The impact of surgical site infection after gastrointestinal surgery on total healthcare costs：using the electronic patient reported outcome (ePRO)

• Published in: Journal of Japan Society for Surgical Infection Vol. 20; no. 5-6; pp. 527 - 532
• Main Authors: Kato, Toru, Ishinuki, Tomohiro, Toiyama, Yuji, Mizuguchi, Toru, Nishimori, Hidefumi, Yoshida, Hiroshi, Hata, Fumitake, Shinji, Seiichi, Goda, Erika, Shibata, Hideki, Aoki, Takeshi, Yokoo, Hideki, Watanabe, Manabu
• Format: Journal Article
• Language: Japanese
• Published: Japan Society for Surgical Infection 11.09.2024; 一般社団法人 日本外科感染症学会
• Subjects: electronic Patient Reported Outcome (ePRO); electronic Patient Reported Outcome（ePRO）; SSI; 医療費; 手術部位感染（SSI）; 肝膵切除術
• ISSN: 1349-5755; 2434-0103
• DOI: 10.24679/gekakansen.20.5-6_527

Background: The incidence of surgical site infection (SSI) in the field of gastrointestinal surgery is high, but there is a lack of evidence regarding the economic impact of SSI. This study examined the impact of SSIs on total healthcare costs using an online patient information rating system (electronic Patient Reported Outcome: ePRO). Methods: The total healthcare costs of 19 patients of hepatectomy and 18 patients of pancreatectomy were compared between October 2020 and August 2022, using ePRO. Results: The incidence of SSI was 16% for hepatectomy and 28% for pancreatectomy. The total healthcare costs for the SSI-non-incident group were 436 ± 128 thousand yen and SSI-incident group were 1,208 ± 686 thousand yen (P ＜ 0.01). The total healthcare costs for the SSI-incident group were significantly higher than that for the SSI-non-incident group. Conclusion：Using ePRO, it was possible to verify that the development of SSI significantly increased the total healthcare cost in patients who underwent hepatectomy or pancreatectomy.