Details
| Translated title of the contribution | Cost analysis of patients with surgical correction of esophageal atresia or gastroschisis based on claims data |
|---|---|
| Original language | Multiple languages |
| Pages (from-to) | 242-249 |
| Number of pages | 8 |
| Journal | Gesundheitsokonomie und Qualitatsmanagement |
| Volume | 21 |
| Issue number | 5 |
| Early online date | 12 Jul 2016 |
| Publication status | Published - Oct 2016 |
Abstract
Aim: Esophageal atresia and gastroschisis are rare congenital malformations which require surgical correction immediately after birth. Postoperative complications can affect the quality of life of these children and may result in life-long medical care. This causes additional costs for the healthcare system. Due to the lack of cost analyses of this issue the aim of the study was to analyze patients with neonatal surgical operations such as the repair of an esophageal atresia and gastroschisis. Method: All inpatient billing and performance processes were analyzed in form of claims data from the Technician Health Insurance (TK) during the period from January 2007 to August 2012. TK is the largest of its kind accounting for approximately 10 % of the German population (~9 million clients). Results: 60 esophageal atresia and 39 gastroschisis patients were identified. Our study showed that the complicated cases caused far more costs for the healthcare system than the uncomplicated cases. The costs of a complicated esophageal atresia were almost three times higher than those of an uncomplicated esophageal atresia. Thus, a complicated case cost an average of € 119 755, an uncomplicated case caused an average of € 41 679. In addition, higher costs for children with long-gap esophageal atresia and for secondary surgical closures of the abdominal wall of gastroschisis patients were calculated. Conclusion: In summary, postoperative complications are a financial burden for the payers of the health sector and therefore the decrease of surgical complications is necessary.
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In: Gesundheitsokonomie und Qualitatsmanagement, Vol. 21, No. 5, 10.2016, p. 242-249.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Kostenanalyse von Patienten mit chirurgischer Korrektur einer Ösophagusatresie oder Gastroschisis anhand von GKV-Routinedaten
AU - Dietrich, J.
AU - Zeidler, J.
AU - Dingemann, C.
AU - Blaser, J.
AU - Gosemann, J. H.
AU - Ure, B.
AU - Lacher, M.
AU - Graf von der Schulenburg, J. M.
PY - 2016/10
Y1 - 2016/10
N2 - Aim: Esophageal atresia and gastroschisis are rare congenital malformations which require surgical correction immediately after birth. Postoperative complications can affect the quality of life of these children and may result in life-long medical care. This causes additional costs for the healthcare system. Due to the lack of cost analyses of this issue the aim of the study was to analyze patients with neonatal surgical operations such as the repair of an esophageal atresia and gastroschisis. Method: All inpatient billing and performance processes were analyzed in form of claims data from the Technician Health Insurance (TK) during the period from January 2007 to August 2012. TK is the largest of its kind accounting for approximately 10 % of the German population (~9 million clients). Results: 60 esophageal atresia and 39 gastroschisis patients were identified. Our study showed that the complicated cases caused far more costs for the healthcare system than the uncomplicated cases. The costs of a complicated esophageal atresia were almost three times higher than those of an uncomplicated esophageal atresia. Thus, a complicated case cost an average of € 119 755, an uncomplicated case caused an average of € 41 679. In addition, higher costs for children with long-gap esophageal atresia and for secondary surgical closures of the abdominal wall of gastroschisis patients were calculated. Conclusion: In summary, postoperative complications are a financial burden for the payers of the health sector and therefore the decrease of surgical complications is necessary.
AB - Aim: Esophageal atresia and gastroschisis are rare congenital malformations which require surgical correction immediately after birth. Postoperative complications can affect the quality of life of these children and may result in life-long medical care. This causes additional costs for the healthcare system. Due to the lack of cost analyses of this issue the aim of the study was to analyze patients with neonatal surgical operations such as the repair of an esophageal atresia and gastroschisis. Method: All inpatient billing and performance processes were analyzed in form of claims data from the Technician Health Insurance (TK) during the period from January 2007 to August 2012. TK is the largest of its kind accounting for approximately 10 % of the German population (~9 million clients). Results: 60 esophageal atresia and 39 gastroschisis patients were identified. Our study showed that the complicated cases caused far more costs for the healthcare system than the uncomplicated cases. The costs of a complicated esophageal atresia were almost three times higher than those of an uncomplicated esophageal atresia. Thus, a complicated case cost an average of € 119 755, an uncomplicated case caused an average of € 41 679. In addition, higher costs for children with long-gap esophageal atresia and for secondary surgical closures of the abdominal wall of gastroschisis patients were calculated. Conclusion: In summary, postoperative complications are a financial burden for the payers of the health sector and therefore the decrease of surgical complications is necessary.
KW - complications
KW - congenital malformation
KW - cost analysis
KW - esophageal atresia
KW - gastroschisis
KW - inpatient treatment
UR - http://www.scopus.com/inward/record.url?scp=84978511635&partnerID=8YFLogxK
U2 - 10.1055/s-0042-103537
DO - 10.1055/s-0042-103537
M3 - Article
AN - SCOPUS:84978511635
VL - 21
SP - 242
EP - 249
JO - Gesundheitsokonomie und Qualitatsmanagement
JF - Gesundheitsokonomie und Qualitatsmanagement
SN - 1432-2625
IS - 5
ER -