The impact of surgical site infection after gastrointestinal surgery on total healthcare costs：using the electronic patient reported outcome (ePRO)
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 (elect...
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| Published in | Journal of Japan Society for Surgical Infection Vol. 20; no. 5-6; pp. 527 - 532 |
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| Main Authors | , , , , , , , , , , , , |
| 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 | |
| Online Access | Get full text |
| ISSN | 1349-5755 2434-0103 |
| DOI | 10.24679/gekakansen.20.5-6_527 |
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| Abstract | 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. |
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| AbstractList | 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.
【背景】消化器外科領域における手術部位感染症（surgical site infection：以下，SSI）の発症率は高いが，その医療経済的な影響に関するエビデンスは不足している。本研究は医療費に対するSSI発症の影響をオンラインによる患者報告アウトカム電子システム（electronic Patient Reported Outcome：以下，ePRO）を活用して検証した。【方法】2020年10月〜2022年8月までに肝がん，膵がんに対して施行した肝切除術症例19例，膵切除術症例18例を対象に，SSI非発症群とSSI発症群の医療費を，ePROを活用して比較した。【結果】SSIの発症率は肝切除術で16％，膵切除術で28％であった。SSI非発症群とSSI発症群における医療費は436 ± 128千円と1,208 ± 686千円で有意にSSI発症群が高かった（P ＜ 0.01）。【結論】肝切除または膵切除術を受けた患者においてSSI発症によって医療費が大きく増加することを，ePROを活用することにより検証できた。 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. |
| Author | Aoki, Takeshi Shinji, Seiichi Watanabe, Manabu Ishinuki, Tomohiro Yoshida, Hiroshi Toiyama, Yuji Kato, Toru Hata, Fumitake Yokoo, Hideki Goda, Erika Nishimori, Hidefumi Shibata, Hideki Mizuguchi, Toru |
| Author_FL | 渡邉 学 秦 史壯 水口 徹 Nishimori Hidefumi 問山 裕二 吉田 寛 Yokoo Hideki Goda Erika 石貫 智裕 進士 誠一 加藤 透 青木 武士 柴田 英貴 |
| Author_FL_xml | – sequence: 1 fullname: 石貫 智裕 – sequence: 2 fullname: 加藤 透 – sequence: 3 fullname: Goda Erika – sequence: 4 fullname: 進士 誠一 – sequence: 5 fullname: 吉田 寛 – sequence: 6 fullname: 渡邉 学 – sequence: 7 fullname: Yokoo Hideki – sequence: 8 fullname: 柴田 英貴 – sequence: 9 fullname: 青木 武士 – sequence: 10 fullname: 問山 裕二 – sequence: 11 fullname: Nishimori Hidefumi – sequence: 12 fullname: 秦 史壯 – sequence: 13 fullname: 水口 徹 |
| Author_xml | – sequence: 1 fullname: Kato, Toru organization: Department of Surgery, Surgical Oncology and Science Sapporo Medical University – sequence: 1 fullname: Ishinuki, Tomohiro organization: Graduate School of Health Sciences, Sapporo Medical University – sequence: 1 fullname: Toiyama, Yuji organization: Department of Gastroenterology and Pediatric Surgery, Mie University – sequence: 1 fullname: Mizuguchi, Toru organization: Department of Surgery, Surgical Oncology and Science Sapporo Medical University – sequence: 1 fullname: Nishimori, Hidefumi organization: Department of Surgery, Sapporo Dohto Hospital – sequence: 1 fullname: Yoshida, Hiroshi organization: Nippon Medical School, Department of Gastroenterological Surgery – sequence: 1 fullname: Hata, Fumitake organization: Department of Surgery, Sapporo Dohto Hospital – sequence: 1 fullname: Shinji, Seiichi organization: Nippon Medical School, Department of Gastroenterological Surgery – sequence: 1 fullname: Goda, Erika organization: Department of Health Sciences, Japan Healthcare University – sequence: 1 fullname: Shibata, Hideki organization: Department of Surgery, Showa University – sequence: 1 fullname: Aoki, Takeshi organization: Department of Surgery, Showa University – sequence: 1 fullname: Yokoo, Hideki organization: Department of Surgery, Asahikawa Medical University – sequence: 1 fullname: Watanabe, Manabu organization: Department of Surgery, Toho University Ohashi Medical Center |
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| SubjectTerms | 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 |
| Title | The impact of surgical site infection after gastrointestinal surgery on total healthcare costs：using the electronic patient reported outcome (ePRO) |
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