Cost of care in a randomised trial of early hospital discharge after surgery for breast cancer.

Hdl Handle:
http://hdl.handle.net/10149/98850
Title:
Cost of care in a randomised trial of early hospital discharge after surgery for breast cancer.
Authors:
Bonnema, J. (Jorien); van Wersch, A. (Anna); van Geel, A. N. (Albert); Pruyn, J. F. (Jean); Schmitz, P. (Paul); Uyl-de Groot, C.A. (Carin); Wiggers, T. (Theo)
Affiliation:
Department of Surgical Oncology. University Hospital Rotterdam/Daniel den Hoed Cancer Centre.
Citation:
Bonnema, J. et al. (1998) 'Cost of care in a randomised trial of early hospital discharge after surgery for breast cancer', European Journal of Cancer, 34 (13), pp.2015-20.
Publisher:
Elsevier
Journal:
European Journal of Cancer
Issue Date:
Dec-1998
URI:
http://hdl.handle.net/10149/98850
DOI:
10.1016/S0959-8049(98)00258-5
PubMed ID:
10070303
Abstract:
The aim of this study was to determine the effect of the reduction of the length of hospital stay after surgery for breast cancer on the rate of care consumption and the cost of care. Patients with operable breast cancer were randomised to a short or long postoperative hospital stay. Data on care consumption were collected for a period of 4 months in diaries administered by patients, and socioeconomic status was evaluated by questionnaires. A cost minimisation analysis using the 'societal' perspective was performed and savings were compared with the savings of hospital charges. The use of professional home care was higher for the short stay group during the first month (7.2 versus 1.3 h, P < 0.0001). The number of out-patient consultations, the intensity of informal home care and patient's expenses did not increase after early discharge. The total cost of care was reduced by US$1320 by introducing the short stay programme (P = 0.0007), but the savings were substantially lower than the savings in hospital charges (US$2680).
Type:
Article
Language:
en
Keywords:
adult; aged; breast; cost analysis; Female; home care services; hospital; humans; length of stay; middle aged; Netherlands; sensitivity; neoplasms; cost; specificity
ISSN:
0959-8049
Rights:
Author can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 14/05/2010]
Citation Count:
21 [Scopus, 14/05/2010]

Full metadata record

DC FieldValue Language
dc.contributor.authorBonnema, J. (Jorien)en
dc.contributor.authorvan Wersch, A. (Anna)en
dc.contributor.authorvan Geel, A. N. (Albert)en
dc.contributor.authorPruyn, J. F. (Jean)en
dc.contributor.authorSchmitz, P. (Paul)en
dc.contributor.authorUyl-de Groot, C.A. (Carin)en
dc.contributor.authorWiggers, T. (Theo)en
dc.date.accessioned2010-05-14T13:47:28Z-
dc.date.available2010-05-14T13:47:28Z-
dc.date.issued1998-12-
dc.identifier.citationEuropean Journal of Cancer; 34(13):2015-20en
dc.identifier.issn0959-8049-
dc.identifier.pmid10070303-
dc.identifier.doi10.1016/S0959-8049(98)00258-5-
dc.identifier.urihttp://hdl.handle.net/10149/98850-
dc.description.abstractThe aim of this study was to determine the effect of the reduction of the length of hospital stay after surgery for breast cancer on the rate of care consumption and the cost of care. Patients with operable breast cancer were randomised to a short or long postoperative hospital stay. Data on care consumption were collected for a period of 4 months in diaries administered by patients, and socioeconomic status was evaluated by questionnaires. A cost minimisation analysis using the 'societal' perspective was performed and savings were compared with the savings of hospital charges. The use of professional home care was higher for the short stay group during the first month (7.2 versus 1.3 h, P < 0.0001). The number of out-patient consultations, the intensity of informal home care and patient's expenses did not increase after early discharge. The total cost of care was reduced by US$1320 by introducing the short stay programme (P = 0.0007), but the savings were substantially lower than the savings in hospital charges (US$2680).en
dc.language.isoenen
dc.publisherElsevieren
dc.rightsAuthor can archive post-print (ie final draft post-refereeing). For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 14/05/2010]en
dc.subjectadulten
dc.subjectageden
dc.subjectbreasten
dc.subjectcost analysisen
dc.subjectFemaleen
dc.subjecthome care servicesen
dc.subjecthospitalen
dc.subjecthumansen
dc.subjectlength of stayen
dc.subjectmiddle ageden
dc.subjectNetherlandsen
dc.subjectsensitivityen
dc.subjectneoplasmsen
dc.subjectcosten
dc.subjectspecificityen
dc.titleCost of care in a randomised trial of early hospital discharge after surgery for breast cancer.en
dc.typeArticleen
dc.contributor.departmentDepartment of Surgical Oncology. University Hospital Rotterdam/Daniel den Hoed Cancer Centre.en
dc.identifier.journalEuropean Journal of Canceren
ref.citationcount21 [Scopus, 14/05/2010]en
or.citation.harvardBonnema, J. et al. (1998) 'Cost of care in a randomised trial of early hospital discharge after surgery for breast cancer', European Journal of Cancer, 34 (13), pp.2015-20.en

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