The inpatient burden of abdominal and gynecological adhesiolysis in the US

BMC Surgery

Research Article

Keith L Davis¹  Sean D Candrilli¹  Bela Bapat¹  Vanja Sikirica²  Alan Johns³  Malcolm Wilson⁴ 

[1]RTI Health Solutions, 200 Park Offices, 27709, Research Triangle Park, NC, USA

[2]Shire Pharmaceuticals, 19087, Wayne, PA, USA

[3]Texas Health Care, Fort Worth, 76109, TX, USA

[4]The Christie NHS Foundation Trust, M20 4BX, Manchester, UK

关键词: Adhesions;    adhesiolysis;    abdominal;    gynecological;    burden of illness;    hospitalizations;   

DOI  :  10.1186/1471-2482-11-13

 received in 2011-01-05, accepted in 2011-06-09,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundAdhesions are fibrous bands of scar tissue, often a result of surgery, that form between internal organs and tissues, joining them together abnormally. Postoperative adhesions frequently occur following abdominal surgery, and are associated with a large economic burden. This study examines the inpatient burden of adhesiolysis in the United States (i.e., number and rate of events, cost, length of stay [LOS]).MethodsHospital discharge data for patients with primary and secondary adhesiolysis were analyzed using the 2005 Healthcare Cost and Utilization Project's Nationwide Inpatient Sample. Procedures were aggregated by body system.ResultsWe identified 351,777 adhesiolysis-related hospitalizations: 23.2% for primary and 76.8% for secondary adhesiolysis. The average LOS was 7.8 days for primary adhesiolysis. We found that 967,332 days of care were attributed to adhesiolysis-related procedures, with inpatient expenditures totaling $2.3 billion ($1.4 billion for primary adhesiolysis; $926 million for secondary adhesiolysis). Hospitalizations for adhesiolysis increased steadily by age and were higher for women. Of secondary adhesiolysis procedures, 46.3% involved the female reproductive tract, resulting in 57,005 additional days of care and $220 million in attributable costs.ConclusionsAdhesiolysis remain an important surgical problem in the United States. Hospitalization for this condition leads to high direct surgical costs, which should be of interest to providers and payers.

【 授权许可】

Unknown   
© Sikirica et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.