Economic Analysis of Medical Management Applied for Left ColostomyC. Șavlovschi, D. Șerban, C.V. Andreescu, A.M. Dascalu, H. Pantu
Original article, no. 5, 2013
Purpose: This paper presents an analysis of surgical treatmentcosts for left colostomy, aiming to calculate a medium costper procedure and to identify the means to maximize theeconomic management of this type of surgicale procedure.Materials and method: A retrospective study was conducted on agroup of 8 patients hospitalized in the 4th Surgery Department,Emergency University Hospital Bucharest, during the year 2012for left colic neoplasms with obstruction signs that wereoperated on with a left colostomy. The followed parameters inthe studied group of patients were represented by medicalexpenses, divided in: preoperative, intra-operative andimmediate postoperative (postop. hospitalization).Results: Two major types of colostomy were performed: left loopcolostomy with intact tumour for 6 patients and left endcolostomy and tumour resection (Hartmann's procedure) for 2patients. The medium cost of this type of surgical intervention was 4396.807 RON, representing 1068.742 euro. Statistic dataanalysis didnÃ¢Â€Â™t reveal average costs to vary with the type ofprocedure. The age of the study subjects was between 49 and88, with an average of 61 years, without it being possible toestablish a correlation between patient age and the level ofmedical spendings.Conclusions: Reducing the costs involved by left colostomy canbe efficiently done by decreasing the number of days ofhospitalisation in the following ways: preoperative preparationand assessment of the subject in an outpatient regimen; theaccuracy of the surgical procedure with the decrease of earlypostoperative complications and antibiotherapy Ã¢Â€" the secondmajor cause of increased postoperative costs.