ArticleCanadian journal of surgery. Journal canadien de chirurgie2018
Analysis of postdischarge costs following emergent general surgery in elderly patients.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02233153 (Elder-friendly Approaches to the Surgical Environment - Implementation of an Elder Friendly Surgical Unit), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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.
Elder-friendly Approaches to the Surgical Environment - Implementation of an Elder Friendly Surgical Unit
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- International depiction of the cost of functional independence limitations among older adults living in the community: a systematic review and cost-of-impairment study.BMC geriatrics · 2022Pooled it
- Perioperative assessment and management of frailty in elderly patients: a national survey of Italian anesthesiologists.Journal of anesthesia, analgesia and critical care · 2025Article
- Association of Frailty with Healthcare Utilization for Patients over One Year Following Surgical Evaluation.Annals of surgery · 2024Article
- Trends and outcomes of emergency general surgery in elderly and highly elderly population in a single regional emergency center.Annals of surgical treatment and research · 2023Article
- Impact of the Affordable Care Act Medicaid Expansion on Reimbursement in Emergency General Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- A Transcriptomic Signature for Risk-Stratification and Recurrence Prediction in Intrahepatic Cholangiocarcinoma.Hepatology (Baltimore, Md.) · 2021Article
- A Liquid Biopsy Assay for Noninvasive Identification of Lymph Node Metastases in T1 Colorectal Cancer.Gastroenterology · 2021Article
- Clinical Effectiveness of the Elder-Friendly Approaches to the Surgical Environment Initiative in Emergency General Surgery.JAMA surgery · 2020Article
- Operative Procedures: New Ways of Managing Frailty.Deutsches Arzteblatt international · 2019Article
- Frailty and functional decline after emergency abdominal surgery in the elderly: a prospective cohort study.World journal of emergency surgery : WJES · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs populations age, more elderly patients will undergo surgery. Frailty and complications are considered to increase in-hospital cost in older adults, but little is known on costs following discharge, particularly those borne by the patient. We examined risk factors for increased cost and the type of costs accrued following discharge in elderly surgical patients.
methodsAcute abdominal surgery patients aged 65 years and older were prospectively enrolled. We assessed baseline clinical characteristics, including Clinical Frailty Scale (CFS) scores. We calculated 6-month cost (in Canadian dollars) from patient-reported use following discharge according to the validated Health Resource Utilization Inventory. Primary outcomes were 6-month overall cost and cost for health care services, medical products and lost productive hours. Outcomes were log-transformed and assessed in multivariable generalized linear and zero-inflated negative binomial regressions and can be interpreted as adjusted ratios (AR). Complications were assessed according to Clavien-Dindo classification.
resultsWe included 150 patients (mean age 75.5 ± 7.6 yr; 54.1% men) in our analysis; 10.8% had major and 43.2% had minor complications postoperatively. The median 6-month overall cost was $496 (interquartile range $140-$1948). Disaggregated by cost type, frailty independently predicted increasing costs of health care services (AR 1.76, 95% confidence interval [CI] 1.43-2.18,
conclusionFrail patients accrued higher health care services and product costs, but lower costs from lost productive hours. Interventions in elderly surgical patients should consider patient-borne cost in older adults and lost productivity in less frail patients.
trial registrationNCT02233153 (clinicaltrials.gov).
Indexed as
Identifiers
29368673PMC5785285W2790388175What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.