Evidence map›Paper›PMID 38927915›Full record

ArticleCancers2024

Impact of Institutional Practices and Surgical Complexity on Sarcoma Surgery Costs: Driving Efficiency in Value-Based Healthcare.

Georg Schelling, Philip Heesen, Boris Tautermann, Markus Wepf, Barbara Di Federico, Annika Frei, Kim van Oudenaarde, Pietro Giovanoli, Beata Bode-Lesniewska, Gabriela Studer and 2 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

12 authors.

Georg SchellingFaculty of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, 6002 Luzern, Switzerland.
Philip HeesenSarcoma Center & Department of Orthopedics & Trauma, LUKS University Hospital, 6000 Lucerne, Switzerland.ORCID 0000-0002-5090-4935
Boris TautermannKlinik Hirslanden, St. Anna, 6000 Luzern, Switzerland.ORCID 0009-0000-2319-4504
Markus WepfSarkomzentrum KSW & Klinik für Orthopädie und Traumatologie, Kantonsspital Winterthur, 8400 Winterthur, Switzerland.
Barbara Di FedericoDepartment of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Zurich, 8032 Zurich, Switzerland.
Annika FreiSarkomzentrum KSW & Klinik für Orthopädie und Traumatologie, Kantonsspital Winterthur, 8400 Winterthur, Switzerland.
Kim van OudenaardeFaculty of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, 6002 Luzern, Switzerland.ORCID 0009-0003-6191-3778
Pietro GiovanoliDepartment of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Zurich, 8032 Zurich, Switzerland.
Beata Bode-LesniewskaFaculty of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, 6002 Luzern, Switzerland.ORCID 0000-0002-3329-4186
Gabriela StuderSarcoma Center & Department of Orthopedics & Trauma, LUKS University Hospital, 6000 Lucerne, Switzerland.ORCID 0000-0001-8780-7701
Bruno FuchsSarcoma Center & Department of Orthopedics & Trauma, LUKS University Hospital, 6000 Lucerne, Switzerland.ORCID 0000-0001-6453-3947
On Behalf Of The Swiss Sarcoma Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSarcomas present a unique challenge within healthcare systems due to their rarity and complex treatment requirements. This study explores the economic impact of sarcoma surgeries across three Swiss tertiary healthcare institutions, utilizing a consistent surgical approach by a single surgeon to eliminate variability in surgical expertise as a confounding factor.

methodsBy analyzing data from 356 surgeries recorded in a real-world-time data warehouse, this study assesses surgical and hospital costs relative to institutional characteristics and surgical complexity.

resultsOur findings reveal significant cost variations driven more by institutional resource management and pricing strategies than by surgical techniques. Surgical and total hospitalization costs were analyzed in relation to tumor dignity and complexity scores, showing that higher complexity and malignancy significantly increase costs. Interestingly, it was found that surgical costs accounted for only one-third of the total hospitalization costs, highlighting the substantial impact of non-surgical factors on the overall cost of care.

conclusionsThe study underscores the need for standardized cost assessment practices and highlights the potential of predictive models in enhancing resource allocation and surgical planning. By advocating for value-based healthcare models and standardized treatment guidelines, this research contributes to more equitable and sustainable healthcare delivery for sarcoma patients. These insights affirm the necessity of including a full spectrum of care costs in value-based models to truly optimize healthcare delivery. These insights prompt a reevaluation of current policies and encourage further research across diverse geographical settings to refine cost management strategies in sarcoma treatment.

Indexed as

benchmarkinghealthcare cost managementhealthcare economicsinstitutional resource utilizationpredictive cost modellingquality indicatorssarcoma surgerysurgical complexitytumor complexity scoresvalue-based healthcare

Identifiers

PMID38927915
PMCPMC11201775

What OpenQuestion holds

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Registered trials

None linked

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.