What is the clinical evidence from this study?

Study design: Observational. Population: Elective surgical procedures. Intervention: Inefficient and ineffective hospital care vs. Effective, efficient reference hospitals. Primary outcome: Excessive hospital costs.

March 13, 2011Journal of the American College of Surgeons

The Impact of Ineffective and Inefficient Care on the Excess Costs of Elective Surgical Procedures

View Full Paper

Ask AI

Bookmark

Key result

Inefficiency accounted for 95% of the $325 million in excessive hospital costs for elective surgical procedures, whereas higher-than-predicted adverse outcomes accounted for only 5%.

Population

Patients undergoing colorectal resections, elective coronary bypass grafts, total hip replacement, and…

Design

Cohort

Follow-up

Inpatient stay

Authors

DFDonald E. FryBasingstoke and North Hampshire Hospital MPMichael PineBoston University BJBarbara L. JonesBoston University

Discussion

Member takes

Implication

Efficiency improvements may yield larger cost reductions than outcome-focused efforts; leaves open whether interventions alter total surgical expenditures.

Study Design

Type

Observational

Multicenter

Yes

Structured PICO

Population

Patients undergoing elective colorectal resections, coronary bypass grafts, total hip replacement, or hysterectomy in the 2002 to 2005 National Inpatient Sample.

Comparator

Effective, efficient hospitals serving as a reference standard

Outcome

Risk-adjusted adverse outcome rates (inpatient deaths or prolonged risk-adjusted postoperative lengths of stay) and risk-adjusted costs

Inefficiency accounts for a substantially larger proportion of excessive hospital costs for elective surgeries than suboptimal clinical outcomes.

Cite This Study

Fry et al. (2011) conducted an observational in Elective surgical procedures. Inefficient and ineffective hospital care vs. Effective, efficient reference hospitals was evaluated on Excessive hospital costs. Inefficiency accounted for 95% of the $325 million in excessive hospital costs for elective surgical procedures, whereas higher-than-predicted adverse outcomes accounted for only 5%.

synapsesocial.com/papers/6a8c1eb6510c7253b5dedf47 https://doi.org/10.1016/j.jamcollsurg.2010.12.046

View Full Paper

Ask AI

Bookmark

Implication

Efficiency improvements may yield larger cost reductions than outcome-focused efforts; leaves open whether interventions alter total surgical expenditures.

The Impact of Ineffective and Inefficient Care on the Excess Costs of Elective Surgical Procedures

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

The Impact of Ineffective and Inefficient Care on the Excess Costs of Elective Surgical Procedures

Discussion

Member takes

Implication

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider