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- Title
Pancreatic necrosis: Assessment of outcome related to quality of life and cost of management.
- Authors
Fenton-Lee, D.; Imrie, C. W.
- Abstract
Ten patients with necrotizing pancreatitis admitted consecutively between August 1990 and August 1991 were studied. They comprised eight men and two women of median age 63 (range 29-73) years. One patient died. The median length of hospital stay was 74 (range 40-150) days. The median number of operations and endoscopic procedures performed per patient was 4 (range 2-7). Investigations performed included multiple bacteriological, radiological, haematological and biochemical tests. The mean cost of management was £18 441 (range £9296-£33 796), of which hospitalization accounted for 65 per cent, operations and endoscopic procedures 20 per cent and investigations 16 per cent. Cost-utility analysis demonstrated a mean benefit per patient of 8·55 quality-adjusted life years gained at a cost of £2157 each. The management of pancreatic necrosis is expensive but justified by the excellent outcome in terms of quality of life.
- Publication
British Journal of Surgery, 1993, Vol 80, Issue 12, p1579
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.1800801228