M O Koch1, B Seckin, J A Smith. 1. Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee 87232-2765, USA.
Abstract
PURPOSE: We report the results of a collaborative care program that has been developed for radical cystectomy and urinary reconstruction. MATERIALS AND METHODS: All patients undergoing surgery after July 1993 were placed on a collaborative care pathway and were compared to patients undergoing the same procedure before this period. RESULTS: Total adjusted hospital charges decreased from $31,174 to $19,479. Hospital stay decreased from 12.7 to 10.3 days. There were also decreases in duration of surgery, blood loss, intensive care unit use and postoperative morbidity rates. CONCLUSIONS: Collaborative care pathways favorably affect the cost efficiency of care and provide favorable surgical outcomes.
PURPOSE: We report the results of a collaborative care program that has been developed for radical cystectomy and urinary reconstruction. MATERIALS AND METHODS: All patients undergoing surgery after July 1993 were placed on a collaborative care pathway and were compared to patients undergoing the same procedure before this period. RESULTS: Total adjusted hospital charges decreased from $31,174 to $19,479. Hospital stay decreased from 12.7 to 10.3 days. There were also decreases in duration of surgery, blood loss, intensive care unit use and postoperative morbidity rates. CONCLUSIONS: Collaborative care pathways favorably affect the cost efficiency of care and provide favorable surgical outcomes.
Authors: Ian M Thompson; Stephen F Kappa; Todd M Morgan; Daniel A Barocas; Carl J Bischoff; Kirk A Keegan; Kelly L Stratton; Peter E Clark; Matthew J Resnick; Joseph A Smith; Michael S Cookson; Sam S Chang Journal: Urol Oncol Date: 2013-09-17 Impact factor: 3.498