ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2015
Cost variation in a laparoscopic cholecystectomy and the association with outcomes across a single health system: implications for standardization and improved resource utilization.
Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Cost analysis of laparoscopic appendectomy in a large integrated healthcare system.Surgical endoscopy · 2022Article
- Evaluating the impact of surgical supply cost variation during partial nephrectomy on patient outcomes.Translational andrology and urology · 2021Article
- Surgeon Variability Impacts Costs in Laparoscopic Cholecystectomy: the Volume-Cost Relationship.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Post-cholecystectomy syndrome: a retrospective study analysing the associated demographics, aetiology, and healthcare utilization.Translational gastroenterology and hepatology · 2021Article
- Cost containment: an experience with surgeon education and universal preference cards at two institutions.Surgical endoscopy · 2020Article
- Evaluating Surgeons on Intraoperative Disposable Supply Costs: Details Matter.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Regional cost analysis for laparoscopic cholecystectomy.Surgical endoscopy · 2019Article
- Improving the value of care for appendectomy through an individual surgeon-specific approach.Journal of pediatric surgery · 2018Observational
- Cost Analysis and Supply Utilization of Laparoscopic Cholecystectomy.Minimally invasive surgery · 2018Article
- Surgeon Variation in Intraoperative Supply Cost for Pancreaticoduodenectomy: Is Intraoperative Supply Cost Associated with Outcomes?Journal of the American College of Surgeons · 2018Article
- A retrospective comparison of robotic cholecystectomy versus laparoscopic cholecystectomy: operative outcomes and cost analysis.Surgical endoscopy · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundPayers and regulatory bodies are increasingly placing emphasis on cost containment, quality/outcome measurement and transparent reporting. Significant cost variation occurs in many operative procedures without a clear relationship with outcomes. Clear cost-benefit associations will be necessary to justify expenditures in the era of bundled payment structures.
methodsAll laparoscopic cholecystectomies (LCCKs) performed within a single health system over a 1-year period were analysed for operating room (OR) supply cost. The cost was correlated with American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) outcomes.
resultsFrom July 2013 to June 2014, 2178 LCCKs were performed by 55 surgeons at seven hospitals. The median case OR supply cost was $513 ± 156. There was variation in cost between individual surgeons and within an individual surgeon's practice. There was no correlation between cost and ACS NSQIP outcomes. The majority of cost variation was explained by selection of trocar and clip applier constructs.
conclusionsSignificant case OR cost variation is present in LCCK across a single health system, and there is no clear association between increased cost and NSQIP outcomes. Placed within the larger context of overall cost, the opportunity exists for improved resource utilization with no obvious risk for a reduction in the quality of care.
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