A comparison of costs and survival in colorectal cancer patients undergoing surgery according to different organizational models.
OBJECTIVE: To determine the effectiveness and costs of different organizational models in caring for colorectal cancer patients through either clinical management functional units or traditional clinical services. METHOD: Post-operative and long-term (after 30 days and 5 years) mortality was analyze...
| Publicado en: | Spanish Journal of Gastroenterology / Revista Española de Enfermedades Digestivas Vol. 99; no. 11; pp. 643 - 648 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Aran Ediciones S.A.
2007 Nov
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105748838&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105748838 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11300108 YU3 jtl: Spanish Journal of Gastroenterology / Revista Española de Enfermedades Digestivas issn: 11300108 maglogo: N pubinfo: dt: 2007 Nov vid: 99 iid: 11 pid: 20394 pub: Aran Ediciones S.A. artinfo: ui: 105748838 105748838 2009862254 NLM18271662 105748838 ppf: 643 ppct: 5 formats: tig: atl: A comparison of costs and survival in colorectal cancer patients undergoing surgery according to different organizational models. aug: au: Olry de Labry Lima A Epstein DM García Mochón L Villegas Portero R affil: Escuela Andaluza de Salud Pública, Campus Universitario de Cartuja, Granada. antonio.olry-labry.easp@juntadeandalucia.es sug: subj: Colonic Neoplasms Surgery Health Care Costs Evaluation Survival Colonic Neoplasms Mortality Length of Stay Outcomes (Health Care) Treatment Duration Human ab: OBJECTIVE: To determine the effectiveness and costs of different organizational models in caring for colorectal cancer patients through either clinical management functional units or traditional clinical services. METHOD: Post-operative and long-term (after 30 days and 5 years) mortality was analyzed according to number of patients undergoing surgery because of colorectal cancer. Mortality was adjusted for patient-related confounding factors. With that purpose a thorough review of the literature was conducted; information obtained was used in a meta-analysis of randomized effects. Concerning costs, a literature search was run to describe differences in number of patients per year between hospitals. RESULTS: Surgery costs were found to be smaller, and mean hospital stay shorter, in big-sized hospitals. The meta-analysis showed that the risk of death at 30 days and 5 years was lower in big hospitals versus smaller ones (OR: 1.112; 95% CI 0.986-1.255, and OR: 1.114; 95% CI 1.105-1.183, respectively). CONCLUSIONS: Short- and long-term postoperative mortality is lower in hospitals with a high number of cases per year. pubtype: Periodical doctype: research tables/charts Journal Article ougenre: Article language: Spanish refInfo: holdings: @attributes: islocal: N |
|---|