Flinkier Ariane, Chu Fabien, Berman Jordan, Slifirski Hugh, Barnett Stephen, Caragata Rebecca, Weinberg Laurence
Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
Department of Surgery, Monash Health, Clayton, Victoria, Australia.
BMJ Open. 2024 Dec 20;14(12):e083015. doi: 10.1136/bmjopen-2023-083015.
Global healthcare expenditures are rising, driven largely by increased spending in both high- and low-income countries with hospitalisation as a primary contributor. Respiratory diseases, particularly lung cancer, pose significant public health and economic challenges with thoracic surgery as the standard curative treatment. Complications post resection, such as arrhythmias, infections and respiratory failure, result in substantial healthcare costs and resource demands. Although studies have explored the economic impact of surgeries, there is a limited comprehensive analysis of the financial burden of postoperative complications after lung resection surgery. To address this gap, this scoping review aims to map existing literature on lung resection complications and associated costs, providing insights for future research and healthcare policy.
This scoping review will be conducting according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews standards. Eligible peer-reviewed articles and grey literature will be identified across Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database and Cochrane Central Register of Controlled Trials. Cost data will be converted into US dollars as per the Federal Reserve Bank of St Louis and adjusted for inflation as per the US Bureau of Labor Statistics Consumer Price Index inflation calculator.
Ethics approval was not required. The results will be communicated through established professional networks, conference presentations and publication in peer-reviewed journals.
全球医疗保健支出正在上升，这在很大程度上是由高收入和低收入国家支出增加推动的，住院治疗是主要促成因素。呼吸系统疾病，尤其是肺癌，给公共卫生和经济带来了重大挑战，胸外科手术是标准的治疗方法。切除术后的并发症，如心律失常、感染和呼吸衰竭，导致了大量的医疗保健成本和资源需求。尽管已有研究探讨了手术的经济影响，但对肺切除术后并发症的经济负担进行的综合分析有限。为填补这一空白，本范围综述旨在梳理有关肺切除并发症及相关成本的现有文献，为未来研究和医疗政策提供见解。
本范围综述将按照系统评价和Meta分析扩展的范围综述首选报告项目标准进行。将通过医学文献分析和检索系统在线数据库、医学文摘数据库以及Cochrane对照试验中心注册库确定符合条件的同行评审文章和灰色文献。成本数据将根据圣路易斯联邦储备银行的标准换算成美元，并根据美国劳工统计局消费者价格指数通胀计算器进行通胀调整。
无需伦理批准。研究结果将通过既定的专业网络、会议报告以及在同行评审期刊上发表进行传播。
