Observational studyJournal of pediatric surgery2018
Improving the value of care for appendectomy through an individual surgeon-specific approach.
Observational study in Journal of pediatric surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Standardizing surgical equipment pick lists for sustainability: a systematic review.Surgical endoscopy · 2026Pooled it
- Costs in value-based health care dashboards: a qualitative study on stakeholder requirements.BMC health services research · 2025Article
- Clinical and economic impact of digital dashboards on hospital inpatient care: a systematic review.JAMIA open · 2025Review
- Development, Implementation, and Evaluation Methods for Dashboards in Health Care: Scoping Review.JMIR medical informatics · 2024Article
- A comprehensive value-based method for new nuclear medical service pricing: with case study of radium [223BMC health services research · 2024Article
- Examining the Relationship Between Value and Patient Satisfaction With Treatment in Total Joint Arthroplasty.Arthroplasty today · 2024Article
- Sterile surgical supply waste identification using asynchronous analysis: Pediatric surgery QI pilot.Surgery open science · 2023Article
- Reflections on Managing the Performance of Value-Based Healthcare: A Scoping Review.International journal of health policy and management · 2023Article
- Releasing Operating Room Nursing Time to Care through the Reduction of Surgical Case Preparation Time: A Lean Six Sigma Pilot Study.International journal of environmental research and public health · 2021Article
- Preparing for Bundled Payments: Impact of Complications Post-Coronary Artery Bypass Grafting on Costs.The Annals of thoracic surgery · 2021Article
- Approaches to the rationalization of surgical instrument trays: scoping review and research agenda.BMC health services research · 2021Article
- Evaluating the impact of surgical supply cost variation during partial nephrectomy on patient outcomes.Translational andrology and urology · 2021Article
- Cost containment: an experience with surgeon education and universal preference cards at two institutions.Surgical endoscopy · 2020Article
- Cost Awareness of Common Supplies Is Severely Impaired Among All Members of the Surgical Team.The Journal of surgical research · 2020Article
- Thermal effects of monopolar electrosurgery detected by real-time infrared thermography: an experimental appendectomy study.BMC surgery · 2020Article
- The Effect of Feedback on Surgeon Performance: A Narrative Review.Advances in orthopedics · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
purposeStandardized care via a unified surgeon preference card for pediatric appendectomy can result in significant cost reduction. The purpose of this study was to evaluate the impact of cost and outcome feedback to surgeons on value of care in an environment reluctant to adopt a standardized surgeon preference card.
methodsProspective observational study comparing operating room (OR) supply costs and patient outcomes for appendectomy in children with 6-month observation periods both before and after intervention. The intervention was real-time feedback of OR supply cost data to individual surgeons via automated dashboards and monthly reports.
resultsTwo hundred sixteen children underwent laparoscopic appendectomy for non-perforated appendicitis (110 pre-intervention and 106 post-intervention). Median supply cost significantly decreased after intervention: $884 (IQR $705-$1025) to $388 (IQR $182-$776), p<0.001. No significant change was detected in median OR duration (47min [IQR 36-63] to 50min [IQR 38-64], p=0.520) or adverse events (1 [0.9%] to 6 [4.7%], p=0.062). OR supply costs for individual surgeons significantly decreased during the intervention period for 6 of 8 surgeons (87.5%).
conclusionApproaching value measurement with a surgeon-specific (rather than group-wide) approach can reduce OR supply costs while maintaining excellent clinical outcomes. LEVEL OF EVIDENCE: Level II.
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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.