Costs Related to Diverting Ileostomy After Rectal Cancer Surgery
A Population-Based Healthcare Cost Analysis Based on Nationwide Registers
Bibliographic Data
| ID | 13775652 |
|---|---|
| Authors | Ursula Dahlstrand (0000-0003-3281-0959, Karolinska Institutet, Stockholm, Sweden, corresponding author), Pontus Gustafsson (Karolinska Institutet, Stockholm, Sweden), Pia Näsvall (0000-0002-6248-1212, Umeå University, Umeå, Sweden), Jeaneth Johansson (0000-0002-3377-6177, Luleå University of Technology, Luleå, Sweden), Ulf Gunnarsson (0000-0002-3806-2114, Umeå University, Umeå, Sweden), Ulrik Lindforss (0000-0003-4239-8419, Karolinska Institutet, Stockholm, Sweden) |
| Year | 2023 |
| Volume | 60 |
| Pages | 469580231212126-469580231212126 |
| Publication date | 2023-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | INQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL) |
| Journal identifiers | ISSN: 0046-9580 • E-ISSN: 1945-7243 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/00469580231212126 |
| PMID | 38105185 |
| OpenAlex | W4389861297 |
| Language | EN |
| References cited | 24 |
Low anterior resection for rectal cancer often includes a diverting loop-ileostomy to avoid the severe consequences of anastomotic leakage. Reversal of the stoma is often delayed, which can incur health-care costs on different levels. The aim is to, on population basis, determine stoma-related costs, and to investigate habitual and socioeconomic factors associated to the level of cost. Multi-register design with data from the Swedish Rectal Cancer Registry, the National Prescribed Drug Register, Statistics Sweden and cost-administrative data from the National Board of Health and Welfare. Data was gathered for 3564 patients with rectal cancer surgery 2007 to 2013, for 3 years following the surgery. Factors influencing the cost of inpatient care and stoma-related consumables were assessed with linear regression analyses. All monthly costs were higher for females (consumables P P = .031). Post-secondary education ( P = .003) and younger age ( P = .020) was associated with a higher cost for consumables while suffering a surgical complication was associated with increased cost for inpatient care ( P P P < .001). Female gender, longer duration of stoma, young age, and higher education are associated with higher costs for the care of a diverting stoma after rectal cancer surgery. This study does not allow for analyses of causality but the results together with deepened analyses of underlying reasons form a proper basis for decisions in health care planning and allocation of resources. These findings may have implications on the debate of equal care for all
Cancer · Colorectal cancer · Environmental health · General surgery · Health care · Ileostomy · Population · Colorectal Cancer Screening and Detection · Colorectal Cancer Surgical Treatments · Emergency Medicine · Internal Medicine · Medicine · Stoma care and complications · Surgery
| Citation velocity | historical |
|---|---|
| Highly cited | No |