Evidence map›Paper›PMID 38414013›Full record

ArticleBMC research notes2024

The hospital costs of complications following major abdominal surgery: a retrospective cohort study.

Angelica Armellini, Shaun Chew, Samuel Johnston, Vijayaragavan Muralidharan, Mehrdad Nikfarjam, Laurence Weinberg

Abstract read
In one paragraph

Article in BMC research notes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Angelica ArmelliniDepartment of Anaesthesia, Austin Health, Heidelberg, Australia.
Shaun ChewDepartment of Anaesthesia, Austin Health, Heidelberg, Australia.
Samuel JohnstonDepartment of Anaesthesia, Austin Health, Heidelberg, Australia.
Vijayaragavan MuralidharanDepartment of Surgery, Austin Health, University of Melbourne, Heidelberg, Australia.
Mehrdad NikfarjamDepartment of Surgery, Austin Health, University of Melbourne, Heidelberg, Australia.
Laurence WeinbergDepartment of Anaesthesia, Austin Health, Heidelberg, Australia. laurence.weinberg@austin.org.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePostoperative complications following major abdominal surgeries is a pressing concern for hospital care and health economics. Given the paucity of available cost data for patients undergoing major abdominal surgery, we evaluated the number and the severity of postoperative complications following major abdominal surgeries and calculated the costs borne by a single centre university hospital within an Australian healthcare system.

resultsThe overall incidence of postoperative complications for 1790 adult patients undergoing major abdominal surgeries (i.e., colonic, liver, small bowel resections and Whipple procedures) between January 2013 and June 2018 was 75.2%. Of these complications, 56.9% were minor (Clavien-Dindo (CVD) Grades I or II) and 15.5% were major (CVD Grades III or IV). As the severity of complications increased, median adjusted total hospital costs rose significantly, with a median (interquartile range [IQR]) of AUD 29,519.70 (IQR 21,828.80-40,527.90) in CVD Grade II versus AUD 50,702.40 (IQR 35,866.00-69,296.80) in CVD Grade III (p <.001). Further, developing one, two or three complications resulted in significantly increased hospital costs by AUD 2618.30 (13.3% increase), AUD 3605.50 (16.2% increase) and AUD 3173.00 (12.3% increase) (p <.0001), respectively, with an exponential spike in costs incurred by patients who developed more than three complications (AUD 23,719.70; 81.7% increase; p < 0001).

Indexed as

Cardiovascular DiseasesHospital CostsAdultAustraliaHospitalsHumansPostoperative ComplicationsRetrospective StudiesHospital costsMajor abdominal surgeryPostoperative complications

Identifiers

PMID38414013
PMCPMC10900687

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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.