Kollig E, Kemen M, Senkal M, Zumtobel V
Chirurgische Klinik Ruhr-Universität, St. Josef-Hospital, Bochum.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1057-9.
In this study of 154 patients with major abdominal cancer surgery, 41 postoperative complications occurred and caused additional total costs of DM 205.993,-, DM 5.024,- per case, respectively, where the special personnel costs were not accounted for. There was a significant difference between single and multiple complications as well as for early and late complication costs. Economic analyses are necessary to determine budgets of medical departments with extended and cost-intensive treatment, such as cancer surgery, to maintain optimal care for the patients.
在这项针对154例接受腹部大手术的癌症患者的研究中,发生了41例术后并发症,分别导致额外总成本达205,993德国马克,每例5,024德国马克,其中未计入特殊人员成本。单一并发症与多种并发症以及早期和晚期并发症成本之间存在显著差异。对于癌症手术等采用延长治疗且成本高昂的医疗科室,有必要进行经济分析以确定预算,从而为患者维持最佳护理。