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Journal of Gastrointestinal Surgery
Erschienen in: Journal of Gastrointestinal Surgery 11/2014

01.11.2014 | SSAT Other

Improving Outcomes and Cost-Effectiveness of Colorectal Surgery

verfasst von: Scott R. Steele, Joshua Bleier, Brad Champagne, Imran Hassan, Andrew Russ, Anthony J. Senagore, Patricia Sylla, Alessio Pigazzi

Erschienen in: Journal of Gastrointestinal Surgery | Ausgabe 11/2014

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Excerpt

In this changing health-care climate, where coverage and reimbursement for complications and readmission may be radically altered, as well as an increased focus on appropriate utilization management of all hospital resources, tremendous focus is necessary to evaluate ways to improve outcomes and cost-effectiveness. It is in this light that enhanced care pathways and practice patterns ranging from the use of minimally invasive approaches or diversion to the way we train surgeons are increasingly scrutinized. Furthermore, identifying those patients at high-risk for complications ahead of time and intervening, where applicable, to mitigate this risk is of utmost importance. Yet, as surgeons, we must also be involved in all aspects of care, from goal setting and managing patient expectations in the clinic, to training nursing personnel on the proper care and expected postoperative course for patients undergoing colorectal procedures. Combined, we then have a realistic chance of reversing the trend that colorectal surgery currently accounts for 25 % of all operative complications and still has an average length of stay of 9 days for a standard elective colon resection.1‐3 In this manuscript, we will briefly review various efforts aimed at improving outcomes, efficiency, and cost-effectiveness following colorectal surgery. …
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Metadaten
Titel
Improving Outcomes and Cost-Effectiveness of Colorectal Surgery
verfasst von
Scott R. Steele
Joshua Bleier
Brad Champagne
Imran Hassan
Andrew Russ
Anthony J. Senagore
Patricia Sylla
Alessio Pigazzi
Publikationsdatum
01.11.2014
Verlag
Springer US
Erschienen in
Journal of Gastrointestinal Surgery / Ausgabe 11/2014
Print ISSN: 1091-255X
Elektronische ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-014-2643-9

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