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Costs of radical cystectomy.

Journal article
Authors Ingela Berrum-Svennung
Hans Hedelin
Sten Holmäng
Published in Scand J Urol Nephrol
Volume 39
Issue 1
Pages 36-41
Publication year 2005
Published at Institute of Surgical Sciences, Department of Urology
Pages 36-41
Language en
Links dx.doi.org/10.1080/0036559041000253...
Keywords Bladder cancer; blood loss; cystectomy; economics; postoperative complications
Subject categories Urology and andrology

Abstract

Objective . The total costs of radical cystectomy comprise a significant part of the total costs of bladder cancer treatment. The aims of this study were to determine the costs of cystectomy, with and without complications, and to investigate related prognostic factors. Material and methods . The clinical records and relevant economic files of 70 consecutive patients operated on between 1994 and 1998 were studied. Uni- and multivariate analyses were performed on 22 variables of possible prognostic significance to high total costs. Results . The total (median) costs for 53 uncomplicated and 17 complicated cystectomies were 181 096 and 290 625 SEK, respectively. The preoperative variables (patient characteristics) had no or minimal prognostic significance for high total costs. High peri-operative blood loss was the most important factor associated with high total hospital costs for radical cystectomy. Conclusions . Total costs may be very high for a cystectomy with complications. Peri-operative blood loss was the most important factor associated with high total hospital costs for radical cystectomy due to bladder cancer. If the amount of bleeding can be influenced then substantial reductions in the total costs of cystectomy would seem possible.

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