ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2019
Hospital cost associated with anemia in elective colorectal surgery: a historical cohort study.
Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03476707 (Association of Anemia With Hospital Costs in Elective Colorectal Surgery), which is not on this map. Cited by 12 papers.
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Association of Anemia With Hospital Costs in Elective Colorectal Surgery
Who cites it
12 citing papers in PubMed, 18 citations in OpenAlex.
- Hemoglobinometry at the point of care with activation of a hospital transfusion pathway versus usual care for the early detection of anaemia in primary care: the ANHEMOG randomized controlled trial.BMC primary care · 2026Trial
- Effect of preoperative anemia on postoperative outcomes in mixed hemorrhoids: a retrospective observational study.BMC gastroenterology · 2026Observational
- Hospitalization costs of pediatric acute appendicitis in Western Romania: a single-center retrospective study.Journal of medicine and life · 2026Article
- Associations of preoperative anaemia with healthcare resource use and outcomes after colorectal surgery: a population-based cohort study.British journal of anaesthesia · 2024Article
- [Impact of anemia on incidence of perioperative lower limb deep vein thrombosis in patients undergoing total hip arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Preoperative Deficiency Anemia in Digital Replantation: A Marker of Disparities, Increased Length of Stay, and Hospital Cost.Journal of hand and microsurgery · 2022Article
- Unexplained anemia of aging: Etiology, health consequences, and diagnostic criteria.Journal of the American Geriatrics Society · 2022Review
- How Does Iron Deficiency Anemia Impact Outcomes following Revision Total Hip Arthroplasty?Hip & pelvis · 2021Article
- Associations between preoperative anaemia and hospital costs following major abdominal surgery: cohort study.BJS open · 2021Article
- The hospital costs of complications following colonic resection surgery: A retrospective cohort study.Annals of medicine and surgery (2012) · 2020Article
- Observational
- Improving the treatment of pre-operative anemia in hepato-pancreato-biliary patients: a quality improvement initiative.Patient safety in surgery · 2020Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAnemia is highly prevalent in the colorectal surgery population, affecting 30-70% of patients. Anemia is associated with significant morbidity and mortality; however, there is a lack of evidence on how much anemia impacts healthcare costs. This study aims to determine the hospital cost of index surgical admission, postoperative length of stay, and transfusion rate associated with preoperative anemia in elective major colorectal surgery.
methodsThis historical cohort study included 851 adult inpatients having elective colorectal surgery at a tertiary care academic health sciences network between April 2010 and February 2016. Anemia was defined as hematocrit ≤ 39%. The primary outcome was total hospital costs standardized to 2016 CAD. Secondary outcomes were postoperative length of stay and transfusion. Multivariable regression analyses and propensity score methods were used to measure adjusted associations between anemia and outcomes.
resultsBefore surgery, 381/851 (45%) patients were anemic. The mean (standard deviation [SD]) cost of index admission for an elective colorectal surgery was 20,040 (23,219) CAD. Anemia was associated with an adjusted 14% relative increase in costs (95% confidence interval [CI], 6 to 23; P < 0.001). The total hospitalization cost attributable to anemia was 3,027 CAD (95% CI, 2,670 to 3,388). Hospital costs and length of stay were highly associated; anemia was associated with an 18% increase in length of stay (95% CI, 7 to 30; P < 0.001) and increased transfusion rates (risk ratio, 4.7; 95% CI, 2.71 to 8.33; P < 0.001).
conclusionOver 2,600 CAD per index surgical admission is attributable to preoperative anemia. Preoperative interventions with per patient cost of less than 2,600 CAD could be cost effective at the hospital level.
trial registrationwww.clinicaltrials.gov (NCT03476707); registered 26 March, 2018.
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