Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO project
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100188 |
Resumo: | ABSTRACT Objective: to compare hospital costs and clinical outcomes in inguinal and incisional hernioplasty before and after implementation of the ACERTO project in a university hospital. Methods: retrospective study of 492 patients undergoing either inguinal hernioplasty (n=315) or incisional hernioplasty (n=177). The investigation involved two phases: between January 2002 and December 2005, encompassing cases admitted before the implementation of the ACERTO protocol (PRE-ACERTO period), and the other phase, with cases operated between January 2006 and December 2011, after the implementation of the protocol (ACERTO period). The main outcome variable was the comparison of the mean hospital costs between the two periods. As secondary endpoints, we analyzed the length of stay, the surgical site infection rate and mortality. We used the cost method suggested by Public Sector Cost Information System. Results: surgical site infection was higher (p = 0.039) in the first phase of the study for both inguinal hernia operations (2 (1.6%) versus 0 (0%) cases) and incisional hernioplasty (5 (7.6%) versus 3 (2.7%) cases). The length of stay decreased one day after the implementation of the ACERTO protocol (p=0.005). There was a reduction in costs per patient from R$ 4,328.58 per patient in the first phase to R$ 2,885.72 in the second phase (66.7% reduction). Conclusion: there was a reduction in infectious morbidity, length of stay and hospital costs in hernioplasty after the implementation of the ACERTO protocol. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO projectHospital CostsHerniorrhaphySurgical Wound InfectionPreoperative CarePostoperative CareABSTRACT Objective: to compare hospital costs and clinical outcomes in inguinal and incisional hernioplasty before and after implementation of the ACERTO project in a university hospital. Methods: retrospective study of 492 patients undergoing either inguinal hernioplasty (n=315) or incisional hernioplasty (n=177). The investigation involved two phases: between January 2002 and December 2005, encompassing cases admitted before the implementation of the ACERTO protocol (PRE-ACERTO period), and the other phase, with cases operated between January 2006 and December 2011, after the implementation of the protocol (ACERTO period). The main outcome variable was the comparison of the mean hospital costs between the two periods. As secondary endpoints, we analyzed the length of stay, the surgical site infection rate and mortality. We used the cost method suggested by Public Sector Cost Information System. Results: surgical site infection was higher (p = 0.039) in the first phase of the study for both inguinal hernia operations (2 (1.6%) versus 0 (0%) cases) and incisional hernioplasty (5 (7.6%) versus 3 (2.7%) cases). The length of stay decreased one day after the implementation of the ACERTO protocol (p=0.005). There was a reduction in costs per patient from R$ 4,328.58 per patient in the first phase to R$ 2,885.72 in the second phase (66.7% reduction). Conclusion: there was a reduction in infectious morbidity, length of stay and hospital costs in hernioplasty after the implementation of the ACERTO protocol.Colégio Brasileiro de Cirurgiões2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100188Revista do Colégio Brasileiro de Cirurgiões v.47 2020reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20202438info:eu-repo/semantics/openAccessNASCIMENTO,JOSÉ EDUARDO DE AGUILARSALOMÃO,ALBERTO BICUDORIBEIRO,MARA REGINA ROSASILVA,ROBERTA FERREIRA DAARRUDA,WESLEY SANTANA CORREAeng2020-08-19T00:00:00Zoai:scielo:S0100-69912020000100188Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2020-08-19T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO project |
title |
Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO project |
spellingShingle |
Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO project NASCIMENTO,JOSÉ EDUARDO DE AGUILAR Hospital Costs Herniorrhaphy Surgical Wound Infection Preoperative Care Postoperative Care |
title_short |
Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO project |
title_full |
Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO project |
title_fullStr |
Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO project |
title_full_unstemmed |
Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO project |
title_sort |
Cost-effectiveness analysis of hernioplasties before and after the implementation of the ACERTO project |
author |
NASCIMENTO,JOSÉ EDUARDO DE AGUILAR |
author_facet |
NASCIMENTO,JOSÉ EDUARDO DE AGUILAR SALOMÃO,ALBERTO BICUDO RIBEIRO,MARA REGINA ROSA SILVA,ROBERTA FERREIRA DA ARRUDA,WESLEY SANTANA CORREA |
author_role |
author |
author2 |
SALOMÃO,ALBERTO BICUDO RIBEIRO,MARA REGINA ROSA SILVA,ROBERTA FERREIRA DA ARRUDA,WESLEY SANTANA CORREA |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
NASCIMENTO,JOSÉ EDUARDO DE AGUILAR SALOMÃO,ALBERTO BICUDO RIBEIRO,MARA REGINA ROSA SILVA,ROBERTA FERREIRA DA ARRUDA,WESLEY SANTANA CORREA |
dc.subject.por.fl_str_mv |
Hospital Costs Herniorrhaphy Surgical Wound Infection Preoperative Care Postoperative Care |
topic |
Hospital Costs Herniorrhaphy Surgical Wound Infection Preoperative Care Postoperative Care |
description |
ABSTRACT Objective: to compare hospital costs and clinical outcomes in inguinal and incisional hernioplasty before and after implementation of the ACERTO project in a university hospital. Methods: retrospective study of 492 patients undergoing either inguinal hernioplasty (n=315) or incisional hernioplasty (n=177). The investigation involved two phases: between January 2002 and December 2005, encompassing cases admitted before the implementation of the ACERTO protocol (PRE-ACERTO period), and the other phase, with cases operated between January 2006 and December 2011, after the implementation of the protocol (ACERTO period). The main outcome variable was the comparison of the mean hospital costs between the two periods. As secondary endpoints, we analyzed the length of stay, the surgical site infection rate and mortality. We used the cost method suggested by Public Sector Cost Information System. Results: surgical site infection was higher (p = 0.039) in the first phase of the study for both inguinal hernia operations (2 (1.6%) versus 0 (0%) cases) and incisional hernioplasty (5 (7.6%) versus 3 (2.7%) cases). The length of stay decreased one day after the implementation of the ACERTO protocol (p=0.005). There was a reduction in costs per patient from R$ 4,328.58 per patient in the first phase to R$ 2,885.72 in the second phase (66.7% reduction). Conclusion: there was a reduction in infectious morbidity, length of stay and hospital costs in hernioplasty after the implementation of the ACERTO protocol. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100188 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100188 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20202438 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.47 2020 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209214958403584 |