Journal article
National Assessment of Early Biliary Complications After Liver Transplantation: Economic Implications
Transplantation, Vol.98(11), pp.1226-1235
12/15/2014
DOI: 10.1097/TP.0000000000000197
PMID: 25119126
Abstract
Background. Despite improvement in surgical technique and medical management of liver transplant recipients, biliary complications remain a frequent cause of posttransplant morbidity and graft loss. Biliary complications require potentially expensive interventions including radiologic procedures and surgical revisions.
Methods. A national data set linking transplant registry and Medicare claims data for 12,803 liver transplant recipients was developed to capture information on complications, treatments, and associated direct medical costs up to 3 years after transplantation.
Results. Biliary complications were more common in recipients of donation after cardiac death compared to donation after brain death allografts (23% vs. 19% P<0.001). Among donation after brain death recipients, biliary complications were associated with $54,699 (95% confidence interval [CI], $49,102 to $60,295) of incremental spending in the first year after transplantation and $7,327 in years 2 and 3 (95% CI, $4,419-$10,236). Biliary complications in donation after cardiac death recipients independently increased spending by $94,093 (95% CI, $64,643-$124,542) in the first year and $12,012 (95% CI, $-1,991 to $26,016) in years 2 and 3.
Conclusion. This national study of biliary complications demonstrates the significant economic impact of this common perioperative complication and suggests a potential target for quality of care improvements.
Details
- Title: Subtitle
- National Assessment of Early Biliary Complications After Liver Transplantation: Economic Implications
- Creators
- David A. Axelrod - Johns Hopkins UniversityNino Dzebisashvilli - Dartmouth CollegeKrista L. Lentine - St Louis Univ, Ctr Outcome Res, St Louis, MO 63103 USAHuiling Xiao - Saint Louis UniversityMark Schnitzler - Saint Louis UniversityJanet E. Tuttle-Newhall - Saint Louis UniversityDorry L. Segev - Saint Louis University
- Resource Type
- Journal article
- Publication Details
- Transplantation, Vol.98(11), pp.1226-1235
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/TP.0000000000000197
- PMID
- 25119126
- ISSN
- 0041-1337
- eISSN
- 1534-6080
- Number of pages
- 10
- Grant note
- Hitchcock Foundation RC1 1RC1DK086450-01 / American Recovery and Reinvestment Act grant from the National Institute of Diabetes Digestive and Kidney Diseases RC1DK086450 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
- Language
- English
- Date published
- 12/15/2014
- Academic Unit
- Surgery
- Record Identifier
- 9984321871702771
Metrics
20 Record Views