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- Title
Patient-level costing analysis of paediatric short bowel syndrome care in a specialist tertiary centre.
- Authors
Jones, Brendan C.; O'Sullivan, Benjamin; Amin, Sonal Parmar; Hill, Susan; Eaton, Simon; De Coppi, Paolo
- Abstract
<bold>Purpose: </bold>To undertake a pilot study estimating patient-level costs of care for paediatric short bowel syndrome (SBS) from the healthcare provider perspective.<bold>Methods: </bold>A pilot group of patients with anatomical SBS was selected at a single specialist tertiary centre in the United Kingdom. The Patient Level Information and Costing System (PLICS) was used to extract costing data for all hospital-based activities related to SBS, from the implementation of PLICS in 2016 to April 2021. Patient-specific and pooled data were reported descriptively in per patient-year terms.<bold>Results: </bold>Five patients had full PLICS data available for the 5-year study period and 2 patients had 4 years of data. The median cost for hospital care of SBS was £52,834 per patient-year (range £1804-£331,489). The key cost drivers were inpatient beds, pharmacy, and staffing costs, which made up > 60% of annual costs. In the first 3 years following index admission (n = 2), there was a steady decline in the annual cost of care to a level comparable with patients with established SBS.<bold>Conclusion: </bold>Patient-level cost of care analysis for SBS is feasible using PLICS. Hospital-related costs vary widely between and within individual patients over time. Key drivers of cost are related to complications of SBS.
- Subjects
PILOT projects; COST analysis; HOSPITAL care; RESEARCH funding; SHORT bowel syndrome
- Publication
Pediatric Surgery International, 2022, Vol 38, Issue 4, p533
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-022-05074-6