Universität zu Köln

Berghmans, Catharina Helena Jacoba, Luebke, Thomas and Brunkwall, Jan Sigge (2019). A Cost Calculation of EVAR and FEVAR Procedures at an European Academic Hospital. Ann. Vasc. Surg., 54. S. 205 - 215. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1615-5947

Full text not available from this repository.

Abstract

Background: The aim was to calculate the costs of EVAR and FEVAR procedures in a European academic hospital by cost retrieval based on a subcohort with known detailed costs through application of the individually detailed calculated costs to the total study population and to correlate these with corresponding reimbursements. Methods: A cost analysis was performed on 25 FEVAR and 100 EVAR cases based on the detailed cost analysis of a group of patients treated in 2012 and 2013 by applying the costs based on costs per time unit within 4 subgroups: (1) uncomplicated EVAR, (2) complicated EVAR, (3) uncomplicated FEVAR, and (4) complicated FEVAR. Results: Thirty cases (19 EVAR and 11 FEVAR) treated in 2012 and 2013 were used to determine the individual detailed costs for the entire study group consisting of 100 EVAR and 25 FEVAR cases. There were 14 repeat operations within the 100 EVAR cases and 3 repeat operations within the 25 FEVAR cases. A total of 14 EVAR-treated patients were readmitted, as was one FEVAR patient. The costs of the endografts were the largest contributor to the overall costs, followed by the costs of the surgery itself and the stay in the ward. The costs of an uncomplicated EVAR procedure summed up at (SIC) 12,090; a complicated EVAR procedure costs (SIC) 13,956. An uncomplicated FEVAR procedure costs (SIC) 34,807, and a complicated FEVAR procedure costs (SIC) 36,695. The difference between median reimbursements received for the uncomplicated EVAR and FEVAR procedures was significant with (SIC) 13,374 for uncomplicated FEVAR and (SIC) 11,486 for complicated FEVAR in favor of the FEVAR group (P < 0.05). Conclusions: No financial loss was calculated in any of the subgroups. The costs of the endografts were the largest contributor to the overall costs, followed by the costs of the surgery itself and the stay in the ward.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Berghmans, Catharina Helena Jacoba UNSPECIFIED UNSPECIFIED UNSPECIFIED Luebke, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Brunkwall, Jan Sigge UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-140878
DOI:	10.1016/j.avsg.2018.05.059
Journal or Publication Title:	Ann. Vasc. Surg.
Volume:	54
Page Range:	S. 205 - 215
Date:	2019
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1615-5947
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ABDOMINAL-AORTIC-ANEURYSM; OPEN REPAIR; ENDOVASCULAR REPAIR; CARE; RISK Multiple languages Surgery; Peripheral Vascular Disease Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14087