ACTRN12622000202763
• 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: 2021-12-31
• Study Start: 2022-02-07
• Last Update Posted: 21 February 2022

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

Inclusion criteria will include
1. Distal pancreatectomy with splenectomy
2.. Distal pancreatectomy with spleen preserving technique

Exclusion Criteria

1. Patients who have undergone a total pancreatectomy
2. Patients who have undergone a central pancreatectomy
3. Patients who have undergone a Whipples procedure
4. If the distal pancreatectomy was secondary to another major procedure (e.g., pelvic exenteration, cystectomy etc. )
5. Distal pancreatectomy secondary to trauma.

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 distal pancreatectomy 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 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 will be considered within 30 days of discharge from the index admission.]

Secondary Outcome Measures

Name	Time	Method
Complications following distal pancreatectomy. Complications will be assessed using the Clavien-Dindo system, a previously validated tool for grading complications. Possible complications include infection, haemorrhage, death, etc. This outcome will be obtained by reviewing data-linkage to the Austin hospital's medical records.[Complications will be retrospectively collected from the patient medical records at hospital discharge. The duration period over which complications will be collected are from the completion of surgery to hospital discharge for the index admission.];Patient mortality after distal pancreatectomy[Any observed mortality will be recorded after surgery until the last observation day which will be set a-priori as 31 Dec 2021. This will result in an observation follow up period of at least six months post index surgery.]