Abstract
Objective
The purpose of this study was to assess the effect of establishing a clinical pathway based on the length of hospitalization, hospital charges, and the outcome for video-assisted thoracoscopic pulmonary resection (VATPR).
Methods
We retrospectively analyzed consecutive patients who were diagnosed as having primary lung cancer, metastatic lung cancer, or a nodule that was suspected to be malignant and thus was operated on using VATPR during the 1-year period before (n = 105) and after (n = 113) pathway implementation.
Results
The mean economic cost and total hospital stay before and after pathway implementation were about $14 439 and $13 093 (US), and 29.4 and 18.6 days, respectively. These figures were significantly lower after pathway implementation than before establishment of the pathway.
Conclusion
A clinical pathway is thus considered useful for reducing the length of total hospital stay and the costs associated with VATPR while maintaining high-quality postoperative care.
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References
CD Wright JC Wain HC Grillo AC Moncure SM Macaluso DJ Mathisen (1997) ArticleTitlePulmonary lobectomy patient care pathway: a model to control cost and maintain quality Ann Thorac Surg 64 299–302 Occurrence Handle9262564 Occurrence Handle1:STN:280:DyaK2svgvVSntg%3D%3D Occurrence Handle10.1016/S0003-4975(97)00548-1
EA Tovar RA Roethe MD Weissig RE Lloyd GR Patel (1998) ArticleTitleOne-day admission for lung lobectomy: an incidental result of a clinical pathway Ann Thorac Surg 65 803–6 Occurrence Handle9527217 Occurrence Handle1:STN:280:DyaK1c7os1CntQ%3D%3D Occurrence Handle10.1016/S0003-4975(10)62158-3
KJ Zehr PB Dawson SC Yang RF Heitmiller (1998) ArticleTitleStandardized clinical care pathways for major thoracic cases reduce hospital costs Ann Thorac Surg 66 914–9 Occurrence Handle9768951 Occurrence Handle1:STN:280:DyaK1cvjvFyrtQ%3D%3D Occurrence Handle10.1016/S0003-4975(98)00662-6
I Yoshino C Ushijima M Tomiyasu R Suemitsu Y Ichinose K Sugimachi (2002) ArticleTitleUnique minithoracotomy assisted by videothoracoscopy facilitates a maximal view even with a minimal wound for resection of primary lung cancer Surg Endosc 16 148–50 Occurrence Handle11961626 Occurrence Handle1:STN:280:DC%2BD383isFGjsQ%3D%3D Occurrence Handle10.1007/s004640080194
B Rosner (1995) Fundamentals of biostatistics EditionNumber4th edition Duxbury Press Belmont, CA
K Ueda Y Kaneda H Sakano T Tanaka TS Li K Hamano (2003) ArticleTitleObstacles for shortening hospitalization after video-assisted pulmonary resection for lung cancer Ann Thorac Surg 76 1816–20 Occurrence Handle14667590 Occurrence Handle10.1016/S0003-4975(03)01079-8
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Maruyama, R., Miyake, T., Kojo, M. et al. Establishment of a clinical pathway as an effective tool to reduce hospitalization and charges after video-assisted thoracoscopic pulmonary resection. Jpn J Thorac Cardiovasc Surg 54, 387–390 (2006). https://doi.org/10.1007/s11748-006-0014-5
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DOI: https://doi.org/10.1007/s11748-006-0014-5