Establishment of a clinical pathway as an effective tool to reduce hospitalization and charges after video-assisted thoracoscopic pulmonary resection

被引：26

作者：

Maruyama R. ^{[1
]}

Miyake T. ^{[1
]}

Kojo M. ^{[1
]}

Aoki Y. ^{[1
]}

Suemitsu R. ^{[1
]}

Okamoto T. ^{[1
]}

Wataya H. ^{[1
]}

Ichinose Y. ^{[1
]}

机构：

[1] Department of Thoracic Oncology, Kyushu Cancer Center, Minami-ku, Fukuoka 811-1395

来源：

The Japanese Journal of Thoracic and Cardiovascular Surgery | 2006年 / 54卷 / 9期

关键词：

Clinical pathway; Duration of hospitalization; Hospitalization cost; Pumonary resection; Video-assisted thoracoscopic surgery;

D O I：

10.1007/s11748-006-0014-5

中图分类号：

学科分类号：

摘要：

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 $14439 and $13093 (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. © The Japanese Association for Thoracic Surgery 2006.

引用

页码：387 / 390

页数：3

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