Jonathan F Dautremont1, Lucas R Rudmik1, Steven C Nakoneshny2, Shamir P Chandarana1,2, T Wayne Matthews1,2, Christiaan Schrag3, Gordon H Fick4, Joseph C Dort1,2,4. 1. Section of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. 2. Ohlson Research Initiative, Southern Alberta Cancer Research Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. 3. Section of Plastic Surgery, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. 4. Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Abstract
BACKGROUND: The purposes of this study were to explore the association of a postoperative clinical care pathway for patients undergoing major head and neck surgery with microvascular reconstruction on postdischarge health care utilization and cost and to compares a nonpathway group (n = 60) to a prospective, pathway-managed group (n = 54). Our primary purpose was to understand whether pathway-managed patients used postdischarge health care resources differently than patients managed without a care pathway. METHODS: Health care utilization data (counts and costs) were collected for the 3 months after discharge. Differences in utilization were compared using Poisson regression. The null hypothesis was that there were no differences in utilization between the pathway and nonpathway groups. RESULTS: Pathway patients had fewer postdischarge encounters in 2 of 4 sectors. Readmission costs were significantly less in the pathway group only. CONCLUSION: A postoperative inpatient clinical care pathway in patients with head and neck cancer is associated with decreased health care utilization and inpatient costs in the 3 months after discharge.
BACKGROUND: The purposes of this study were to explore the association of a postoperative clinical care pathway for patients undergoing major head and neck surgery with microvascular reconstruction on postdischarge health care utilization and cost and to compares a nonpathway group (n = 60) to a prospective, pathway-managed group (n = 54). Our primary purpose was to understand whether pathway-managed patients used postdischarge health care resources differently than patients managed without a care pathway. METHODS: Health care utilization data (counts and costs) were collected for the 3 months after discharge. Differences in utilization were compared using Poisson regression. The null hypothesis was that there were no differences in utilization between the pathway and nonpathway groups. RESULTS: Pathway patients had fewer postdischarge encounters in 2 of 4 sectors. Readmission costs were significantly less in the pathway group only. CONCLUSION: A postoperative inpatient clinical care pathway in patients with head and neck cancer is associated with decreased health care utilization and inpatient costs in the 3 months after discharge.
Authors: Ashley C Mays; Harrison G Bartels; Paul R Wistermayer; Matt L Rohlfing; Christopher M Gentile; Ralph D'Agostino; Joshua D Waltonen Journal: Head Neck Date: 2017-11-13 Impact factor: 3.147
Authors: Laura W J Baijens; Margaret Walshe; Leena-Maija Aaltonen; Christoph Arens; Reinie Cordier; Patrick Cras; Lise Crevier-Buchman; Chris Curtis; Wojciech Golusinski; Roganie Govender; Jesper Grau Eriksen; Kevin Hansen; Kate Heathcote; Markus M Hess; Sefik Hosal; Jens Peter Klussmann; C René Leemans; Denise MacCarthy; Beatrice Manduchi; Jean-Paul Marie; Reza Nouraei; Claire Parkes; Christina Pflug; Walmari Pilz; Julie Regan; Nathalie Rommel; Antonio Schindler; Annemie M W J Schols; Renee Speyer; Giovanni Succo; Irene Wessel; Anna C H Willemsen; Taner Yilmaz; Pere Clavé Journal: Eur Arch Otorhinolaryngol Date: 2020-12-19 Impact factor: 2.503
Authors: Joseph C Dort; Khara M Sauro; Shamir Chandarana; Christiaan Schrag; Jennifer Matthews; Steven Nakoneshny; Vida Manoloto; Tanya Miller; C David McKenzie; Robert D Hart; T Wayne Matthews Journal: J Otolaryngol Head Neck Surg Date: 2020-06-23
Authors: Joseph C Dort; Khara M Sauro; Christiaan Schrag; Shamir Chandarana; Jennifer Matthews; Steven Nakoneshny; Vida Manoloto; Tanya Miller; C David McKenzie; Robert D Hart; T Wayne Matthews Journal: J Otolaryngol Head Neck Surg Date: 2020-06-23
Authors: Barbara Pisano Messing; Elizabeth C Ward; Cathy Lazarus; Keri Ryniak; Melissa Kim; Jessica Silinonte; Dorothy Gold; Carol B Thompson; Karen T Pitman; Ray Blanco; Ryan Sobel; Karen Harrer; Karen Ulmer; Geoffrey Neuner; Kruti Patel; Mei Tang; Gregory Lee Journal: Dysphagia Date: 2018-06-19 Impact factor: 3.438
Authors: Julia T Daun; Rosie Twomey; Joseph C Dort; Lauren C Capozzi; Trafford Crump; George J Francis; T Wayne Matthews; Shamir P Chandarana; Robert D Hart; Christiaan Schrag; Jennifer Matthews; C David McKenzie; Harold Lau; S Nicole Culos-Reed Journal: Curr Oncol Date: 2022-08-21 Impact factor: 3.109